West MA, Sangani C, Toh E: Tibialis posterior tendon rupture associated with a closed medial malleolar fracture: a case report and review of the literature. J Foot Ankle Surg 49: 565.e9,2010.20829074http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000283585400003&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=b7bc2757938ac7a7a821505f8243d9f310.1053/j.jfas.2010.07.011)| true
Stein RE: Rupture of the posterior tibial tendon in closed ankle fractures: possible prognostic value of a medial bone flake: report of two cases. J Bone Joint Surg Am67: 493, 1985.10.2106/00004623-198567030-000243919030)| false
Sharma H, Meredith A: Concomitant traumatic rupture of the tibialis posterior tendon with a closed complex ankle fracture: an uncommon injury, which can easily be overlooked. The Foot14: 35, 2004.10.1016/j.foot.2003.09.006)| false
De Zwart DF, Davidson JS: Rupture of the posterior tibial tendon associated with fractures of the ankle: a report of two cases. J Bone Joint Surg Am65: 260, 1983.10.2106/00004623-198365020-000176401742)| false
Rupture of the tibialis posterior tendon associated with ankle fracture is rare and difficult to diagnose. This rupture can be easily overlooked because the clinical examination is limited owing to acute pain related to a closed ankle fracture. Complete rupture of the tibialis posterior tendon can be identified by a loss of tension during ankle fracture fixation, but partial rupture is more difficult to detect because the tibialis posterior tendon can maintain its tension. A few cases of complete rupture of the tibialis posterior tendon combined with ankle fracture have been reported. It is well-known that failure to diagnose a rupture of the tibialis posterior tendon can lead to long-term disability and a planovalgus foot. However, to our knowledge, this is the first report of partial rupture of the tibialis posterior tendon in the English literature. Herein, we describe a patient with a neglected partial rupture of the tibialis posterior tendon combined with a medial malleolar fracture.
Department of Orthopedic Surgery, College of Medicine, Catholic Kwandong University, International St. Mary's Hospital, 25, Simgok-ro 100 beon-gil, Seo-gu, Incheon, 404-834, Republic of Korea. (E-mail: firstname.lastname@example.org)