Posterior Tibial Tendon Rupture Associated With Anterolateral Distal Tibial and Medial Malleolar Fracture and a Novel Pattern of Tibiofibular Syndesmotic Injury: A Case Report and Review of the Literature

Autor:	Giovanni Battista Colasanti, Stefano Giannotti, Carlo Cataldi, Nicola Mondanelli, Nicola Bacci, Francesco Muratori, Fabio Moreschini
Rok vydání:	2020
Předmět:	medicine.medical_specialty business.industry Avulsion fracture Biomechanics Large fragment Syndesmotic Injury medicine.disease Surgery medicine.anatomical_structure medicine Orthopedics and Sports Medicine Malleolar fracture Posterior tibial tendon Fibula Ankle business
Zdroj:	The Journal of Foot and Ankle Surgery. 59:1066-1071
ISSN:	1067-2516
DOI:	10.1053/j.jfas.2020.02.010
Popis:	A posterior tibial tendon (PTT) rupture associated with ankle fractures is a very rare condition. Ankle pronation and external rotation (PER) movement are the typical traumatic mechanism. This injury is frequently overlooked preoperatively. Early diagnosis and treatment are very important to prevent the serious consequences related to functional PTT insufficiency on biomechanics of the foot. Few cases have been described in the literature that highlight the relationship between PTT rupture and PER type ankle fracture with a medial malleolar fracture. We present a case of a complete PTT rupture in a closed atypical ankle fracture in which a medial malleolar fracture was associated with a very large fragment from the anterolateral distal tibia (Tillaux-Chaput fragment) and a concomitant avulsion fracture from the anteromedial portion of the fibula (Lefort-Wagstaffe fragment), with a novel pattern never described before.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::cee24cc69644890842bacd3d063201b4 https://doi.org/10.1053/j.jfas.2020.02.010 Zobrazit plný text záznamu Full Text from ScienceDirect