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Bilateral Achilles tendon rupture: a report on two cases

S Orava1, M Hurme, J Leppilahti

  • 1Hospital Meditori and Sports Medical Research Society, Turku, Finland.

Scandinavian Journal of Medicine & Science in Sports
|October 1, 1996
PubMed
Summary

Traumatic bilateral Achilles tendon rupture can occur in healthy individuals and those with prior tendon issues. Surgical repair offers excellent outcomes for acute ruptures, while chronic cases with degeneration may have slower recovery.

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Musculoskeletal Research

Background:

  • Achilles tendon ruptures are serious injuries, often associated with degenerative changes or sudden high-impact activities.
  • Understanding the biomechanics and patient factors influencing Achilles tendon rupture is crucial for effective treatment and prevention.

Observation:

  • Reported are two cases of traumatic bilateral Achilles tendon rupture.
  • Case 1: A healthy, active middle-aged man with no prior Achilles complaints experienced a bilateral rupture during a gymnastic maneuver after a sauna.
  • Case 2: A 54-year-old woman with a history of Achilles tendinitis and prior surgery sustained bilateral ruptures, with one re-rupturing after initial treatment.

Findings:

  • The first patient underwent successful surgical repair (end-to-end suturation and fascial flap plasty) with an excellent outcome and early mobility.

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  • The second patient, presenting with degenerative changes, had a more complex recovery involving surgery and a subsequent re-rupture, resulting in a moderate final outcome.
  • Neither patient had underlying systemic diseases.

    • Implications:

    • This report highlights the varied presentations and outcomes of bilateral Achilles tendon ruptures.
    • It underscores the importance of considering pre-existing tendon health and the mechanism of injury in predicting recovery.
    • Timely surgical intervention appears critical for optimal results in acute traumatic ruptures.