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A 47-year-old male ultramarathon runner presented with persistent discomfort in the anterior region of the left leg. The patient reported a snapping sensation in his left leg four weeks earlier while running an ultramarathon, followed by ecchymosis and functional impairment the next day. Physical examination revealed a palpable area of fibrosis in his anterior left leg. Ultrasound of the left leg identified a partially organized rupture of the distal third of the tibialis anterior muscle. The rupture had an extension of 36 x 10 x 27mm with associated muscle edema. The patient was treated non-surgically with a customized rehabilitation program and later returned to ultramarathon running. This case illustrates the importance of proper differential diagnosis and individualized rehabilitation programs to achieve optimum clinical and functional results.

Adapted sports participation has benefits for athletes with disabilities. The number of participants has increased in recent years. As participation has increased, new challenges have emerged, regarding the number and specific injuries of this group of patients. The risks of trauma vary depending on the sports played as well as the type of disability. Knowledge of the clinical aspects of injury and the deficiency is essential for medical intervention regarding treatment and prevention. The authors aim to review the epidemiology, injury mechanisms, and therapeutic approach in the setting of adapted sports.

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