Simmonds' test

Left Achilles tendon rupture

Simmonds' test (also called the Thompson test or Simmonds-Thompson test) is used in lower limb examination to test for the rupture of the Achilles tendon.^[1]^[2] The patient lies face down with feet hanging off the edge of the bed. If the test is positive, there is no movement of the foot (normally plantarflexion) on squeezing the corresponding calf, signifying likely rupture of the Achilles tendon.^[3]

Interpretation of results

The Simmonds' test has a positive predictive value of 13.7 and a negative predictive value of less than 0.1.^[4]

History

It is named after Franklin Adin Simmonds (1911-1983), an English orthopaedic surgeon at the Rowley Bristow Hospital, Surrey.^[5]

References

↑ Thompson T (1962). "A test for rupture of the tendo achillis". Acta Orthop Scand. 32 (1-4): 461–5. doi:10.3109/17453676208989608. PMID 13981206.
↑ Thompson T, Doherty J (1962). "Spontaneous rupture of tendon of Achilles: a new clinical diagnostic test". J Trauma. 2 (2): 126–9. doi:10.1097/00005373-196203000-00003. PMID 13920945.
↑ Scott B, al Chalabi A (1992). "How the Simmonds-Thompson test works". J Bone Joint Surg Br. 74 (2): 314–5. PMID 1544978.
↑ Starkey, Chad; Brown, Sara D; Ryan, Jeff (2010). Examination of Orthopedic and Athletic Injuries (Hardback) (3rd ed.). Philadelphia, PA: F.A. Davis. p. 270. ISBN 978-0-8036-1720-9.
↑ Simmonds FA (1957). "The diagnosis of the ruptured Achilles tendon". Practitioner. 179 (1069): 56–8. PMID 13453094.

Eponymous medical signs for skeletal system and joints

Joints

Arthropathy	osteoarthritis (Bouchard's nodes/Heberden's node) dermatomyositis (Gottron's papules) DeQuervain's syndrome (Finkelstein's test) anterior shoulder instability (Jobe's test) hip dysplasia Barlow's maneuver Ortolani test

Dorsopathy	low back pain (Waddell's signs) low back flexibility Ott test Schober test sacroiliitis (Larrey's sign)

Trauma/Orthopedics	Knee: ligament (Lachman test) meniscus Apley grind test McMurray test ligament and meniscus O'Donoghue's triad Ankle: tendon Simmonds' test Shoulder: rotator cuff Hawkins–Kennedy test ligament Neer impingement sign Jobe's test Watson's test

Skeletal/bone

bone tumor (Codman triangle)

osteochondritis dissecans (Wilson test)

Teeth

Hutchinson's teeth

Orthopedic examination

General

Leg

Hip examination	Galeazzi test Allis test Barlow maneuver Ober's test Ortolani test Patrick's test Thomas test Trendelenburg's sign

Knee examination	Apley grind test Ballottement Clarke's test Drawer test Lachman test McMurray test Patellar tap Pivot-shift test Wilson test Valgus stress test

Foot & Ankle	Hubscher's maneuver Mulder's sign Simmonds' test Thompson test

Arm

Shoulder examination	Apprehension test Jobe's test Gerber's test Hawkins–Kennedy test Neer impingement sign O'Brien's test Speed's test Yergason's test

Elbow examination	Cozen's test Elbow extension test

Wrist & Hand	Durkan's test Finkelstein's test Froment's sign Lunotriquetral shear test Phalen maneuver Tinel sign Watson's test

Spine

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