Cargando…

Neglected Achilles tendon rupture with central insertional plantaris tendon hypertrophy: two cases

A neglected Achilles tendon rupture is often characterized by muscle weakness and an overlengthened repair by scar tissue. Reconstructive surgery is usually performed taking into account the patient’s required level of function. Two surgical cases of neglected Achilles tendon rupture are presented i...

Descripción completa

Detalles Bibliográficos
Autores principales: Boer, Ronald, Swierstra, Bart A., Verheyen, Cees C. P. M.
Formato: Texto
Lenguaje:English
Publicado: Springer Milan 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2666823/
https://www.ncbi.nlm.nih.gov/pubmed/19277842
http://dx.doi.org/10.1007/s11751-009-0051-6
_version_ 1782166085258182656
author Boer, Ronald
Swierstra, Bart A.
Verheyen, Cees C. P. M.
author_facet Boer, Ronald
Swierstra, Bart A.
Verheyen, Cees C. P. M.
author_sort Boer, Ronald
collection PubMed
description A neglected Achilles tendon rupture is often characterized by muscle weakness and an overlengthened repair by scar tissue. Reconstructive surgery is usually performed taking into account the patient’s required level of function. Two surgical cases of neglected Achilles tendon rupture are presented in this article. In both instances it was expected that central fibrosis, possibly after neglected tendon rupture, would be found. However, after longitudinal opening of the tendons, a thickened plantaris tendon was evident at the insertion on the calcaneus in both cases. This hypertrophic tendon occupied most of the diameter of the Achilles tendon. Due to partial or complete rupture of the Achilles tendon, there was notable weakening and tendon transfer-augmentation was performed. A thickened plantaris tendon as a reaction to a neglected rupture of the Achilles tendon is a rare presentation. It can be detected preoperatively by MRI and subsequently preoperative planning can be optimized.
format Text
id pubmed-2666823
institution National Center for Biotechnology Information
language English
publishDate 2009
publisher Springer Milan
record_format MEDLINE/PubMed
spelling pubmed-26668232009-04-30 Neglected Achilles tendon rupture with central insertional plantaris tendon hypertrophy: two cases Boer, Ronald Swierstra, Bart A. Verheyen, Cees C. P. M. Strategies Trauma Limb Reconstr Case Report A neglected Achilles tendon rupture is often characterized by muscle weakness and an overlengthened repair by scar tissue. Reconstructive surgery is usually performed taking into account the patient’s required level of function. Two surgical cases of neglected Achilles tendon rupture are presented in this article. In both instances it was expected that central fibrosis, possibly after neglected tendon rupture, would be found. However, after longitudinal opening of the tendons, a thickened plantaris tendon was evident at the insertion on the calcaneus in both cases. This hypertrophic tendon occupied most of the diameter of the Achilles tendon. Due to partial or complete rupture of the Achilles tendon, there was notable weakening and tendon transfer-augmentation was performed. A thickened plantaris tendon as a reaction to a neglected rupture of the Achilles tendon is a rare presentation. It can be detected preoperatively by MRI and subsequently preoperative planning can be optimized. Springer Milan 2009-03-10 2009-04 /pmc/articles/PMC2666823/ /pubmed/19277842 http://dx.doi.org/10.1007/s11751-009-0051-6 Text en © Springer-Verlag 2009
spellingShingle Case Report
Boer, Ronald
Swierstra, Bart A.
Verheyen, Cees C. P. M.
Neglected Achilles tendon rupture with central insertional plantaris tendon hypertrophy: two cases
title Neglected Achilles tendon rupture with central insertional plantaris tendon hypertrophy: two cases
title_full Neglected Achilles tendon rupture with central insertional plantaris tendon hypertrophy: two cases
title_fullStr Neglected Achilles tendon rupture with central insertional plantaris tendon hypertrophy: two cases
title_full_unstemmed Neglected Achilles tendon rupture with central insertional plantaris tendon hypertrophy: two cases
title_short Neglected Achilles tendon rupture with central insertional plantaris tendon hypertrophy: two cases
title_sort neglected achilles tendon rupture with central insertional plantaris tendon hypertrophy: two cases
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2666823/
https://www.ncbi.nlm.nih.gov/pubmed/19277842
http://dx.doi.org/10.1007/s11751-009-0051-6
work_keys_str_mv AT boerronald neglectedachillestendonrupturewithcentralinsertionalplantaristendonhypertrophytwocases
AT swierstrabarta neglectedachillestendonrupturewithcentralinsertionalplantaristendonhypertrophytwocases
AT verheyenceescpm neglectedachillestendonrupturewithcentralinsertionalplantaristendonhypertrophytwocases