Spontaneous rupture of the achilles tendon in a young patient with no medical history
Ruptura espontánea del tendón de aquiles en paciente joven sin antecedentes patológicos
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García, F. J., Brunicardi, R. A., Graziano, F. K., Marulanda, D., & Polo, J. F. (2015). Spontaneous rupture of the achilles tendon in a young patient with no medical history. Journal of Medicine and Surgery Repertoire, 24(2), 148–151. https://doi.org/10.31260/RepertMedCir.v24.n2.2015.639
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Abstract
The rupture of the Achilles tendon represents 20% of all injuries of long tendons of the human body. Spontaneous injury is rare and is related to the chronic use of corticosteroids and fluoroquinolones, chronic renal failure and collagen diseases. The forced dorsiflexion with the foot in plantiflexion is the most frequent mechanism, being the result of a force of eccentric contraction of the gastrosóleos combined with the forces of reaction to the floor. We consider it important to report this case because it is a 22-year-old patient with spontaneous rupture and histopathological studies, which contrasts with what is reported in the literature. Abbreviations: TA, Achilles tendon.
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References
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8. Henríquez H, Muñoz R, Carcuro G, Bastías C. Is percutaneous repair better than open repair in acute Achilles tendon rupture?. Clin Orthop Relat Res. 2012; 470(4):998-1003.
9. Habusta SF. Bilateral simultaneous rupture of the Achilles tendon. A rare traumatic injury. Clin Orthop Relat Res. 1995; (320):231-4.
2. SK Rao, BC Navadgi, A Vasdev: Bilateral spontaneous rupture of Achilles tendons: A case report. J Orthop Surg (Hong Kong). 2005; 13(2):178-80.
3. Khanzada Z, Rethnam U, Widdowson D, Mirza A. Bilateral spontaneous nontraumatic rupture of the Achilles tendon: a case report. J Med Case Reports. 2011; 5:263.
4. Cetti R, Junge J, Vyberg M. Spontaneous rupture of the Achilles tendon is preceded by widespread and bilateral tendon damage and ipsilateral inflammation: a clinical and histopathologic study of 60 patients. Acta Orthop Scand. 2003; 74(1):78-84.
5. Hashin Z, Dahabreh Z, Bin Jemain MT, Williams HR. Bilateral simultaneous achilles tendon rupture in the absence of risk factors. Foot Ankle Spec. 2011; 4(3):175-8.
6. Nilsson-Helander K, Silbernagel KG, Thomeé R, Faxén E, Olsson N, Eriksson BI, et al. Acute achilles tendon rupture: a randomized, controlled study comparing surgical and nonsurgical treatments using validated outcome measures. Am J Sports Med. 2010; 38(11):2186-93.
7. Myerson MS. Disorders of the Achilles Tendon. In: Myerson MS, editors. Reconstructive foot and ankle surgery : management of complications. 2nd ed. Philadelphia, PA : Elsevier/Saunders; 2010 .p. 331-48.
8. Henríquez H, Muñoz R, Carcuro G, Bastías C. Is percutaneous repair better than open repair in acute Achilles tendon rupture?. Clin Orthop Relat Res. 2012; 470(4):998-1003.
9. Habusta SF. Bilateral simultaneous rupture of the Achilles tendon. A rare traumatic injury. Clin Orthop Relat Res. 1995; (320):231-4.