Traumatic Posterior Tibial Tendon Rupture After Bimalleolar Fracture: Case Report and Review of the Literature
Abstract
Introduction: Rupture of the posterior tibial tendon associated with
closed ankle fractures is seen rarely been and such cases in the literature
are usually reported as case reports.
Case Report: Bimalleolar fracture was determined in a 49 years old
man after a fall from stairs. Management was consisted of open reduction-internal
fixation of the fractures and primer repair of the tibialis
posterior tendon. After 12 months follow-up, the patient had adequate
ankle range of motion and comfortable walking. Significant major
complication was not noted.
Conclusion: However it is a rare condition, rupture of tibialis posterior
tendon should not be overlooked after ankle fractures. These ruptures
can be diagnosed only at surgery since pain inhibits clinical examination.
Misdiagnosed and untreated cases can cause major complications
such as ankle deformity, ankle joint arthrosis and chronic pain. In this
case report, we aimed to share our unique experience of a posterior
tibial tendon rupture associated with ankle fracture and to present a
comprehensive review of the literature
References
- Aslan İ, Aslan A, Atay T, Aydoğan N.H. Ayak Bileği Burkulmalarında Gereksiz Radyografi İstemleri Azaltılabilir mi? S.D.Ü. Tıp Fak. Derg. 2007;14:7-10.
- Giblin MM. Ruptured tibialis posterior tendon associated with a closed medial malleolar fracture. Aust N Z J Surg. 1980;50: 59-60.
- Soballe K, Kjaersgaard-Andersen P. Ruptured tibialis poste- rior tendon in a closed ankle fracture. Clin Orthop Relat Res. 1988;231:140-143.
- Monto RR, Moorman CT 3rd, Mallon WJ, Nunley JA 3rd. Rupture of the posterior tibial tendon associated with closed ankle fracture. Foot Ankle. 1991;11:400-403.
- Ceccarelli F, Faldini C, Pagkrati S, Giannini S. Rupture of the tibi- alis posterior tendon in a closed ankle fracture: a case report. Chir Organi Mov. 2008;91:167-170.
- De Zwart DF, Davidson JS. Rupture of the posterior tibial ten- don associated with fractures of the ankle. A report of two cases. J Bone Joint Surg Am. 1983;65:260-262.
- Schaffer JJ, Lock TR, Salciccioli GG.Posterior tibial tendon rupture in pronation-external rotation ankle fractures. J Trauma. 1987;27:795-796.
- Stein RE. Rupture of the posterior tibial tendon in closed ankle fractures. Possible prognostic value of a medial bone flake: report of two cases. J Bone Joint Surg Am. 1985;67:493-494.
- Kelbel M, Jardon OM. Rupture of tibialis posterior tendon in a closed ankle fracture. J Trauma. 1982;22:1026-1027.
- Uzel AP, Massicot R, Delattre O, Augouard S. [Traumatic rupture of the tibialis posterior tendon after ankle fracture: three cases and a review of the literature] Rev Chir Orthop Reparatrice Appar. 2006;92:283-289.
Abstract
Giriş: Kapalı ayak bileği kırığıyla ilişkili ve birlikte posterior tibial
tendon rüptürü nadir görülür ve bu durum literatürde genellikle olgu
sunumu şeklinde rapor edilmiştir.
Olgu Sunumu: 49 yaşındaki erkekte, merdivenden düşme kazasıyla
ilgili ayak bileğinde bimalleoler kırık tespit edildi. Tedavisinde;
kırığın açık redüksiyon-internal fiksasyonu ve posterir tibial tendonun
primer tamiri yapıldı. Bu olguda yaralanmadan 12 ay sonra
hastanın; ayak bileği eklem hareketleri yeterliydi ve rahat yürüyebiliyordu.
Major komplikasyon gözlenmedi.
Sonuç: Seyrek görülmesine rağmen, ayak bileği kırıkları sonrası
posterior tibial tendon rüptürü gözden kaçırılmamalıdır. Bu yaralanmalara,
ağrının klinik muayeneyi engellemesi nedeniyle cerrahi
esnasında tanı konabilir. Tanısı atlanmış ve tedavi edilmemiş bu olgular,
ayak bileği deformitesi, ayak bileği eklemi artrozu ve kronik ağrı
gibi major komplikasyonlarla sonuçlanabilir. Bu olgu sunumunda;
ayak bileği travmasıyla ilişkili posterior tibial tendon rüptürü olgusundaki
deneyimlerimizi paylaşmayı ve kapsamlı bir literatür gözden
geçirmesi sunmayı amaçladık.
References
- Aslan İ, Aslan A, Atay T, Aydoğan N.H. Ayak Bileği Burkulmalarında Gereksiz Radyografi İstemleri Azaltılabilir mi? S.D.Ü. Tıp Fak. Derg. 2007;14:7-10.
- Giblin MM. Ruptured tibialis posterior tendon associated with a closed medial malleolar fracture. Aust N Z J Surg. 1980;50: 59-60.
- Soballe K, Kjaersgaard-Andersen P. Ruptured tibialis poste- rior tendon in a closed ankle fracture. Clin Orthop Relat Res. 1988;231:140-143.
- Monto RR, Moorman CT 3rd, Mallon WJ, Nunley JA 3rd. Rupture of the posterior tibial tendon associated with closed ankle fracture. Foot Ankle. 1991;11:400-403.
- Ceccarelli F, Faldini C, Pagkrati S, Giannini S. Rupture of the tibi- alis posterior tendon in a closed ankle fracture: a case report. Chir Organi Mov. 2008;91:167-170.
- De Zwart DF, Davidson JS. Rupture of the posterior tibial ten- don associated with fractures of the ankle. A report of two cases. J Bone Joint Surg Am. 1983;65:260-262.
- Schaffer JJ, Lock TR, Salciccioli GG.Posterior tibial tendon rupture in pronation-external rotation ankle fractures. J Trauma. 1987;27:795-796.
- Stein RE. Rupture of the posterior tibial tendon in closed ankle fractures. Possible prognostic value of a medial bone flake: report of two cases. J Bone Joint Surg Am. 1985;67:493-494.
- Kelbel M, Jardon OM. Rupture of tibialis posterior tendon in a closed ankle fracture. J Trauma. 1982;22:1026-1027.
- Uzel AP, Massicot R, Delattre O, Augouard S. [Traumatic rupture of the tibialis posterior tendon after ankle fracture: three cases and a review of the literature] Rev Chir Orthop Reparatrice Appar. 2006;92:283-289.
Details
| Other ID | JA27MH76AU |
|---|---|
| Journal Section | Research Article |
| Authors | |
| Publication Date | July 1, 2011 |
| Submission Date | July 1, 2011 |
| Published in Issue | Year 2011 Volume: 2 Issue: 3 |