Thompson Test: Difference between revisions
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'''PURPOSE''': To assess for achilles tendon rupture | '''PURPOSE''': To assess for achilles tendon rupture | ||
<br> '''TECHNIUE''': The patient lies prone with their legs straight and their heels placed just over the edge of the table. The examiner then squeezes the gastrocnemius-solues complex. When the achilles tendon is intact, the patient should plantar flex the foot upon squeezing the gastroc-soleus complex. If the patient does not plantar flex the foot upon squeezing, the test is positive for achilles tendon rupture.<ref>Konin JG, Wiksten DL, Isear JA, Brader H. Special Tests for Orthopedic Examination 2nd Edition. SLACK Incorporated 2002, pg 304.</ref> | |||
<br> '''EVIDENCE''': Sensitivity= .96 -LR .04 | |||
'''EVIDENCE''': Sensitivity= .96 -LR .04 | |||
Specificity= .93 +LR 13.7<ref name="Flynn">Flynn T, Cleland J, Whitman J. Users Guide to Musculoskeletal Examination: Fundamentals for the Evidence Based Clinician: Evidence in Motion;2008.</ref> | Specificity= .93 +LR 13.7<ref name="Flynn">Flynn T, Cleland J, Whitman J. Users Guide to Musculoskeletal Examination: Fundamentals for the Evidence Based Clinician: Evidence in Motion;2008.</ref> | ||
<br> '''RESOURCES''': | |||
''' | <br> '''RESEARCH''': | ||
''' | <br> '''REFERENCES''': | ||
1. Konin JG, Wiksten DL, Isear JA, Brader H. Special Tests for Orthopedic Examination 2nd Edition: SLACK Incorporated; 2002. | |||
2, Flynn T, Cleland J, Whitman J. Users Guide to Musculoskeletal Examination: Fundamentals for the Evidence Based Clinician: Evidence in Motion; 2008. |
Revision as of 20:30, 20 December 2009
PURPOSE: To assess for achilles tendon rupture
TECHNIUE: The patient lies prone with their legs straight and their heels placed just over the edge of the table. The examiner then squeezes the gastrocnemius-solues complex. When the achilles tendon is intact, the patient should plantar flex the foot upon squeezing the gastroc-soleus complex. If the patient does not plantar flex the foot upon squeezing, the test is positive for achilles tendon rupture.[1]
EVIDENCE: Sensitivity= .96 -LR .04
Specificity= .93 +LR 13.7[2]
RESOURCES:
RESEARCH:
REFERENCES:
1. Konin JG, Wiksten DL, Isear JA, Brader H. Special Tests for Orthopedic Examination 2nd Edition: SLACK Incorporated; 2002.
2, Flynn T, Cleland J, Whitman J. Users Guide to Musculoskeletal Examination: Fundamentals for the Evidence Based Clinician: Evidence in Motion; 2008.