PDF(Pubmed)
Abstract：
Acute rupture of the Achilles tendon (AT) is a common but debilitating injury that requires immediate diagnosis and effective management. Spontaneous bilateral AT rupture is rare; however, it can lead to severe disability for a significant period. This case report presents a 76-year-old patient who suffered a bilateral AT rupture while engaging in a non-strenuous activity. Upon confirmation of the diagnosis by physical examination and radiologic evaluation, conservative treatment was decided due to the presence of numerous comorbidities. A personalized rehabilitation protocol was implemented, allowing weight-bearing activities using Achilles boots at six weeks. Healing of both ATs was confirmed by an MRI at three months. Our case shows that non-operative treatment of these injuries can result in exceptionally favorable outcomes and should not be disregarded. However, thorough patient compliance and surveillance are prerequisites.
摘要：
跟腱（AT）的急性断裂是一种常见但使人衰弱的损伤，需要立即诊断和有效处理。自发性双侧AT破裂是罕见的;然而，它可以导致严重残疾的一个重要时期。此病例报告介绍了一名76岁的患者，该患者在进行非剧烈活动时遭受了双侧AT破裂。在通过体格检查和放射学评估确认诊断后，由于存在许多合并症，因此决定进行保守治疗。实施了个性化的康复方案，允许在六周内使用跟腱靴进行负重活动。三个月时通过MRI证实了两种房性心动过速的愈合。我们的案例表明，对这些损伤的非手术治疗可以带来非常有利的结果，不应忽视。然而,彻底的患者依从性和监测是先决条件。
