Page 60 - 2021 IDMT Digital
P. 60

ACHILLES TENDON RUPTURE
          Introduction:
            •  $FKLOOHV WHQGRQ UXSWXUHV DUH D SUREOHP VHHQ LQ ROGHU DWKOHWHV ZKR SDUWLFLSDWH LQ VWRS
               DQG JR VSRUWV  LQFOXGLQJ WHQQLV  UDFTXHWEDOO DQG EDVNHWEDOO
            •  $ FRPSOHWH UXSWXUH RI WKH $FKLOOHV WHQGRQ UHTXLUHV VXUJLFDO LQWHUYHQWLRQ IRU UHSDLU DQG
               PXVW EH UHFRJQL]HG HDUO\ IRU PD[LPDO EHQHILW

          Subjective:
            •  6LJQV DQG 6\PSWRPV
                 o  6XGGHQ  VHYHUH GLVWDO FDOI SDLQ
                 o  'HVFULEHG DV D ³JXQVKRW ZRXQG´ WR WKH KHHO
                 o  $ELOLW\ WR ZDON ZLOO EH LPSDLUHG
            •  )RFXVHG +LVWRU\
                 o  0HFKDQLVP RI LQMXU\
                 o  3UHVHQFH RI D  SRS
          Objective:
            •  3K\VLFDO ([DP
                 o  6ZHOOLQJ LQ ORZHU FDOI
                 o  $QWDOJLF JDLW
                 o  3DOSDEOH GHIHFW LQ WKH $FKLOOHV WHQGRQ
                 o  3RVLWLYH 7KRPSVRQ WHVW  PRVW UHOLDEOH ZLWKLQ    KRXUV RI LQMXU\
          Assessment:
            •  'LIIHUHQWLDO
                 o  $FKLOOHV WHQGRQLWLV  SDLQ LQ $FKLOOHV  EXW 7KRPSVRQ WHVW LV QHJDWLYH  SDLQ LV
                    RI JUDGXDO RQVHW
                 o  '97  QR KLVWRU\ RI LQMXU\  ULVN IDFWRUV  QHJDWLYH 7KRPSVRQ WHVW
                 o  $QNOH VSUDLQ  PHFKDQLVP RI LQMXU\  SDLQ DQG VZHOOLQJ RYHU PDOOHROL
                 o  0HGLDO JDVWURFQHPLXV LQMXU\  7KRPSVRQ WHVW QHJDWLYH  SDLQ LQ WKH FDOI
          Plan:
            •  &UXWFKHV  QRQ ZHLJKW EHDULQJ
            •  6SOLQW IRRW LQ SODQWDU IOH[LRQ
            •  16$,'V QDUFRWLFV IRU SDLQ
            •  If certified in Battlefield Acupuncture (BFA) and with preceptor concurrence,
               consider administering up to 10 treatment sessions as an alternative to NSAIDs as
               long as there is clinical benefit and no worsening of the patient’s condition
            •  8UJHQW (9$& RUWKRSHGLFV





















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