Nkosi Collen Sandile, Hadebe Bongiwe, Kyei Papa Kwabena Offeh
Division of Orthopaedic Surgery, University of the Witwatersrand, Johannesburg, South Africa.
Case Rep Orthop. 2025 Jun 12;2025:5557419. doi: 10.1155/cro/5557419. eCollection 2025.
Interpersonal violence victims account for a sizable proportion of trauma cases encountered in South African trauma centers. Open Achilles tendon injuries are more prevalent in male patients, accounting for a high number of all cases. A 45-year-old male was brought in a trauma casualty by a paramedic after being referred by a local clinic in severe pain on both ankles, unable to walk or stand, and dressed bilaterally with blood stains. On examination, he demonstrated the triad of Achilles tendon injuries, including Matle's sign, Thompson's test, and a gap on palpation. A surgical operation was performed within 24 h of the patient's admission. This case report is aimed at increasing awareness of a rare case that presented with open bilateral Achilles tendon injuries associated with an alleged assault and received a successful surgical treatment without a skin complication.
人际暴力受害者在南非创伤中心遇到的创伤病例中占相当大的比例。开放性跟腱损伤在男性患者中更为普遍,占所有病例的很大比例。一名45岁男性因双踝剧痛被当地诊所转诊后,由护理人员送至创伤急救室,无法行走或站立,双下肢有血迹。检查时,他表现出跟腱损伤的三联征,包括马特莱征、汤普森试验和触诊时有间隙。患者入院后24小时内进行了手术。本病例报告旨在提高对一种罕见病例的认识,该病例表现为开放性双侧跟腱损伤,与涉嫌袭击有关,并成功接受了手术治疗,且无皮肤并发症。