Subcutaneous rupture of the Achilles tendon and ipsilateral fracture of the medial malleolus.
BACKGROUND
Although ankle fractures and an Achilles tendon rupture are relatively frequent in isolation, their association in the same injury is uncommon.


METHODS
A 38 year old male tree surgeon fell six meters from a tree, sustaining a subcutaneous rupture of the Achilles tendon and an ipsilateral closed fracture of the medial malleolus. The injuries were diagnosed following clinical examination and imaging.


CONCLUSIONS
This injury combination is infrequent, and management of the Achilles tendon rupture should take into account the necessity not to secondarily displace the fracture of the medial malleollus.
Maffulli
Nicola
N
Department of Trauma and Orthopaedic Surgery, Keele University School of Medicine, Stoke-on-Trent, UK. osa14@keele.ac.uk
Richards
Paula J
PJ
D000058:Accidental Falls; D000125:Achilles Tendon / Q000293:injuries* / Q000473:pathology / Q000601:surgery; D000328:Adult; D016512:Ankle Injuries / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery; D002370:Casts, Surgical; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D019637:Orthopedic Procedures / Q000379:methods; D026741:Physical Therapy Modalities; D011859:Radiography; D013708:Tendon Injuries / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D013977:Tibia / Q000000981:diagnostic imaging / Q000293:injuries* / Q000473:pathology; D013978:Tibial Fractures / Q000000981:diagnostic imaging* / Q000209:etiology / Q000628:therapy; D016896:Treatment Outcome