High-Energy Achilles Tendon Rupture With Associated Medial Malleolus Fracture and Traumatic Peroneal Dislocation: A...

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Trauma Care

Background:

• Isolated injuries to the Achilles tendon, peroneal tendons, or ankle fractures are common after trauma.
• Combinations of two such injuries have been previously reported.
• Simultaneous injury to all three structures is exceptionally rare.

Observation:

• A 35-year-old male snowboarder sustained a simultaneous Achilles tendon rupture, medial malleolus fracture, and traumatic peroneal tendon dislocation.
• The patient underwent surgical treatment for all three injuries.
• At nine months postoperatively, the patient had fully recovered and returned to all previous activities.

Findings:

• This case highlights a rare combination of severe ankle trauma.
• Surgical intervention was effective in managing these complex injuries.
• Complete functional recovery was achieved within nine months.

Implications:

• Clinicians must maintain a high index of suspicion for concomitant injuries in high-energy ankle trauma.
• Thorough clinical evaluation, including history, physical examination, and radiography, is crucial for accurate diagnosis.
• Early and appropriate management can prevent long-term morbidity and improve patient outcomes.