Glossary entry (derived from question below)
French term or phrase:
aspect en coup de hache
English translation:
hatchet strike
Added to glossary by
Jeff Steffin
Sep 30, 2023 16:25
8 mos ago
34 viewers *
French term
Steffin Language Solutions
Native in: English
Works in: French to English, German to English, Portuguese to English, and 1 more.
aspect en coup de hache
French to English
Medical
Medical (general)
En revanche, il existe une rupture du tendon d’Achille gauche et on note un aspect en coup de hache sur la partie médiane du tendon.
This is the context. Obviously literally, an "axe blow" appearance, but that doesn't come up anywhere or seem to fit. Any help would be appreciated.
This is the context. Obviously literally, an "axe blow" appearance, but that doesn't come up anywhere or seem to fit. Any help would be appreciated.
Proposed translations
(English)
| 1 -1 | hatchet strike |
Bourth
|
| 4 +1 | what looks like a gap |
liz askew
|
| 4 | Full thickness Achilles tendon tear |
Drmanu49
|
| 3 | appearance of an Indian axe |
Anastasia Kalantzi
|
References
| Luxation de l'épaule |
Sue Davis
|
Proposed translations
-1
32 mins
Selected
hatchet strike
I'm entering this as a guess, despite the references, because I hate to contradict Dr Manu.
La rupture du tendon d’Achille est une lésion fréquente chez les sportifs, mais également après la prise de certains traitements médicamenteux. Elle se manifeste par une sensation de coup de hache douloureux derrière la cheville,
https://docteurbrunolevy.com/chirurgie/rupture-du-tendon-dac...
Les symptômes
• Douleur d'apparition brutale au niveau du tendon,
• perte de l'equin physiologique,
• coup de hache postérieur au niveau du tendon d'Achille,
• marche douloureuse,
• impossibilité de se mettre sur la pointe des pieds.
https://www.chirurgie-pied-cheville.fr/rupture-du-tendon-dac...
Physiques : vu immédiatement : note une dépression, sensation d’un coup de hache sur le tendon, perceptible au toucher. Ce coup de hache disparaît vite, car comblé par un hématome, qui laisse place à un œdème.
https://www.podologue-meigneux.fr/les-ruptures-du-tendon-dac...
Physical exam findings include the “hatchet strike” sign (a palpable proximal defect in the Achilles tendon) or a positive Thompson test
https://www.emra.org/emresident/article/ultrasound-evaluatio...
Upon initial examination, there will often be a visual deficit also known as the “hatchet strike defect.” This defect is a visible dell in the posterior ankle compared with the contralateral side
https://musculoskeletalkey.com/achilles-tendon-trauma/
What is the “hatchet strike defect”?
A palpable gap/dell in the posterior ankle
https://www.brainscape.com/flashcards/achilles-tendon-trauma...
I assume we're talking about the same thing here:
Inflammation of the retrocalcaneal bursa is caused by repetitive motion of the Achilles tendon over the posterosuperior aspect of the calcaneus or by pressure of the heel counter, or by a combination of both. Dorsiflexion of the ankle precipitates the pain. Radiographs may help identify the anatomic cause, a hatchet-shaped posterior calcaneus. A Fowler and Philip angle of greater than 75° or more is abnormal.
https://www.premus2004.ethz.ch/Vorlesungen/Beweg/Literatur_0...
--------------------------------------------------
Note added at 38 mins (2023-09-30 17:04:32 GMT)
--------------------------------------------------
In case anybody, like me, is intrigued by the word 'dell':
Clinically, patients have increased edema and ecchymosis to the injured area. A gap or defect referred to as a “palpable dell” is present at the location of the rupture.
https://www.hmpgloballearningnetwork.com/site/podiatry/emerg...
A 1.5 - 2 cm incision is made vertical and medial to the tendon, proximal to the palpable dell (soft spot).
https://www.podiatry.com/ezines/view/3-Repair-of-Achilles-Te...
--------------------------------------------------
Note added at 4 hrs (2023-09-30 20:54:52 GMT)
--------------------------------------------------
Re. the comment made elsewhere that 'hatchet strike' cannot be found other than in translation:
* I doubt Keith L. Jacobson required translation services - https://musculoskeletalkey.com/achilles-tendon-trauma/
* same for Michael Weber, MD , Kristina J. Sikes, DO , and Brian Tollefson, MD, doctors in Texas and Mississippi - https://www.emra.org/emresident/article/ultrasound-evaluatio...
* A Colorado company, in the person of a certain Andrew Bernhard, DPM (doctor of podiatric medicine), uses the term when discussing injuries sustained in American football, albeit in referring to the "strong popping sensation […] felt in the back of the heel and ankle" rather than the appearance of a 'dell'. Bernhard looks like a speaker of ze Ingleesh to me.
https://esfootankle.com/nfl-injuries/
* McGlamry's Comprehensive Textbook of Foot and Ankle Surgery by Joe T. Southerland, Jeffrey S. Boberg (DPM), et al., ed. The Podiatry Institute, •was, I imagine, written in English
https://books.google.fr/books?id=znnVzLIWTFsC&pg=PT4632&lpg=...
* Similarly, I suspect Mark Dutton needed no translator for his Orthopaedics for the Physical Therapist Assistant
https://books.google.fr/books?id=IoawCAAAQBAJ&pg=PA584&lpg=P...
* Same for Grant Cooper's Essential Physical Medicine and Rehabilitation
https://books.google.fr/books?id=_KO2HeaNbhUC&pg=PA282&lpg=P...
* And J. Randy Clements' article in Tendon and Ligament Injuries of the Foot and Ankle: An Evidence-Based Approach, ed. Jarrett D. Cain, MaCalus V. Hogan (though 'MaCalus' has to be suspect).
I could continue …
La rupture du tendon d’Achille est une lésion fréquente chez les sportifs, mais également après la prise de certains traitements médicamenteux. Elle se manifeste par une sensation de coup de hache douloureux derrière la cheville,
https://docteurbrunolevy.com/chirurgie/rupture-du-tendon-dac...
Les symptômes
• Douleur d'apparition brutale au niveau du tendon,
• perte de l'equin physiologique,
• coup de hache postérieur au niveau du tendon d'Achille,
• marche douloureuse,
• impossibilité de se mettre sur la pointe des pieds.
https://www.chirurgie-pied-cheville.fr/rupture-du-tendon-dac...
Physiques : vu immédiatement : note une dépression, sensation d’un coup de hache sur le tendon, perceptible au toucher. Ce coup de hache disparaît vite, car comblé par un hématome, qui laisse place à un œdème.
https://www.podologue-meigneux.fr/les-ruptures-du-tendon-dac...
Physical exam findings include the “hatchet strike” sign (a palpable proximal defect in the Achilles tendon) or a positive Thompson test
https://www.emra.org/emresident/article/ultrasound-evaluatio...
Upon initial examination, there will often be a visual deficit also known as the “hatchet strike defect.” This defect is a visible dell in the posterior ankle compared with the contralateral side
https://musculoskeletalkey.com/achilles-tendon-trauma/
What is the “hatchet strike defect”?
A palpable gap/dell in the posterior ankle
https://www.brainscape.com/flashcards/achilles-tendon-trauma...
I assume we're talking about the same thing here:
Inflammation of the retrocalcaneal bursa is caused by repetitive motion of the Achilles tendon over the posterosuperior aspect of the calcaneus or by pressure of the heel counter, or by a combination of both. Dorsiflexion of the ankle precipitates the pain. Radiographs may help identify the anatomic cause, a hatchet-shaped posterior calcaneus. A Fowler and Philip angle of greater than 75° or more is abnormal.
https://www.premus2004.ethz.ch/Vorlesungen/Beweg/Literatur_0...
--------------------------------------------------
Note added at 38 mins (2023-09-30 17:04:32 GMT)
--------------------------------------------------
In case anybody, like me, is intrigued by the word 'dell':
Clinically, patients have increased edema and ecchymosis to the injured area. A gap or defect referred to as a “palpable dell” is present at the location of the rupture.
https://www.hmpgloballearningnetwork.com/site/podiatry/emerg...
A 1.5 - 2 cm incision is made vertical and medial to the tendon, proximal to the palpable dell (soft spot).
https://www.podiatry.com/ezines/view/3-Repair-of-Achilles-Te...
--------------------------------------------------
Note added at 4 hrs (2023-09-30 20:54:52 GMT)
--------------------------------------------------
Re. the comment made elsewhere that 'hatchet strike' cannot be found other than in translation:
* I doubt Keith L. Jacobson required translation services - https://musculoskeletalkey.com/achilles-tendon-trauma/
* same for Michael Weber, MD , Kristina J. Sikes, DO , and Brian Tollefson, MD, doctors in Texas and Mississippi - https://www.emra.org/emresident/article/ultrasound-evaluatio...
* A Colorado company, in the person of a certain Andrew Bernhard, DPM (doctor of podiatric medicine), uses the term when discussing injuries sustained in American football, albeit in referring to the "strong popping sensation […] felt in the back of the heel and ankle" rather than the appearance of a 'dell'. Bernhard looks like a speaker of ze Ingleesh to me.
https://esfootankle.com/nfl-injuries/
* McGlamry's Comprehensive Textbook of Foot and Ankle Surgery by Joe T. Southerland, Jeffrey S. Boberg (DPM), et al., ed. The Podiatry Institute, •was, I imagine, written in English
https://books.google.fr/books?id=znnVzLIWTFsC&pg=PT4632&lpg=...
* Similarly, I suspect Mark Dutton needed no translator for his Orthopaedics for the Physical Therapist Assistant
https://books.google.fr/books?id=IoawCAAAQBAJ&pg=PA584&lpg=P...
* Same for Grant Cooper's Essential Physical Medicine and Rehabilitation
https://books.google.fr/books?id=_KO2HeaNbhUC&pg=PA282&lpg=P...
* And J. Randy Clements' article in Tendon and Ligament Injuries of the Foot and Ankle: An Evidence-Based Approach, ed. Jarrett D. Cain, MaCalus V. Hogan (though 'MaCalus' has to be suspect).
I could continue …
Peer comment(s):
| agree |
philgoddard
: Your answer is something of a hatchet job :-) And Sue: you haven't read Bourth's answer properly.
20 hrs
|
|
Thanks for the vote and for herding wayward responders.
|
|
| disagree |
Sue Davis
: I really don't think this phrase is to be taken literally! It is also in frequent use, how many Achilles tendon tears are caused by hatchet strikes? Please look at the diagram and text of my ref
21 hrs
|
|
It doesn't mean there has been a hatchet strike. For whatever reason, it is an accepted term for an indentation at the back of the ankle. See my links.
|
|
| disagree |
Daryo
: "sensation de coup de hache douloureux derrière la cheville" is is a **subjective** symptom NOT a description of what's uncovered by physical examination - this ST is about **external observation** as per the clue hiding in plain sight: "on note ..."
1 day 8 hrs
|
|
"“hatchet strike” sign (a palpable proximal defect in the Achilles tendon)", and the rest, is not at all subjective but an external (and touchy-feely) observation, as you yourself point out. Kindly look at, i.e. read, my links.
|
4 KudoZ points awarded for this answer.
Comment: "Thanks this turned out to be the desired answer."
21 mins
Full thickness Achilles tendon tear
atment of Acute Achilles Tendon Rupture - PMC - NCBI
nih.gov
https://www.ncbi.nlm.nih.gov › articles › PMC7031433
Rechercher : What is the criteria for Achilles tendon rupture?
What are the red flags for Achilles tendon rupture?
The rupture most commonly occurs two-six cm above the calcaneus, where blood supply to the tendon is poor. Patients will often complain of feeling a sharp, sudden pain and hearing or feeling a “pop.” On physical exam, they have inability to plantar flex and are unable to perform a heel raise or stand on their toes.7 déc. 2022
Full thickness Achilles tendon tears demonstrate complete discontinuity of the tendon fibers in the sagittal plane. Hematoma formation is seen at the rupture site with posterior shadowing from the two separate tendon ends and herniation of Kager's fat.
Achilles Tendon Rupture - StatPearls
National Institutes of Health (.gov)
https://www.ncbi.nlm.nih.gov › N...
de AG Shamrock · 2022 · Cité 35 fois — Figure. Achilles Tendon Rupture T2 MRI demonstrating a full-thickness Achilles rupture with gapping at the classing "watershed" area.
nih.gov
https://www.ncbi.nlm.nih.gov › articles › PMC7031433
Rechercher : What is the criteria for Achilles tendon rupture?
What are the red flags for Achilles tendon rupture?
The rupture most commonly occurs two-six cm above the calcaneus, where blood supply to the tendon is poor. Patients will often complain of feeling a sharp, sudden pain and hearing or feeling a “pop.” On physical exam, they have inability to plantar flex and are unable to perform a heel raise or stand on their toes.7 déc. 2022
Full thickness Achilles tendon tears demonstrate complete discontinuity of the tendon fibers in the sagittal plane. Hematoma formation is seen at the rupture site with posterior shadowing from the two separate tendon ends and herniation of Kager's fat.
Achilles Tendon Rupture - StatPearls
National Institutes of Health (.gov)
https://www.ncbi.nlm.nih.gov › N...
de AG Shamrock · 2022 · Cité 35 fois — Figure. Achilles Tendon Rupture T2 MRI demonstrating a full-thickness Achilles rupture with gapping at the classing "watershed" area.
Peer comment(s):
| neutral |
Sue Davis
: a) is this a clinical examination and b) if so could "full thickness tear" be deduced from this type of exam?
21 hrs
|
|
rupture with gapping as indicated before anyone else answered. It definitely is a clinical examination.
|
+1
1 hr
what looks like a gap
Gap Palpation Test | Achilles Tendon Rupture/Tear ...
physiotutors.com
https://www.physiotutors.com › wiki › gap-palpation-t...
ruptured achilles tendon palpable gap from www.physiotutors.com
The Gap Palpation is an orthopedic test to assess for Achilles tendon ruptures. Check out this post in order to learn how to perform it!
Achilles tendon rupture: how to avoid missing the diagnosis
nih.gov
https://www.ncbi.nlm.nih.gov › articles › PMC4655731
by RPR Boyd · 2015 · Cited by 19 — Patients with an Achilles tendon rupture will not always have a palpable gap in the tendon. Special tests. Clinicians will never be falsely reassured by ...
INTRODUCTION · HISTORY · EXAMINATION · LEARNING SUMMARY
Achilles tendon rupture: management and rehabilitation | CUH
cuh.nhs.uk
https://www.cuh.nhs.uk › patient-information › achille...
A gap may be able to be felt in the tendon, usually 4-5 cm above the heel bone. A special calf squeeze test will be performed.
--------------------------------------------------
Note added at 1 час (2023-09-30 17:36:12 GMT)
--------------------------------------------------
Ultrasound Evaluation: Achilles Tendon - EMRA
emra.org
https://www.emra.org › emresident › article › ultrasou...
26 Jun 2014 — Physical exam findings include the “hatchet strike” sign (a palpable proximal defect in the Achilles tendon) or a positive Thompson test.2 ...
Can't find "hatchet strike", other than in translations.
--------------------------------------------------
Note added at 1 час (2023-09-30 17:37:04 GMT)
--------------------------------------------------
Achilles tendon rupture: how to avoid missing the diagnosis
nih.gov
https://www.ncbi.nlm.nih.gov › articles › PMC4655731
by RPR Boyd · 2015 · Cited by 19 — Patients with an Achilles tendon rupture will not always have a palpable gap in the tendon. Special tests. Clinicians will never be falsely reassured by ...
Missing: hatchet | Show results with: hatchet
Achilles Tendon - Physiopedia
physio-pedia.com
https://www.physio-pedia.com › Achilles_tendon
Palpation[edit | edit source] The Achilles Tendon is easily palpable. When palpating along the entire length of the tendon, a gap may be present. Active ...
physiotutors.com
https://www.physiotutors.com › wiki › gap-palpation-t...
ruptured achilles tendon palpable gap from www.physiotutors.com
The Gap Palpation is an orthopedic test to assess for Achilles tendon ruptures. Check out this post in order to learn how to perform it!
Achilles tendon rupture: how to avoid missing the diagnosis
nih.gov
https://www.ncbi.nlm.nih.gov › articles › PMC4655731
by RPR Boyd · 2015 · Cited by 19 — Patients with an Achilles tendon rupture will not always have a palpable gap in the tendon. Special tests. Clinicians will never be falsely reassured by ...
INTRODUCTION · HISTORY · EXAMINATION · LEARNING SUMMARY
Achilles tendon rupture: management and rehabilitation | CUH
cuh.nhs.uk
https://www.cuh.nhs.uk › patient-information › achille...
A gap may be able to be felt in the tendon, usually 4-5 cm above the heel bone. A special calf squeeze test will be performed.
--------------------------------------------------
Note added at 1 час (2023-09-30 17:36:12 GMT)
--------------------------------------------------
Ultrasound Evaluation: Achilles Tendon - EMRA
emra.org
https://www.emra.org › emresident › article › ultrasou...
26 Jun 2014 — Physical exam findings include the “hatchet strike” sign (a palpable proximal defect in the Achilles tendon) or a positive Thompson test.2 ...
Can't find "hatchet strike", other than in translations.
--------------------------------------------------
Note added at 1 час (2023-09-30 17:37:04 GMT)
--------------------------------------------------
Achilles tendon rupture: how to avoid missing the diagnosis
nih.gov
https://www.ncbi.nlm.nih.gov › articles › PMC4655731
by RPR Boyd · 2015 · Cited by 19 — Patients with an Achilles tendon rupture will not always have a palpable gap in the tendon. Special tests. Clinicians will never be falsely reassured by ...
Missing: hatchet | Show results with: hatchet
Achilles Tendon - Physiopedia
physio-pedia.com
https://www.physio-pedia.com › Achilles_tendon
Palpation[edit | edit source] The Achilles Tendon is easily palpable. When palpating along the entire length of the tendon, a gap may be present. Active ...
Peer comment(s):
| neutral |
Daryo
: Simply: "there is a palpable gap in the middle part of the tendon"? // "le tendon d’Achille" IS in the heel area.
7 hrs
|
|
https://pubmed.ncbi.nlm.nih.gov/33135439/
|
|
| agree |
Sue Davis
: please see the diagram on my ref. Assuming this also applies to the heel area, it could be gap, notch, indentation
20 hrs
|
|
Thanks! Exactly.
|
1 day 1 hr
Anastasia Kalantzi
Greece
Greece
Greece
EnFrGreek Medical/Mechanical/Legal
Native in: Greek (Variant: Modern) , Greek (Ancient) (Variants: Homeric, Ionic, Aeolic, Koine (common), Doric) 
Works in: French to Greek, Greek to French, English to Greek, and 5 more.
Related KudoZ points
:
12
appearance of an Indian axe
Les signes cliniques de la luxation omo-humérale.
douleur
impotence
le sujet se présente dans la position du "blessé du membre supérieur" : légèrement voûté, se tenant le membre atteint.
le signe du "coup de hache", témoin extérieur du déplacement de la tête humérale.
http://doc.doc.pagesperso-orange.fr/specihand.htm
http://vauban-medical.com/traitement-chirurgical-des-rupture...
Anteroposterior(AP)ShoulderView TheAPprojection1isusuallyobtainedwiththepatientinthe uprightorsupinepositionandwiththecoronalplaneofthe bodyparalleltothecassette(Fig.1A).Thebeamisdirectedin atrueAPdirectionrelativetothebody.Thisresultsinslight overlapoftheglenoidrimandthehumeralheadastheglenohumeraljointistiltedanteriorlyapproximately40°.Additionally,thelateralborderofthescapulaandthemedial cortexoftheproximalhumerusformagentle,smoothconvexarch,knownasscapulohumeralorMoloney’sarch.The standardAPviewoftheshouldercanbeperformedwiththe arminneutralposition,internalrotation,orexternalrotation.Oninternalrotation,thehumeralheadhastheappearanceofanice-creamcone.Onexternalrotation,thehumeral headhastheappearanceofanIndianaxe.Whencompared withotherviewsoftheshoulder,thispositionallowsfor relativelyuniformdistributionofsoft-tissuedensityacross theanatomy,thusprovidingexcellentosseousdetailofthe entireshouldergirdle.Asaresult,oneormoreoftheAP projectionsarealmostalwaysincludedinthestandardradiographicexaminationoftheshoulder.Theseviewsallowfor excellentvisualizationoftheglenohumeraljoint,acromioclavicular(AC)joint,andtheadjacentosseousstructuresincludingthedistalclavicleandscapulaandthusareveryhelpfulinthesettingofacutetraumatoevaluateforfractureor dislocationandcanalsodemonstrateabnormalitiesinthe settingofchronicshoulderpain,includingcalcifictendonitis orbursitis,andACjointarthritis.
chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/http://www.medecine.uottawa.ca/radiology/assets/documents/ms...
douleur
impotence
le sujet se présente dans la position du "blessé du membre supérieur" : légèrement voûté, se tenant le membre atteint.
le signe du "coup de hache", témoin extérieur du déplacement de la tête humérale.
http://doc.doc.pagesperso-orange.fr/specihand.htm
http://vauban-medical.com/traitement-chirurgical-des-rupture...
Anteroposterior(AP)ShoulderView TheAPprojection1isusuallyobtainedwiththepatientinthe uprightorsupinepositionandwiththecoronalplaneofthe bodyparalleltothecassette(Fig.1A).Thebeamisdirectedin atrueAPdirectionrelativetothebody.Thisresultsinslight overlapoftheglenoidrimandthehumeralheadastheglenohumeraljointistiltedanteriorlyapproximately40°.Additionally,thelateralborderofthescapulaandthemedial cortexoftheproximalhumerusformagentle,smoothconvexarch,knownasscapulohumeralorMoloney’sarch.The standardAPviewoftheshouldercanbeperformedwiththe arminneutralposition,internalrotation,orexternalrotation.Oninternalrotation,thehumeralheadhastheappearanceofanice-creamcone.Onexternalrotation,thehumeral headhastheappearanceofanIndianaxe.Whencompared withotherviewsoftheshoulder,thispositionallowsfor relativelyuniformdistributionofsoft-tissuedensityacross theanatomy,thusprovidingexcellentosseousdetailofthe entireshouldergirdle.Asaresult,oneormoreoftheAP projectionsarealmostalwaysincludedinthestandardradiographicexaminationoftheshoulder.Theseviewsallowfor excellentvisualizationoftheglenohumeraljoint,acromioclavicular(AC)joint,andtheadjacentosseousstructuresincludingthedistalclavicleandscapulaandthusareveryhelpfulinthesettingofacutetraumatoevaluateforfractureor dislocationandcanalsodemonstrateabnormalitiesinthe settingofchronicshoulderpain,includingcalcifictendonitis orbursitis,andACjointarthritis.
chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/http://www.medecine.uottawa.ca/radiology/assets/documents/ms...
Reference comments
19 hrs
Reference:
Luxation de l'épaule
https://www.google.com/search?q=coup de hache épaule&rlz=1C1...
This refers to the appearance of a "notch" in the shoulder profile. So notch; gap, indentation may work here
--------------------------------------------------
Note added at 19 hrs (2023-10-01 11:33:51 GMT)
--------------------------------------------------
Assuming this is applicable to the ankle
--------------------------------------------------
Note added at 22 hrs (2023-10-01 14:33:06 GMT)
--------------------------------------------------
Sorry this is the right linkhttps://www.facebook.com/105653371463092/posts/1143416405942...
--------------------------------------------------
Note added at 22 hrs (2023-10-01 14:35:22 GMT)
--------------------------------------------------
it shows a lateral indentation just below the point of the shoulder. In the case of the heel this would be a median indentation caused by the tear
This refers to the appearance of a "notch" in the shoulder profile. So notch; gap, indentation may work here
--------------------------------------------------
Note added at 19 hrs (2023-10-01 11:33:51 GMT)
--------------------------------------------------
Assuming this is applicable to the ankle
--------------------------------------------------
Note added at 22 hrs (2023-10-01 14:33:06 GMT)
--------------------------------------------------
Sorry this is the right linkhttps://www.facebook.com/105653371463092/posts/1143416405942...
--------------------------------------------------
Note added at 22 hrs (2023-10-01 14:35:22 GMT)
--------------------------------------------------
it shows a lateral indentation just below the point of the shoulder. In the case of the heel this would be a median indentation caused by the tear
Discussion
so this note is about what's been observed at clinical examination, not a patient's report of subjective symptoms.