Bilateral Simultaneous Achilles Tendon Rupture in the Absence of Risk Factors

Hashim, Zaid; Dahabreh, Ziad; Jemain, M.T. Bin; Williams, Hywel R.

doi:10.1177/1938640010397657

Cited by 2 publications

(5 citation statements)

References 45 publications

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“…Aşil tendon rüptürleri sıklıkla, yaş ile beraber kanlanmanın zayıfladığı tendonun kalkaneusa yapışma yerinden 2-6 cm proksimalden olmaktadır. (8,9) Aşil tendon rüptürlerinin %1 den azının bilateral olduğu ve risk faktörü olmaksızın rüptürlerin daha nadir olduğu bildirilmektedir (10). Tendon rüptürleri birçok faktöre bağlı olabilmekle beraber spontan rüptürlerin etyolojisi henüz aydınlatılabilmiş değildir (10) (12).…”

Section: Discussionunclassified

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Risk Faktörü Olmadan Oluşan Bilateral Spontan Aşil Tendon Rüptürü

Türkmen¹,

Özer²,

Kaçıra³

et al. 2019

std

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Aşil tendon rüptürleri yaygın kas-iskelet sistemi yaralanmalarıdır. Genellikle tek taraflı olarak aktif orta yaş bireylerde meydana gelir. Herhangi bir yatkınlık oluşturan risk faktörü olmadan oluşan spontan rüptürler nadirdir ve bunun da bilateral olması oldukça nadirdir. Biz, herhangi bir risk faktörü olmayan spontan bilateral aşil tendon rüptürü olan 32 yaşındaki erkek olguyu sunuyoruz. Rüptür halter kaldırma sonrası ağırlığa bağlı olarak bilateral gastroknemius kompleksinde meydana gelen aşırı stres ve uzamaya bağlı olarak meydana gelmişti. Klinik tanı konduktan sonra ultrasonografi ile bilateral rüptür gösterildi. Hastaya bilateral cerrahi tamir uygulandı. Rehabilitasyon 6 hafta sonra başlandı. Ameliyattan 8 hafta sonra kısmi, 12 hafta sonra tam yük vererek mobilize olan hasta yaralanma öncesi iş ve sosyal yaşantısına sorunsuz döndü. Bilateral aşil tendon rüptürleri çok nadirdir fakat yüksek farkındalık karşı taraf rüptürlerinin gözden kaçmasını önleyebilecektir.

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Section: Discussionunclassified

“…Aşil tendon rüptürleri konservatif ve cerrahi olarak tedavi edilebilmektedir. Bilateral rüptürlerde cerrahi tedavi ön plana çıkmakla birlikte konservatif tedavi edilmiş bilateral rüptür olguları bildirilmiştir (10). Konservatif tedavi cerrahi tedaviye göre daha fazla yeniden rüptür oranına sahiptir.…”

Section: Discussionunclassified

Risk Faktörü Olmadan Oluşan Bilateral Spontan Aşil Tendon Rüptürü

Türkmen¹,

Özer²,

Kaçıra³

et al. 2019

std

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“…Achilles tendon is the most frequently ruptured tendon in the lower extremity and it is usually seen at the active individual men at their fourth or fifth decade of life. Male-female rate is altering between 2/1 and 12/1 [4,5].…”

Section: Discussionmentioning

confidence: 99%

“…Coexistent rheumatological diseases or endocrinopathies, chronical overuse, fluoroquinolone consumption are well defined etiologic factors at spontaneous achilles tendon rupture however the mechanism of underlying tendon degeneration was also described [4]. Besides these factors, Rao et al reported a 38-year-old woman who had bilateral spontaneous achilles tendon rupture and they proposed that it was associated with hypotyroidism [5]. In some studies correlation with hypercholesterolaemia [6,7], hyperparatyroidism and renal failure [8,9] has been exhibited.…”

Section: Discussionmentioning

confidence: 99%

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Bilateral Spontaneous Achilles Tendon Rupture without Any Predisposing Factors

Uygur¹,

Erinç²,

Çift³

et al. 2012

OJO

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Besides spontaneous rupture of achilles tendon is a rare condition which is usually associated with corticosteroid or fluoroquinolon usage. Spontaneous rupture of achilles tendon without any risk factors is extremely rare. In this report we aimed to present clinical features of a case of bilateral spontaneous achilles tendon rupture and tried to investigate potential etiologic factors. A 54-year-old man was admitted to our emergency department as complaining bilateral ankle pain at the retrocalcaneal region. He had no trauma, any comorbidities or any drug consumption history. Painful achilles tendon gaps proximal to his ankles had been palpated and bilateral Thompson's test positivity had been noted (Figures 1 and 2). He was unable to rise upon his toes however he was able to walk. American Orthopedic Foot and Ankle Society Hindfoot Scoring was calculated as 78 points. The rupture had been verified with a magnetic resonance imaging and his laboratory findings were all within normal limits (Figures 3 and 4). The patient did not approve an operation so conservative treatment with dorsiflexion limiting brace was applied and strengthening and stretching exercises of gastrosoleus was suggested. Atraumatic and bilateral cases with achilles rupture should be well investigated whether any systemic factors are coexistent. Besides well known corticosteroids or fluoroquinolone exposure, endocrinologic and rheumatological diseases, hypercholesterolaemia should be evaluated in terms of predisposing causes. Patients who have to use corticosteroids or fluoroquinolone, should be informed about achilles tendon rupture and be suggested do regular physical exercises in order to reduce the rupture risk. Despite predisposing factors, sometimes nothing can be associated with achilles tendon rupture as in our case. Genetic predisposition or a degenerative process of a tendon due to age may be underlying cause like in rotator cuff tears.

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Bilateral Simultaneous Achilles Tendon Rupture in the Absence of Risk Factors

Abstract: Therapeutic, Level IV, retrospective case study.

Cited by 2 publications

References 45 publications

Risk Faktörü Olmadan Oluşan Bilateral Spontan Aşil Tendon Rüptürü

Risk Faktörü Olmadan Oluşan Bilateral Spontan Aşil Tendon Rüptürü

Bilateral Spontaneous Achilles Tendon Rupture without Any Predisposing Factors

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