ABSTRACTS FOR CONSIDERATIONS IN THE MANAGEMENT OF TRAUMA, FREE PAPER SESSION 2
Abstracts for Considerations in the Management of Trauma, Free Paper Session 2, Wednesday 16 September 15.45–16.30, Pippard Lecture TheatreThe neutral injured ankle: is the Achilles tendon intact?
Santry Demesne Sports Surgery Clinic
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Introduction
Achilles tendon (TA) ruptures are one of the most common tendon injuries. However, up to 25% of ruptures may be missed on initial presentation. The diagnosis is a clinical one, while a radiological investigation can be used in equivocal cases. We aimed to establish whether or not plain lateral radiographs of the ankle could play a role in reducing missed TA ruptures.
Methods
27 patients who presented to our unit with a TA rupture and who also had plain radiographs of the ankle performed had the tibio–first metatarsal angle measured (the angle subtended by a line drawn through the mechanical axis of the tibia and a line drawn parallel to the first metatarsal shaft). 27 patients presenting with ankle sprains who also had plain radiographs were used as controls.
Results
The male:female ratio
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