Case Report| Volume 49, ISSUE 6, P565.e1-565.e4, November 2010

Acute Calcaneus Tendon Rupture Associated with Ipsilateral Malleolar Fracture: Case Report and Literature Review

Published:August 27, 2010DOI:


      Malleolar fractures are rarely associated with lesions of the adjacent tendons or neurovascular structures. The association of ankle fractures with Achilles tendon rupture is even more infrequent, although both of these injuries are very common in and of themselves. To our knowledge, fracture of the lateral malleolus in association with an acute rupture of the ipsilateral calcaneus tendon has not been previously described. In this article, we describe a female patient who sustained an acute rupture of the Achilles tendon in conjunction with fracture of the ipsilateral lateral malleolus.

      Level of Clinical Evidence


      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to The Journal of Foot and Ankle Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Chiodo C.P.
        • Wilson M.G.
        Current concepts review: acute ruptures of the Achilles tendon.
        Foot Ankle Int. 2006; 27: 305-313
        • Martin J.W.
        • Thompson G.H.
        Achilles tendon rupture; occurrence with closed ankle fracture.
        Clin Orthop. 1986; 210: 216-218
        • Assal M.
        • Stern R.
        • Peter R.
        Fracture of the ankle associated with rupture of the Achilles tendon: case report and review of the literature.
        J Orthop Trauma. 2002; 16: 358-361
        • Barron J.L.
        • Yocum L.A.
        Unrecognised Achilles tendon ruptures associated with ipsilateral medial malleolar fracture.
        Am J Sports Med. 1993; 21: 629-631
        • Lubin J.W.
        • Miller R.A.
        • Robinson B.J.
        • Blevins F.T.
        Achilles tendon rupture associated with ankle fracture.
        Am J Orthop. 2000; 29: 707-708
        • Maffulli N.
        • Richards P.J.
        Subcutaneous rupture of the Achilles tendon and ipsilateral fracture of the medial malleolus.
        BMC Musculoskelet Disord. 2006; 7: 59-64
        • Pieper H.G.
        • Radas C.B.
        • Quack G.
        • Krahl H.
        Mediomalleolar fracture combined with Achilles tendon rupture: a rare simultaneous injury of the ankle.
        Int J Sports Med. 1998; 19: 68-70
        • Cetti R.
        • Andersen I.
        Roentgenographic diagnoses of ruptured Achilles tendons.
        Clin Orthop Rel Res. 1993; 286: 215-221
        • Komarasamy B.
        • Vadivelu R.
        • Boyd K.T.
        • Pandey R.
        • Rennie W.
        Concomitant talar neck fracture and Achilles tendon rupture.
        J Foot Ankle Surg. 2007; 46: 188-191
        • Sugimoto K.
        • Kasanami R.
        • Iwai M.
        • Takakura Y.
        • Kawate K.
        Achilles tendon rupture associated with injury of the calcaneofibular ligament.
        J Orthop Trauma. 2003; 17: 525-535