Abstract
Rupture of the posterior tibial tendon has rarely been associated with closed ankle fractures. All previous cases have been in association with pronation-external rotation type fractures in which the medial malleolus has been fractured. This case represents the first such report of a severed posterior tibial tendon in the absence of a medial malleolar fracture and reemphasizes the importance of critically evaluating intraoperative radiographs following the open reduction and internal fixation of closed ankle fractures to assess the possibility of soft tissue interposition. In the event of an acute rupture of the posterior tibial tendon, the authors recommend primary tendon repair.
MeSH terms
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Adult
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Ankle Injuries*
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Ankle Joint / diagnostic imaging
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Ankle Joint / surgery
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Athletic Injuries / complications*
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Athletic Injuries / diagnostic imaging
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Athletic Injuries / surgery
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Fibula / diagnostic imaging
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Fibula / injuries
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Fibula / surgery
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Fracture Fixation, Internal / methods
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Fractures, Closed / complications
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Fractures, Closed / diagnostic imaging
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Fractures, Closed / surgery
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Humans
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Male
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Radiography
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Rupture
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Soccer / injuries*
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Tendon Injuries* / diagnostic imaging
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Tendon Injuries* / etiology*
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Tendon Injuries* / surgery
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Tendons / diagnostic imaging
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Tendons / surgery
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Tibial Fractures / complications*
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Tibial Fractures / diagnostic imaging
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Tibial Fractures / surgery