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Achilles tendon rupture. Occurrence with a closed ankle fracture
Clinical Orthopaedics and Related Research
|September 1, 1986
Summary
A rare combination of Achilles tendon rupture and ankle fracture can occur from severe foot hyperdorsiflexion. Early diagnosis is crucial, as missed tendon ruptures may lead to long-term ankle-foot dysfunction.
Area of Science:
- Orthopedic Surgery
- Trauma Medicine
- Sports Medicine
Background:
- Automobile accidents can cause complex lower extremity injuries.
- Achilles tendon ruptures and ankle fractures are significant orthopedic emergencies.
Observation:
- A 61-year-old male presented with a complete Achilles tendon rupture and a medial malleolus ankle fracture after an accident.
- The Achilles tendon rupture was incidentally discovered during ankle fracture surgery.
Findings:
- This rare injury pattern is likely caused by extreme foot hyperdorsiflexion.
- Undiagnosed Achilles tendon ruptures accompanying ankle fractures can result in persistent weakness and pain.
Implications:
- Highlights the importance of thorough examination in cases of severe ankle trauma.
- Emphasizes the potential for missed Achilles tendon ruptures in closed ankle fractures.
- Undiagnosed ruptures can lead to chronic ankle-foot functional deficits and pain.
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