• 1. 

    Jayasree K , Ashalatha PR & Nair SS et al.: Variations of muscle plantaris: anatomical and clinical implications. J Evolution Med Dent Sci 5 : 2792, 2016.

    • Crossref
    • Web of Science
    • Search Google Scholar
    • Export Citation
  • 2. 

    Steenstra F & van Dijk CN: Achilles tendoscopy. Foot Ankle Clin 11 : 429, 2006.

    • Crossref
    • PubMed
    • Web of Science
    • Search Google Scholar
    • Export Citation
  • 3. 

    Alfredson H: Midportion Achilles tendinosis and the plantaris tendon. Br J Sports Med 45 : 1023, 2011.

    • Crossref
    • PubMed
    • Web of Science
    • Search Google Scholar
    • Export Citation
  • 4. 

    Calder JD , Freeman R & Pollock N: Plantaris excision in the treatment of non-insertional Achilles tendinopathy in elite athletes. Br J Sports Med 49 : 1532, 2015.

    • Crossref
    • PubMed
    • Web of Science
    • Search Google Scholar
    • Export Citation
  • 5. 

    Smith J , Alfredson H & Masci L et al.: Differential plantaris-Achilles tendon motion: a sonographic and cadaveric investigation. PM R 9 : 691, 2016.

    • PubMed
    • Web of Science
    • Search Google Scholar
    • Export Citation
  • 6. 

    Delgado GJ , Chung CB & Lektrakul N et al.: Tennis leg: clinical US study of 141 patients and anatomic investigation of four cadavers with MR imaging and US. Radiology 224 : 112, 2002.

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 7. 

    Rohilla S , Jain N & Yadav R: Plantaris rupture: why is it important? BMJ Case Rep bcr2012007840, 2013.

  • 8. 

    Bianchi S , Sailly M & Molini L: Isolated tear of the plantaris tendon: ultrasound and MRI appearance. Skeletal Radiol 40 : 891, 2011.

    • Crossref
    • PubMed
    • Web of Science
    • Search Google Scholar
    • Export Citation
  • 9. 

    Harmon KJ , Reeder MT & Udermann BE et al.: Isolated rupture of the plantaris tendon in a high school track athlete. Clin J Sport Med 16 : 361, 2006.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 10. 

    Severance HW Jr, & Bassett FH III: Rupture of the plantaris: does it exist? J Bone Joint Surg Am 64 : 1387, 1982.

  • 11. 

    Cook JL & Purdam C: Is compressive load a factor in the development of tendinopathy? Br J Sports Med 46 : 163, 2012.

    • Crossref
    • PubMed
    • Web of Science
    • Search Google Scholar
    • Export Citation
  • 12. 

    Han F , Gartner L & Pearce CJ: Snapping plantaris tendon: case report. Foot Ankle Int 35 : 1358, 2014.

    • Crossref
    • PubMed
    • Web of Science
    • Search Google Scholar
    • Export Citation
  • 13. 

    Moore KL , Dalley AF II, & Agur AMR (eds). Clinically Oriented Anatomy, Wolters Kluwer Health/Lippincott Williams & Wilkins, Philadelphia, 2010.

    • Search Google Scholar
    • Export Citation

Snapping Plantaris Tendon as Cause of Pain in an Amateur Runner: A Case Report

Michal Miadlikowski
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Konrad Kaluza
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Marcin Domzalski
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A rare case of painful snapping around the Achilles tendon without reported injury in a healthy 30-year-old male amateur runner is reported. The plantaris tendon was firmly attached to the Achilles tendon by adhesions, and its movement was restricted and impaired. All adhesions were removed and the plantaris tendon was liberated during surgery, with an excellent outcome. This case showed that previously described removal of the snapping tendon is not necessary because liberation of the plantaris tendon restored function of both the plantaris and the Achilles tendons.

Medical University of Lodz, Lodz, Poland.

Department of Orthopedic and Trauma, Veteran's Memorial Teaching Hospital, Medical University of Lodz, Lodz, Poland.

Corresponding author: Marcin Domzalski, MD, PhD, Department of Orthopedic and Trauma, Veteran's Memorial Teaching Hospital, Medical University of Lodz, Zeromskiego Str 113, 90-549 Lodz, Poland. (E-mail: marcin.domzalski@umed.lodz.pl)