Neglected Achilles tendon rupture with central insertional plantaris tendon hypertrophy: two cases
Open Access
- 10 March 2009
- journal article
- Published by Jaypee Brothers Medical Publishing in Strategies in Trauma and Limb Reconstruction
- Vol. 4 (1), 41-43
- https://doi.org/10.1007/s11751-009-0051-6
Abstract
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.Keywords
This publication has 5 references indexed in Scilit:
- Effects of exercise on the biomechanical, biochemical and structural properties of tendonsComparative Biochemistry and Physiology Part A: Molecular & Integrative Physiology, 2002
- Overuse tendon conditions: Time to change a confusing terminologyArthroscopy: The Journal of Arthroscopic & Related Surgery, 1998
- Concurrent rupture of the Achilles and plantaris tendons.1997
- Neglected Rupture of the Achilles TendonFoot & Ankle International, 1994
- A classification of achilles tendon diseaseThe American Journal of Sports Medicine, 1976