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Thompson Test

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Thompson Test
Illustration of the Thompson test. Normal exam in the top image and an abnormal exam in the bottom[1]
Illustration of calf squeeze test[2]
  • Thompson Test
  • Simmonds' Test
  • Simmonds-Thompson Test
  • Calf Squeeze Test
  • Simmonds Test

Purpose

  • Evaluate integrity of Achilles Tendon in the setting of posterior ankle and calf pain

Description

  • Patient lays prone, feet hanging off end of table
  • Examiner squeezes calf on unaffected limb, which should have intact plantarflexion
  • Examiner should then squeeze the calf of the affected limb
  • Positive test is absence of plantarflexion

Pathology

Evidence

Achilles Tendon Rupture

  • Maffulli et al[3]
    • Sensitivity: 96%
    • Specificity: 93%

See Also

References

  1. ↑ Thompson TC, Doherty JH. Spontaneous rupture of tendon of Achilles: a new clinical diagnostic test. J Trauma. 1962; 2: 126-129.
  2. ↑ Almoallim, Hani, et al. "Approach to Musculoskeletal Examination." Skills in Rheumatology (2021): 17-65.
  3. ↑ Maffulli, Nicola. "The clinical diagnosis of subcutaneous tear of the Achilles tendon." The American journal of sports medicine 26.2 (1998): 266-270.
Created by:
John Kiel on 11 July 2019 13:16:10
Authors:
Last edited:
12 June 2025 20:15:38
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