Isolated rupture of the tibialis anterior tendon associated with a fracture of the tibial shaft: a case report.

A case is presented wherein a 19-yearold woman sustained a spontaneous rupture of the tibialis anterior tendon following the fracture of her distal tibia in a motorcycle accident. The details of the operative procedure are described, as well as a discussion of the historic and contemporary treatment modalities for this injury. Subsequent to the tendon reconstruction, the patient underwent a vigorous physical therapy program to correct the dorsiflexion deficit. This effort resulted in the patient walking and running without discomfort, and the achievement of excellent range of motion and dorsiflexion of the injured leg.