Ossification of a ruptured achilles tendon: A case report in a diabetic patient

Sobel, Ellen; Giorgini, Renato; Hilfer, Jane; Rostkowski, Tom

doi:10.1016/s1067-2516(02)80053-9

Cited by 13 publications

(9 citation statements)

References 13 publications

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“…The most commonly described etiologies are previous trauma (tendon rupture or repeated micro-trauma) and surgery (previous Achilles tendon surgery, clubfoot surgery, surgery for cerebral palsy). Patients with systemic diseases or metabolic conditions may also demonstrate OAT such as in diabetes, Wilsons disease, fluorosis, renal failure, Reiter's syndrome, ankylosing spondylitis, gout, Diffuse Idiopathic Skeletal Hyperostosis (DISH), sero-negative arthropathies, and infectious causes (syphilis, gastrocnemius abscess and osteomyelitis) [1–4, 6]. Sasaki et al reported that calcification and ossification are probably a consequence of degenerative changes in collagen, the etiology of which may be related to vascular insufficiency [7].…”

Section: Discussionmentioning

confidence: 99%

“…Discomfort or pain may be due to local “inflammation” or a fracture through the ossified mass that should be suspected and treated [2, 3]. Ossification occurs twice as frequently in males with no age predilection [2–4]. Extensive ossification involving greater than 50% of the tendon bulk is particularly unusual [2, 4].…”

Section: Introductionmentioning

confidence: 99%

“…Ossification occurs twice as frequently in males with no age predilection [2–4]. Extensive ossification involving greater than 50% of the tendon bulk is particularly unusual [2, 4]. …”

Section: Introductionmentioning

confidence: 99%

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Could Ossification of the Achilles Tendon Have a Hereditary Component?

Cortbaoui

Matta²,

Elkattah³

2013

Case Reports in Orthopedics

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Ossification of the Achilles tendon (OTA) is an unusual clinical condition. It is characterized by the presence of an ossified mass within the fibrocartilaginous substance of the Achilles tendon. The etiology of the ossification of the Achilles tendon is unknown. Review of the literature suggests that its etiology is multifactorial. The major contributing factors are trauma and surgery with other minor causes such as systemic diseases, metabolic conditions, and infections. To our knowledge, no previous reports suggest any genetic/hereditary predisposition in OAT. We report 3 siblings who have OAT with no history of any of the aforementioned predisposing factors. Could OAT have a hereditary component as one of its etiologies?

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Could Ossification of the Achilles Tendon Have a Hereditary Component?

Cortbaoui

Matta²,

Elkattah³

2013

Case Reports in Orthopedics

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“…The precise mechanism of Achilles ossifications has not been clarified. In the literature, different causal factors have been suggested, including prior surgery of the Achilles tendons [12], sequelae after trauma [13], rupture (partial or total) [14], tendonitis [15], as well as conservative treatment of club feet [16]. One may speculate that our case presented had had an episode of either partial rupture or tendonitis many years ago, which led to the formation of the intratendinous ossification, which slowly grew as observed in other studies.…”

Section: Discussionmentioning

confidence: 51%

Intra-Tendinous Ossification with Concomitant Tendonitis and Bursitis - Ultrasound Grey-Scale and Colour Doppler Findings

Boesen¹,

Koenig²,

Bliddal³

et al. 2006

Ultraschall in Med

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A case report of a 62-year-old man with a 20-year history of tendon problems, who presented with a swollen and tender left Achilles tendon. Ultrasound (US) revealed a 2 x 1 x 0.9 cm intra-tendinous substance with acoustic shadowing. On a radiogram, ossification was found. Colour Doppler activity was present in both the bursa and the tendon. A US-guided injection of 40 mg Depomedrol was applied into the retrocalcaneal bursa. On follow-up two months later, the patient had no symptoms and US showed total regression of Doppler activity. The ossification was unchanged. US colour Doppler may be recommended for guidance and monitoring of treatment.

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“…Severe ossification involving more than half of the tendon bulk is extremely rare. 5 , 6 The etiology of the ossification of Achilles tendon (OAT) is largely unknown but the evidence in literature suggest a multifactorial etiology.…”

Section: Introductionmentioning

confidence: 99%

A silent massive ossification of Achilles tendon as a suspected rare late effect of surgery for club foot

Manfreda

Ceccarini

Corzani

et al. 2018

SAGE Open Medical Case Reports

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We report the case of a 66-year-old male patient with massive ossification of the distal portion of the Achilles tendon, as a late consequence of a surgical release for club foot conducted in his childhood. The singularity of the case report derives from its clinical features: the bone mass was of abnormal dimensions, almost substituting the entire tendon; the condition had always been asymptomatic, without deficits in range of motion, in absence of either pain or biomechanical defects with age. In fact, the condition was diagnosed just recently as a consequence of a tear. Despite an ultrasound diagnosis after the injury, only during the surgical treatment, a proper evaluation of the entity of the pathology was possible. Although the ossification of Achilles tendon is a rare clinical condition with a complex multifactorial etiology, in our case report, some of the elements in the patient’s medical history could be useful for the pathogenesis and early diagnosis of the disease. The aim of this case report is to emphasize the importance both of a correct evaluation of clinical history and of an accurate diagnosis, in order to conduct a proper management of this pathology.

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Ossification of a ruptured achilles tendon: A case report in a diabetic patient

Cited by 13 publications

References 13 publications

Could Ossification of the Achilles Tendon Have a Hereditary Component?

Could Ossification of the Achilles Tendon Have a Hereditary Component?

Intra-Tendinous Ossification with Concomitant Tendonitis and Bursitis - Ultrasound Grey-Scale and Colour Doppler Findings

A silent massive ossification of Achilles tendon as a suspected rare late effect of surgery for club foot

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