Zickmantel Benjamin, Krause Fabian, Frauchiger Lars
Orthopedic Surgeon, Department of Orthopaedic Surgery and Traumatology, Spital STS AG Thun, Thun, Switzerland.
Orthopedic Surgeon, Department of Orthopaedic Surgery and Traumatology, Inselspital Bern University Hospital, University of Bern, Bern, Switzerland.
J Foot Ankle Surg. 2018 Sep-Oct;57(5):995-996. doi: 10.1053/j.jfas.2017.11.027. Epub 2018 Apr 2.
In the present case, the plantaris tendon was ruptured in isolation and at the distal part of the tendon. An injury of the Achilles tendon, gastrocnemius muscle, or soleus muscle was not detected. To the best of our knowledge, a similar case has not yet been reported. Our case basically demonstrates that a rupture of the musculus plantaris does not have to occur at the myotendiouns junction or the muscle belly itself. The initial nonoperative treatment with physiotherapy, antiinflammatory medicine, and an early return to sports, even for this more distal plantaris tendon rupture, led to a good result.
在本病例中,跖肌腱在其远端单独发生断裂。未检测到跟腱、腓肠肌或比目鱼肌损伤。据我们所知,尚未有类似病例的报道。我们的病例基本表明,跖肌断裂不一定发生在肌腱-肌腹连接处或肌腹本身。即使对于这种更靠近远端的跖肌腱断裂,采用物理治疗、抗炎药物的初始非手术治疗以及早期恢复运动也取得了良好效果。