Musculoskeletal - Achilles Tendon Injury Short Ais
Caption
A 20s M presented with an ankle injury after landing a skateboard trick and feeling a painful pop in his posterior ankle. He had a positive Thompson test on exam. POCUS of the affected Achilles tendon was performed. This clip shows a short axis view of the Achilles tendon using the linear transducer. There is a relatively hypoechoic area (*) within the normally hyperechoic tendon, indicating focal injury to the tendon. Orthopedics was consulted, and the patient was placed into a short leg splint in plantar flexion and discharged with outpatient follow up. MRI later confirmed a focal full thickness Achilles tendon tear and the patient was scheduled for surgery. Jaimie Trenney, PA-C Denver Heath Medical Center