Park Jin
J Am Podiatr Med Assoc. 2016 Nov;106(6):449-452. doi: 10.7547/15-078.
Rupture of the tibialis posterior tendon associated with ankle fracture is rare and difficult to diagnose. This rupture can be easily overlooked because the clinical examination is limited owing to acute pain related to a closed ankle fracture. Complete rupture of the tibialis posterior tendon can be identified by a loss of tension during ankle fracture fixation, but partial rupture is more difficult to detect because the tibialis posterior tendon can maintain its tension. A few cases of complete rupture of the tibialis posterior tendon combined with ankle fracture have been reported. It is well-known that failure to diagnose a rupture of the tibialis posterior tendon can lead to long-term disability and a planovalgus foot. However, to our knowledge, this is the first report of partial rupture of the tibialis posterior tendon in the English literature. Herein, we describe a patient with a neglected partial rupture of the tibialis posterior tendon combined with a medial malleolar fracture.
胫后肌腱断裂合并踝关节骨折较为罕见且诊断困难。由于闭合性踝关节骨折所致的急性疼痛限制了临床检查，这种断裂很容易被忽视。胫后肌腱完全断裂可通过踝关节骨折固定时张力消失来识别，但部分断裂更难检测，因为胫后肌腱可维持其张力。已有少数胫后肌腱完全断裂合并踝关节骨折的病例报道。众所周知，未能诊断出胫后肌腱断裂会导致长期残疾和扁平外翻足。然而，据我们所知，这是英文文献中关于胫后肌腱部分断裂的首例报道。在此，我们描述一名被忽视的胫后肌腱部分断裂合并内踝骨折的患者。
