Kumar Harsh, Seth Akshay, Chaudhary Meghna, Saini Neharika
Department of Orthopaedics, Government Medical College, Patiala, Punjab, India.
Department of Anaesthesia and Intensive Care, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
J Orthop Case Rep. 2025 Sep;15(9):106-110. doi: 10.13107/jocr.2025.v15.i09.6032.
Tendoachilles xanthoma is a very rare soft-tissue swelling encountered in orthopedic outpatient departments. An early diagnosis and intervention are crucial to prevent tendon dysfunction and systemic complications. Tendoachilles xanthoma, though uncommon, should be considered in patients with bilateral Achilles tendon thickening.
We hereby present a rare case of a 33-year-old female with bilateral tendoachilles xanthoma who presented with complaints of swelling and pain in the bilateral lower leg region treated with surgical debulking. Monthly follow-up suggested fair healing, pain reduction, and maintained Achilles tendon function.
Bilateral tendoachilles xanthoma is a rare but important condition usually linked to lipid metabolism disorders, but can also occur in a normolipidemic state too. This case highlights the need for early diagnosis, multimodal treatment, and a personalized surgical approach to preserve tendon function. Long-term lipid control in disorders associated with deranged lipid profiles is useful in preventing recurrence and systemic complications.
跟腱黄色瘤是骨科门诊中极为罕见的软组织肿胀。早期诊断和干预对于预防肌腱功能障碍和全身并发症至关重要。跟腱黄色瘤虽不常见，但对于双侧跟腱增厚的患者应予以考虑。
我们在此报告一例罕见的33岁女性双侧跟腱黄色瘤病例，患者因双侧小腿区域肿胀和疼痛就诊，接受了手术减容治疗。每月随访显示愈合情况良好、疼痛减轻且跟腱功能得以维持。
双侧跟腱黄色瘤是一种罕见但重要的病症，通常与脂质代谢紊乱有关，但也可能发生在血脂正常的状态下。本病例强调了早期诊断、多模式治疗以及个性化手术方法以保留肌腱功能的必要性。对脂质谱紊乱相关疾病进行长期脂质控制有助于预防复发和全身并发症。
