Department of Emergency Medicine, University of Arizona Health Sciences Center, Tucson, AZ 85724, USA.
Am J Emerg Med. 2012 May;30(4):634.e3-4. doi: 10.1016/j.ajem.2011.01.029. Epub 2011 Mar 15.
Patients with acute Achilles tendon injuries from sport related activities are frequently seen in the emergency department (ED). Missed or delayed diagnosis of an Achilles tendon rupture can result in significant patient morbidity. However, the diagnosis of an Achilles tendon rupture is not always clear clinically. Physical examination maneuvers to assess for a tendon injury can be limited by pain and soft tissue swelling. Ultrasound has been shown to be very sensitive in detecting an Achilles tendon rupture.We report a case of a 39-year-old woman who presented to the ED with severe left ankle and leg pain. Her physical examination was limited by pain. However, a point-of-care ultrasound examination helped in making a prompt and accurate diagnosis of acute Achilles tendon rupture. This case demonstrates that point-of-care ultrasound can be a useful diagnostic tool in the assessment of patients with suspected Achilles tendon rupture, particularly when the physical examination is limited.
在急诊科（ED）经常会遇到因运动相关活动而导致急性跟腱损伤的患者。如果跟腱断裂的诊断被遗漏或延迟，可能会导致严重的患者病残。然而，跟腱断裂的临床诊断并不总是明确的。评估跟腱损伤的体格检查操作可能会受到疼痛和软组织肿胀的限制。超声检查已被证明在检测跟腱断裂方面非常敏感。我们报告了一例 39 岁女性，因严重左踝关节和腿部疼痛就诊于 ED。她的体格检查受到疼痛的限制。然而，即时护理超声检查有助于对急性跟腱断裂做出及时准确的诊断。该病例表明，即时护理超声检查在评估疑似跟腱断裂的患者时可能是一种有用的诊断工具，特别是当体格检查受到限制时。
