title: Acute disruption of the posterior tibial tendon associated with open-fracture dislocation of the ankle.
abstract: A 27-year-old man with a high-energy, open-fracture dislocation of the ankle underwent debridement and open reduction of his injuries. During surgery a disruption-laceration of the posterior tibial tendon at the level of the fracture of the medial malleolus was found. Repair required location of the proximal muscle and tendon and controlled traction of the musculotendinous unit from its retracted position. Common aspects in the nine previously reported instances of this lesion include relatively high energy of the injury and the fracture type, a transverse fracture in the medial malleolus. Unique to this case was the open injury.
authors.affiliation: Department of Orthopedic Surgery, New York University Medical Center, New York 10016, USA.
authors.forename: M
authors.initials: M
authors.lastname: Bos
authors.forename: R
authors.initials: R
authors.lastname: Lusskin
mesh_terms: D000208:Acute Disease; D000328:Adult; D016512:Ankle Injuries / Q000150:complications* / Q000601:surgery; D005260:Female; D050723:Fractures, Bone / Q000150:complications* / Q000601:surgery; D006801:Humans; D004204:Joint Dislocations / Q000150:complications*; D008297:Male; D008875:Middle Aged; D012421:Rupture; D013708:Tendon Injuries / Q000150:complications* / Q000175:diagnosis