Rupture of the tibialis posterior tendon in a closed ankle fracture: a case report

Ceccarelli, Francesco; Faldini, Cesare; Pagkrati, Stavroula; Giannini, Sandro

doi:10.1007/s12306-007-0028-x

Cited by 21 publications

(25 citation statements)

References 11 publications

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“…PTT rupture without repair can ultimately lead to severe pes planovalgus deformity followed by possible degenerative changes to surrounding joints and pain. 7,8 While to the best of our knowledge, there have been a few case reports describing complete PTT rupture in association with closed ankle fracture, [9][10][11][12][13][14][15][16][17][18][19][20][21] we could not find any reports of a triad of simultaneous closed medial malleolus fracture, ATFL avulsion from the talus, and PTT tendon rupture. So we think that it would be worthy to report this case after obtaining written informed consent for his anonymized information to be published in this article.…”

Section: Introductionmentioning

confidence: 82%

Posterior tibialis tendon rupture associated with closed medial malleolus fracture and avulsion of anterior talofibular ligament: A case report and review of the literature

Vosoughi

Ravanbod

Gilheany

et al. 2018

Hong Kong Journal of Emergency Medicine

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Introduction: Traumatic rupture of posterior tibialis tendon in association with medial malleolus fracture is extremely rare. Case Presentation: We demonstrate our experience in the management of a complete posterior tibialis tendon (PTT) rupture and anterior talofibular ligament avulsion fracture from the talus in association with medial malleolus fracture in a 30-year-old male motorcyclist without any open wounds. Discussion: We believe this to be the first reported injury of this type in the literature. Closed ankle fractures may obscure surrounding tendon rupture and the clinician may be tempted to focus on the osseous injuries rather than the significance of associated soft tissue injures. Conclusion: This particular case demonstrates the importance of assessing for PTT injury in situations where high velocity impact to the ankle results in malleolar fracture.

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Section: Introductionmentioning

confidence: 82%

Posterior tibialis tendon rupture associated with closed medial malleolus fracture and avulsion of anterior talofibular ligament: A case report and review of the literature

Vosoughi

Ravanbod

Gilheany

et al. 2018

Hong Kong Journal of Emergency Medicine

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“…It is associated with rheumatoid arthritis and non-specific tenosynovitis when it happens spontaneously 1 2. Few cases of closed ankle fractures with posterior tibial tendon rupture have been reported in the literature 3 5. It has been reported only once at a rupture of the muscular tendinous junction 4…”

Section: Discussionmentioning

confidence: 99%

Muscular tendinous junction rupture of the posterior tibial tendon after closed bimalleolar ankle fracture

Jasqui-Remba¹,

Rodriguez-Corlay

2016

BMJ Case Reports

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SUMMARYIn this case report, we present an acute rupture in the muscular tendinous junction of a posterior tibialis muscle in a bimalleolar closed ankle fracture after a high-energy trauma in a 30-year-old patient with no significant medical history. Fracture was confirmed by simple X-rays, and was treated with an open reduction in which both of the fractures were treated with osteosynthesis material and reparation of the syndesmosis. If left untreated, this uncommon finding can result in a bad postsurgical outcome; we believe this injury is more common but under-reported in the literature. The surgeon should be aware and look specifically for this type of lesion during the procedure. Finding and treating this injury requires special postoperative care, non-weight-bearing instructions and balanced physiotherapy. BACKGROUND

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“…2,17 Most cases involve a high-energy mechanism of injury, such as a motor vehicle collision or a fall from height. [1][2][3][4][5][6][7][8][9][10][13][14][15][16][17][18] However, lower-energy athletic injuries also have been described. 11,12 Rupture frequently occurs in a relatively hypovascular segment of the tendon, corresponding approximately to the level of the fracture site posteromedi-ally, which may indicate that the tendon lacerates against it.…”

Section: Discussionmentioning

confidence: 99%

Acute Tibialis Posterior Tendon Rupture With Pronation-Type Ankle Fractures

Bernstein¹,

Harris²,

Cosculluela³

et al. 2016

Orthopedics

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Tibialis posterior tendon rupture in the setting of pronation-type ankle fractures can lead to long-term debility as a result of chronic tendon dysfunction. This rare injury pattern presents a diagnostic challenge because thorough preoperative examination of the function of the tendon is limited by pain, swelling, and inherent instability of the fracture. As such, a high index of suspicion is necessary in ankle fractures with radiographs showing a medial malleolus fracture with an associated suprasyndesmotic fibula fracture. This report describes 3 cases of tibialis posterior tendon rupture associated with pronation-type ankle fractures treated acutely with open reduction and internal fixation and primary tendon repair. Additionally, common features of this injury pattern are discussed based on the current literature. In accordance with this report, the typical mechanism of injury is high energy and includes forced pronation, external rotation, and dorsiflexion of the ankle, which places maximal stress on the tibialis posterior tendon. Rupture most commonly occurs in a relatively hypovascular area of the tendon located at the posteromedial extent of the medial malleolus fracture. In the operative treatment of pronation-type ankle fractures, direct inspection of the tibialis posterior tendon allows for timely diagnosis and treatment of associated ruptures. [Orthopedics.2016; 39(5):e970-e975.].

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Rupture of the tibialis posterior tendon in a closed ankle fracture: a case report

Cited by 21 publications

References 11 publications

Posterior tibialis tendon rupture associated with closed medial malleolus fracture and avulsion of anterior talofibular ligament: A case report and review of the literature

Posterior tibialis tendon rupture associated with closed medial malleolus fracture and avulsion of anterior talofibular ligament: A case report and review of the literature

Muscular tendinous junction rupture of the posterior tibial tendon after closed bimalleolar ankle fracture

Acute Tibialis Posterior Tendon Rupture With Pronation-Type Ankle Fractures

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