Bilateral Spontaneous Achilles Tendon Rupture without Any Predisposing Factors英文文献资料.docVIP

Open Journal of Orthopedics, 2012, 2, 117-120 117 /10.4236/ojo.2012.23021 Published Online September 2012 (http://www.SciRP.org/journal/ojo) Bilateral Spontaneous Achilles Tendon Rupture without Any Predisposing Factors Esat Uygur , Samet Erin? , Hakan Turan ?ift , Feyza ünlü ?zkan , Salih S?ylemez 1 1 1 2 1 1 Trauma and Orthopaedic Surgery Department, ?stanbul Medeniyet University G?ztepe Research and Training Hospital, ?stanbul, 2 Turkey; Department of Physical Therapy and Rehabilitation, ?stanbul Fatih Sultan Mehmet Research and Training Hospital, ?stanbul, Turkey. Email: esatuygur@ Received July 13 , 2012; revised August 16 , 2012; accepted August 28 , 2012 th th th ABSTRACT Besides spontaneous rupture of achilles tendon is a rare condition which is usually associated with corticosteroid or fluoroquinolon usage. Spontaneous rupture of achilles tendon without any risk factors is extremely rare. In this report we aimed to present clinical features of a case of bilateral spontaneous achilles tendon rupture and tried to investigate potential etiologic factors. A 54-year-old man was admitted to our emergency department as complaining bilateral ankle pain at the retrocalcaneal region. He had no trauma, any comorbidities or any drug consumption history. Painful achilles tendon gaps proximal to his ankles had been palpated and bilateral Thompson’s test positivity had been noted (Figures 1 and 2). He was unable to rise upon his toes however he was able to walk. American Orthopedic Foot and Ankle Soci- ety Hindfoot Scoring was calculated as 78 points. The rupture had been verified with a magnetic resonance imaging and his laboratory findings were all within normal limits (Figures 3 and 4). The patient did not approve an operation so conservative trea