无病史的轻微损伤后胫前肌腱闭合性断裂：手术修复

Closed Rupture of Anterior Tibialis Tendon after Minor Injury without Medical History: A Surgical Repair.

作者信息

Vrettakos Aristeidis, Vampertzis Themistoklis, Vavilis Theofanis, Chaftikis Nikolaos, Antonoglou Georgios, Papastergiou Stergios

机构信息

Department of Orthopaedic Surgery and Traumatology, Unit for Sports Medicine, Agios Pavlos General Hospital of Thessaloniki, Greece.

Laboratory of Medical Biology-Genetics, Medical School, Aristotle University of Thessaloniki, Greece.

出版信息

J Orthop Case Rep. 2019;9(4):67-70. doi: 10.13107/jocr.2019.v09.i04.1484.

DOI:10.13107/jocr.2019.v09.i04.1484

PMID:32405492

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7210906/

Abstract

INTRODUCTION

Closed rupture of the anterior tibial tendon is uncommon, with only a few cases being documented in literature. It usually happens in the forceful plantar flexion of the foot while in eversion and the simultaneous contraction of the anterior tibialis muscle.

CARE REPORT

We present the case of a 65-year-old man with closed rupture of the tibialis anterior tendon after injury who was treated by primary surgical repair. The surgical technique as well as the rehabilitation protocol are described in detail.

CONCLUSION

Primary surgical reconstruction repair is indicated in younger, active individuals. It appears that early diagnosis and treatment provides the best clinical results, while delayed treatment usually requires the use of a tendon graft in combination with tendon transfers, giving inferior results compared to primary tendon repair.

摘要