title: Missed Medial Malleolar Fracture Associated With Achilles Tendon Rupture: A Case Report and Literature Review.
abstract: A 45-year-old man sustained an Achilles tendon rupture while playing futsal. A concomitant medial malleolar fracture was not diagnosed until the patient underwent an operation for Achilles tendon repair. A routine postoperative radiograph showed a minimally displaced medial malleolar fracture. Conservative treatment was chosen for the fracture. The function of the Achilles tendon recovered well, and the fracture was united. A medial malleolar fracture can be missed when an Achilles tendon rupture occurs simultaneously. Thus, surgeons should consider the possibility of medial malleolar fracture associated with an Achilles tendon rupture.
authors.affiliation: Department of Orthopaedic Surgery, Faculty of Medicine, University of Tokyo, Tokyo, Japan.
authors.forename: Koji
authors.initials: K
authors.lastname: Nakajima
authors.affiliation: Department of Orthopaedic Surgery, Faculty of Medicine, University of Tokyo, Tokyo, Japan. Electronic address: takeos-tky@umin.ac.jp.
authors.forename: Shuji
authors.initials: S
authors.lastname: Taketomi
authors.affiliation: Department of Orthopaedic Surgery, Faculty of Medicine, University of Tokyo, Tokyo, Japan.
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Inui
authors.affiliation: Department of Orthopaedic Surgery, Faculty of Medicine, University of Tokyo, Tokyo, Japan.
authors.forename: Kensuke
authors.initials: K
authors.lastname: Nakamura
authors.affiliation: Department of Orthopaedic Surgery, Faculty of Medicine, University of Tokyo, Tokyo, Japan.
authors.forename: Takaki
authors.initials: T
authors.lastname: Sanada
authors.affiliation: Department of Orthopaedic Surgery, Faculty of Medicine, University of Tokyo, Tokyo, Japan.
authors.forename: Sakae
authors.initials: S
authors.lastname: Tanaka
mesh_terms: D000125:Achilles Tendon / Q000293:injuries* / Q000601:surgery; D064386:Ankle Fractures / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D002370:Casts, Surgical; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012421:Rupture; D013708:Tendon Injuries / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*
keywords: ankle; diagnosis; injury; post-traumatic arthrosis