title: Muscular tendinous junction rupture of the posterior tibial tendon after closed bimalleolar ankle fracture.
abstract: In this case report, we present an acute rupture in the muscular tendinous junction of a posterior tibialis muscle in a bimalleolar closed ankle fracture after a high-energy trauma in a 30-year-old patient with no significant medical history. Fracture was confirmed by simple X-rays, and was treated with an open reduction in which both of the fractures were treated with osteosynthesis material and reparation of the syndesmosis. If left untreated, this uncommon finding can result in a bad postsurgical outcome; we believe this injury is more common but under-reported in the literature. The surgeon should be aware and look specifically for this type of lesion during the procedure. Finding and treating this injury requires special postoperative care, non-weight-bearing instructions and balanced physiotherapy.
authors: Department of Orthopedics, American British Cowdray Medical Center, Mexico City, Estado de México, Tecamachalco, Mexico.
authors: Salomon
authors: S
authors: Jasqui-Remba
authors: ABC Medical Center, Mexico, Mexico.
authors: Ruy Ernesto
authors: RE
authors: Rodriguez-Corlay
mesh_terms: D000328:Adult; D064386:Ankle Fractures / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D001863:Bone Screws; D005593:Fracture Fixation, Internal; D005596:Fractures, Closed / Q000150:complications*; D006801:Humans; D008297:Male; D011859:Radiography; D012421:Rupture; D013708:Tendon Injuries / Q000209:etiology*; D013977:Tibia