Monto R R, Moorman C T, Mallon W J, Nunley J A
Division of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina 27710.
Foot Ankle. 1991 Jun;11(6):400-3. doi: 10.1177/107110079101100612.
Rupture of the posterior tibial tendon has rarely been associated with closed ankle fractures. All previous cases have been in association with pronation-external rotation type fractures in which the medial malleolus has been fractured. This case represents the first such report of a severed posterior tibial tendon in the absence of a medial malleolar fracture and reemphasizes the importance of critically evaluating intraoperative radiographs following the open reduction and internal fixation of closed ankle fractures to assess the possibility of soft tissue interposition. In the event of an acute rupture of the posterior tibial tendon, the authors recommend primary tendon repair.
胫后肌腱断裂很少与闭合性踝关节骨折相关。既往所有病例均与内踝骨折的旋前-外旋型骨折有关。本病例是首例在无内踝骨折情况下胫后肌腱断裂的报告，并再次强调了在闭合性踝关节骨折切开复位内固定术后严格评估术中X线片以评估软组织嵌入可能性的重要性。对于急性胫后肌腱断裂，作者建议一期肌腱修复。
