Bilateral spontaneous atraumatic rupture of the Achilles tendon in an athlete

Karaaslan, Fatih; Yurdakul, Emre; Baloğlu, Murat; Mermerkaya, Musa Uğur; Karaoğlu, Sinan

doi:10.1016/j.ajem.2015.04.037

Cited by 5 publications

(9 citation statements)

References 13 publications

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“…Segundo a revisão sistemática realizada por Magnan (7) , refere-se a fatores intrínsecos como: O mecanismo de trauma pode ser traumático ou atraumático. As lesões bilaterais geralmente acontecem de forma atraumática associadas a fatores de risco (1,8) .…”

Section: Discussionunclassified

“…A cirurgia tem seus benefícios, como a recuperação mais rápida e diminuição da chance de uma nova intervenção. Karaasla et al (1) tiveram um caso com paciente atleta, jovem, 33 anos, com ruptura espontânea bilateral não traumática; em quem optou-se pelo tratamento conservador. Fizeram uso de imobilização em equino por quatro semanas e em neutro por mais duas semanas.…”

Section: Discussionunclassified

“…O tendão de Aquiles (TA) é o tendão mais frequentemente rompido no membro inferior (1) . Sendo mais prevalente em homens, unilateralmente, em indivíduos ativos, entre a terceira e quinta década de vida, alta energia que gera uma carga excêntrica no tornozelo.…”

Section: Introductionunclassified

“…As roturas bilaterais do TA são raras na ausência de fatores de risco extrínseco e intrínseco (3) . As roturas espontâneas estão associadas a pacientes que fazem uso de medi-cações como fluorquinolonas e corticoides, apresentando comorbidades como diabetes mellitus, insuficiência renal e tendinite crônica (1,4) .…”

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Acute spontaneous bilateral rupture of the Achilles tendon

Plothow¹,

Silva²

2018

Sci J Foot Ankle

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This is a case report of a 67-year-old active, healthy, male patient who played sports. He presented with pain and bilateral ecchymosis in the calf area. Data from the patient’s history, a physical examination and complementary exams confirmed a diagnosis of atraumatic spontaneous bilateral Achilles tendon rupture. Surgical treatment was performed using the percutaneous technique (the Achillon device) bilaterally. In thepostoperative period, the patient used a walking boot with a 3-cm heel lift in maximum equinus for 45 days and in a neutral position until 60 days after the procedure. The patient began rehabilitation with physical therapy and returned to his sporting activities without restrictions. Level of Evidence V; Prognostic Studies; Expert Opinion.

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Section: Discussionunclassified

Section: Introductionunclassified

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Acute spontaneous bilateral rupture of the Achilles tendon

Plothow¹,

Silva²

2018

Sci J Foot Ankle

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“… 12 These injuries often involve the Achilles tendon, in some cases even bilaterally. 13 , 14 This fact reveals missing knowledge about further risk factors. With this in mind, we treated a patient who suffered a threefold tendon injury caused by minimal traumata while presenting almost none of the known risk factors.…”

Section: Introductionmentioning

confidence: 99%

Atraumatic bilateral rupture of the peroneus brevis tendon in recreational sport: A case report

Scheidegger

Weisskopf

Hirschmüller

2017

SAGE Open Medical Case Reports

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Issue:Lower extremity tendon injuries often occur in physically active individuals. Most ruptures not involving great force are diagnosed in patients presenting underlying tendon degenerations. This also applies to patients taking medications because of a disease. We have observed several cases of bilateral Achilles tendon ruptures in patients who have been taking cortisone for a long period. We treated a healthy colleague (neurologist) in our clinic who sustained ruptures of the Achilles tendon on the left side (2012) and the peroneus brevis tendon on left side (2015) and right side (2016) after minimal traumata. Aim of this report is to provide a systematic review of this case and a literature review of similar cases, as few such cases have been published.Methods:We reviewed and analysed this patient’s records containing the sport-specific anamnesis, pre-existing condition, anamnesis of medications and therapy. The three injuries were magnetic resonance imaging–proven. Furthermore, the tendon’s condition was examined histologically in the context of the operative treatment through lace technique of the Achilles tendon and transfer of the peroneus brevis to the peroneus longus. We also researched the literature for bilateral ruptures of the peroneal tendons.Results and conclusion:The anamnesis confirmed no underlying disease. The patient took a macrolide antibiotic about half a year prior to the first peroneal injury for an otitis media. He denied having taken any other antibiotics, especially no quinolone antibiotics. However, the patient reported cortisone intake for 2 days some months before the second peroneal injury to treat an allergic reaction. That involved no local cortisone infiltration in the lower extremity. He underwent surgery within the first 2 weeks after each trauma. Each time, postoperative follow-ups revealed a good healing process. Three months after each operation, the patient was free of complaints. Axibal and Anderson described a patient with bilateral peroneus longus and peroneus brevis ruptures, as well as an Achilles tendon rupture on the left side plus tendinopathy of the Achilles tendon on the right side of uncertain aetiology. We detected additional similar cases in patients who had taken medications, especially cortisone and levofloxacine. Further research should be conducted to clarify other risk factors to help prevent such injuries.

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