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Updated: Jan 18, 2026
Pseudofracture: An Acute Peripheral Tissue Trauma Model
Published on: April 18, 2011
Myotendinous Rupture of the Posterior Tibial Tendon with Associated Fibular Fracture: A Case Report
Zachary Podoll1, Parker Boyce, Nathan Gause
1University of Missouri-Kansas City School of Medicine Kansas City, Missouri.
Case:
A 20-year-old man presented after a fall from an 8-foot ladder. Radiographs revealed pronation external rotation injury. Closed reduction and splinting was performed in the emergency department. Surgery was planned 6 days later to include open reduction and internal fixation of the fibula and syndesmosis, and open repair of deltoid ligament. Intraoperatively, a myotendinous rupture of the posterior tibial tendon (PTT) was identified and repaired.
Conclusion:
PTT ruptures are rarely reported but should be suspected in high-energy mechanism ankle fractures in all patients. Direct repair can result in excellent outcomes.
