Dr Skruntie now.

Plantaris Tendon" RuptureThe patient will come in
limping, having suffered a
whip-like sting in his calf while stepping off hard on his foot or charging the net during a game of tennis, or similar activity. He may have actually heard or felt a "snap" at the time of injury. The deep calf pain persists and may be accompanied by mild swelling and ecchymosis. Neurovascular function will be intact.
What to do:
* Rule out an Achilles tendon rupture. Test for strength in plantar flexion (can the patient walk on his toes?). Squeeze the Achilles tendon and palpate for a tender deformity that repre sents a torn segment. If pain does not allow active plantar flexion, squeeze the gastrocnemius muscle with the patient kneeling on a chair and look for the normal plantar flexion of the foot. This will be absent with a complete Achilles tendon tear. With any Achilles tendon tear, orthopedic consultation is necessary.
* When an Achilles tendon rupture has been ruled out, provide the patient with elastic support (e.g., ACE, TEDs stocking, Tibigrip) from foot to tibial tuberosity.
* Provide the patient with crutches for several days. Permit weight bearing only as comfort allows.
* Have the patient keep the leg elevated and at rest for the next 24-48 hours, initially applying cold packs, and after 24 hour alternately with heat every few hours.
* An analgesic such as codeine may be helpful initially and heel elevation should be provided for several weeks.