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Posterior Tibialis Tendon Rupture in a Closed Bimalleolar-Equivalent Ankle Fracture: Case Report.

Publication ,  Journal Article
Wardell, RM; Hanselman, AE; Daffner, SD; Santrock, RD
Published in: Foot Ankle Spec
December 2017

UNLABELLED: Ankle fractures with an associated posterior tibialis tendon (PTT) rupture are rare injuries and have only been described in a number of case reports. These prior reports include patients that had an open fracture and/or an associated medial malleolar fracture component. In this unique case report, we present a patient that sustained a closed bimalleolar-equivalent ankle fracture/dislocation without medial malleolar involvement which was irreducible due to a PTT rupture and subsequent distal segment interposition in the tibiotalar joint. Identification of acute PTT rupture with associated ankle fracture is important because early repair is associated with significantly better functional outcomes compared with late repair. These injury patterns may easily be missed due to the limitations with physical examination and standard imaging often encountered during initial evaluation of routine ankle fractures. Therefore, physicians should maintain a high level of suspicion in the appropriate clinical setting in order to provide appropriate diagnosis and timely surgical intervention. LEVELS OF EVIDENCE: Descriptive, Level V: Single case report.

Duke Scholars

Published In

Foot Ankle Spec

DOI

EISSN

1938-7636

Publication Date

December 2017

Volume

10

Issue

6

Start / End Page

572 / 577

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Trauma Centers
  • Tomography, X-Ray Computed
  • Tendons
  • Tendon Injuries
  • Rupture
  • Risk Assessment
  • Range of Motion, Articular
  • Pain Management
  • Multiple Trauma
 

Citation

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Chicago
ICMJE
MLA
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Wardell, R. M., Hanselman, A. E., Daffner, S. D., & Santrock, R. D. (2017). Posterior Tibialis Tendon Rupture in a Closed Bimalleolar-Equivalent Ankle Fracture: Case Report. Foot Ankle Spec, 10(6), 572–577. https://doi.org/10.1177/1938640017704945
Wardell, Richard M., Andrew E. Hanselman, Scott D. Daffner, and Robert D. Santrock. “Posterior Tibialis Tendon Rupture in a Closed Bimalleolar-Equivalent Ankle Fracture: Case Report.Foot Ankle Spec 10, no. 6 (December 2017): 572–77. https://doi.org/10.1177/1938640017704945.
Wardell RM, Hanselman AE, Daffner SD, Santrock RD. Posterior Tibialis Tendon Rupture in a Closed Bimalleolar-Equivalent Ankle Fracture: Case Report. Foot Ankle Spec. 2017 Dec;10(6):572–7.
Wardell, Richard M., et al. “Posterior Tibialis Tendon Rupture in a Closed Bimalleolar-Equivalent Ankle Fracture: Case Report.Foot Ankle Spec, vol. 10, no. 6, Dec. 2017, pp. 572–77. Pubmed, doi:10.1177/1938640017704945.
Wardell RM, Hanselman AE, Daffner SD, Santrock RD. Posterior Tibialis Tendon Rupture in a Closed Bimalleolar-Equivalent Ankle Fracture: Case Report. Foot Ankle Spec. 2017 Dec;10(6):572–577.
Journal cover image

Published In

Foot Ankle Spec

DOI

EISSN

1938-7636

Publication Date

December 2017

Volume

10

Issue

6

Start / End Page

572 / 577

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Trauma Centers
  • Tomography, X-Ray Computed
  • Tendons
  • Tendon Injuries
  • Rupture
  • Risk Assessment
  • Range of Motion, Articular
  • Pain Management
  • Multiple Trauma