Which test is specifically used to assess for an Achilles tendon rupture?

• A. Thompson test
• B. Neer test
• C. Hawkins test
• D. Leg raise test

Answer: (A)

The Thompson test is specifically designed to assess for an Achilles tendon rupture. This test involves the patient lying prone with their feet hanging off the edge of a table. The examiner squeezes the calf muscle while observing the foot. In a healthy tendon, squeezing the calf should result in plantarflexion of the foot due to contraction of the calf muscles, which are attached to the Achilles tendon. If the Achilles tendon is ruptured, there will be little to no movement of the foot, indicating a loss of function.

The other tests listed have different purposes: the Neer test is used to assess shoulder impingement, the Hawkins test evaluates the shoulder for subacromial impingement, and the leg raise test typically assesses for hip flexor strength or lower extremity neurological function. Therefore, the Thompson test stands out as the standard examination for evaluating potential ruptures of the Achilles tendon.