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Updated: Aug 6, 2025

Author Spotlight: Integrating Mechanical and Biological Analysis in Tendinopathy Research
Published on: March 1, 2024
Delayed Bilateral Tibialis Anterior Tendon Repair in an Older Man: A Case Report
Shea Comadoll1, Lucas Ray2, Kelsey Overman1
1Department of Orthopedic Surgery, University of Minnesota, Minneapolis, Minnesota.
Case:
We report a 67-year-old healthy man who sustained bilateral hyper-plantarflexion injuries falling off a ladder that resulted in bilateral tibialis anterior tendon tears one month prior to presentation. His injuries were effectively managed with bilateral delayed operative treatment. After non-weightbearing for three months, the patient was subsequently permitted to full weight bear in CAM boots for three months. At three-year follow-up he was fully functional with excellent Foot and Ankle Ability Measure (FAAM scores).
Conclusion:
The management delayed tibialis anterior tendon ruptures, whether due to traumatic or degenerative mechanisms is challenging and surgical repair can be effective when this injury occurs bilaterally.

