POCUS to Evaluate for Achilles Tendon Involvement in Ankle Lacerations

Achilles tendon injury is uncommon in children but is often caused by direct trauma to the posterior ankle. The diagnosis of Achilles tendon involvement after injury may be inadequate when based solely on physical examination findings. There is limited literature describing the identification of Achilles tendon injury in the pediatric population with point of care ultrasound (POCUS). This case series describes two patients with ankle lacerations in whom Achilles tendon involvement was evaluated using POCUS.