title: Subcutaneous rupture of the Achilles tendon and ipsilateral fracture of the medial malleolus.
abstract: 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.
authors.affiliation: Department of Trauma and Orthopaedic Surgery, Keele University School of Medicine, Stoke-on-Trent, UK. osa14@keele.ac.uk
authors.forename: Nicola
authors.initials: N
authors.lastname: Maffulli
authors.forename: Paula J
authors.initials: PJ
authors.lastname: Richards
mesh_terms: 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