Emanoil Shafik DPM, MPH, MS, Stephen Trimnell DPM, MS, Joseph D. Cuomo DPM, MS, Max Sanginario DPM, Abdelhafid El Akri MD, DPM, Sagar Shah DPM, Michael Piccarelli DPM, AACFAS
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引用次数: 0
摘要
一个77岁的男性提出了一个左跟腱断裂和同侧内踝骨折后持续失足。这种合并损伤是罕见的，文献中只有8例报道。磁共振成像（MRI）证实跟腱在距跟骨止点近7厘米处完全断裂。术中关节镜检查显示，内踝骨折未发生关节内移位。汤普森测试呈阳性进一步证实了肌腱断裂。使用2枚4 × 40 mm Arthrex空心螺钉固定内踝，使用经皮跟腱修复系统修复跟腱。
Ipsilateral achilles tendon rupture and medial malleolar fracture in an elderly patient: A rare case report and review
A 77-year-old male presented with a left Achilles tendon rupture and an ipsilateral medial malleolus fracture sustained after a misstep. This combination of injuries is rare, with only eight cases previously reported in the literature. Magnetic resonance imaging (MRI) confirmed a complete rupture of the Achilles tendon approximately 7 cm proximal to its calcaneal insertion. Intraoperative evaluation using an Arthroscopy procedure demonstrated no intra-articular step-off of the medial malleolus fracture. A positive Thompson test further confirmed the tendon rupture. The medial malleolus was stabilized with two 4 × 40 mm Arthrex cannulated screws, and the Achilles tendon was repaired using the Percutaneous Achilles Repair System.
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