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Traumatic rupture of the tibialis anterior tendon: A case report

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.

Rupture ; Patellar ligament ; Tendon injuries


Sociedade Brasileira de Ortopedia e Traumatologia Al. Lorena, 427 14º andar, 01424-000 São Paulo - SP - Brasil, Tel.: 55 11 2137-5400 - São Paulo - SP - Brazil
E-mail: rbo@sbot.org.br