Gomaa Hamza Reda, Ali Syed Mohsin
Department of Orthopedic Surgery, Bahrain Defense Force Royal Medical Service, Riffa, Bahrain.
Am J Case Rep. 2019 Oct 12;20:1500-1504. doi: 10.12659/AJCR.917972.
BACKGROUND Unilateral double-level Achilles tendon tear is a rare presentation that has not been previously reported in the English literature. Diagnosis and management of these cases are challenging, and outcomes are not well described in the literature. CASE REPORT A 46-year-old man presented to us with ankle pain following a football sports injury. Clinical examination and ultrasound scan showed unilateral Achilles tendon double-level partial tears that were managed conservatively. The patient presented again with another trauma and progression to full-thickness tear, managed operatively with open Achilles tendon repair technique. CONCLUSIONS Management of these cases is complex and challenging. In the literature, both operative and non-operative management have been described. However, the recent literature shows no major difference between these 2 methods of treatment. Our case was quite unique, so we decided to use the open repair technique. Awareness about this rare presentation and the need for further research is necessary for proper management of such cases.
单侧双平面跟腱撕裂是一种罕见的情况，此前英文文献中未有报道。这些病例的诊断和治疗具有挑战性，且文献中对其治疗结果的描述并不充分。病例报告：一名46岁男性因足球运动损伤后出现踝关节疼痛前来就诊。临床检查和超声扫描显示单侧双平面跟腱部分撕裂，采取保守治疗。患者再次因另一次创伤导致损伤进展为全层撕裂，采用开放性跟腱修复技术进行手术治疗。结论：这些病例的治疗复杂且具有挑战性。文献中已描述了手术治疗和非手术治疗方法。然而，近期文献表明这两种治疗方法之间并无重大差异。我们的病例非常独特，因此决定采用开放性修复技术。认识到这种罕见情况以及进一步研究的必要性对于妥善处理此类病例至关重要。
