Abstract:
METHODS: Traumatic pediatric Achilles ruptures are rare, and few cases have been reported among patients with a history of Achilles tenotomy. A 17-year-old boy with a history of Achilles tenotomies for congenital clubfoot as an infant presented with acute midsubstance Achilles tendon rupture of the right leg. The gastrocnemius fascia was dissected to allow for approximation of the ruptured Achilles tendon segments. Furthermore, the plantaris tendon was harvested and sutured around the Achilles tendon-rupture site to improve strength.
CONCLUSIONS: Patients with a history of clubfoot and chronic Achilles tendon pain should be alerted to the risk of Achilles tendon rupture.
摘要:
方法:外伤性小儿跟腱断裂很少见,在有跟腱切开术史的患者中,很少有病例报道。一名17岁男孩,有先天性马蹄内翻足的跟腱切开术史,婴儿时出现右腿急性中质跟腱断裂。解剖腓肠肌筋膜,以接近破裂的跟腱段。此外,我们在跟腱断裂部位的周围收获和缝合,以提高肌力.
结论:有马蹄内翻足和慢性跟腱疼痛病史的患者应警惕跟腱断裂的风险。