Revista Brasileira de Ortopedia (Jun 2013)

Traumatic rupture of the tibialis anterior tendon: A case report

  • Maria Elisa Rodrigues,
  • Alexandre Pereira,
  • Bruno Alpoim,
  • José Muras Geada

DOI
https://doi.org/10.1016/j.rbo.2012.08.005
Journal volume & issue
Vol. 48, no. 3
pp. 278 – 281

Abstract

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OBJECTIVE: The autors report a case of a traumatic rupture of the tibialis anterior tendon (TTA) that was early diagnosed and treated in the emergency service. This is a rare clinical entity with few cases reported in the literature. CASE REPORT: A 66-year old female presented at the emergency service complaining about pain at the anterior aspect of her ankle and inability to walk normally, after a fall. Physical examination revealed clinical signs for TTA rupture, which was later confirmed by ultrasound. Surgical treatment was performed immediately â€" the tendon was anchored into the medial cuneiform with a soft tissue-to-bone anchor. The follow-up revealed good functional result. CONCLUSION: Physical examination and a high index of suspicion are important when facing a patient who had sustained an ankle trauma. The TTA rupture is a diagnosis to consider because unrecognized ruptures led to important functional deficits and poor functional results.

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