What indicates a positive result in the Thompson test?
A positive test has been reported to indicate a complete rupture of the tendon,4 and the cited mechanical reason for the positive test (complete rupture) is the loss of integrity of the soleal part of the tendon.
Can a torn Achilles cause hip pain?
Since our joints are connected in some way, when the Achilles tendons become inflamed due to their overuse, they can create instability in the hip joint, making it weak, stiff, or painful.
What is the test to see if the Achilles tendon has ruptured?
The Thompson test examines the integrity of the Achilles tendon by squeezing the calf. It is performed as a clinical test to identify the presence of a complete Achilles rupture.
How reliable is the Thompson test?
The sensitivity of the Thompson’s test for the diagnosis of a complete Achilles tendon rupture is 96-100% and the specificity is 93-100%, but data is limited.
How do you test for a torn tendon?
Your doctor may do a Thompson test. In this test, your doctor will have you kneel on a chair and dangle your foot over the edge. The doctor will then squeeze your calf in a particular place. If the toes on your foot don’t point downward when the doctor squeezes, then you probably have a ruptured Achilles tendon.
Can tight hips cause Achilles tendonitis?
“Poor hip flexibility, specifically extension, leads to poor gluteal recruitment and an overload of the calf complex, leading to Achilles problems. So, underlying biomechanical deficiencies in the hip often precede Achilles problems.”
How do you tell if I tore my Achilles?
Symptoms
- The feeling of having been kicked in the calf.
- Pain, possibly severe, and swelling near the heel.
- An inability to bend the foot downward or “push off” the injured leg when walking.
- An inability to stand on the toes on the injured leg.
- A popping or snapping sound when the injury occurs.
How do you perform Thompson test?
A Thompson test is performed to determine if the Achilles tendon is ruptured. This is done by squeezing the calf muscles while the patient is kneeling or lying face down with feet hanging unsupported.
Can a Thompson test be wrong?
A study published in Clinics of Orthopedic Surgery has shown that false-negative Thompson tests account for 25% of neglected Achilles tendon ruptures. According to this study, a false-negative test result may happen when other muscles and tendons still allow plantar flexion in spite of the ruptured Achilles tendon.
Can you walk on a partially torn Achilles tendon?
Can You Walk on a Partially Torn Achilles Tendon? A patient suffering from a partially torn Achilles tendon will have difficulty walking since that tendon is necessary for the foot to efficiently push off the ground. Depending on the severity of the injury, they may be able to walk, awkwardly.