Abstract
This is a report of a retrospective clinical review of atypical Achilles tendon rupture. The main purpose to describe pathoanatomy and outcome of these ruptures.
Typically an Achilles tendon rupture is noted 4 to 6 cms above the insertion into the calcaneus and is usually related to a sporting event. However, atypical ruptures are different from the typical ruptures: site of rupture; type of rupture and presentation. In the authors experience, atypical ruptures are not common but probably underreported. The author discusses clinical findings, pathogenesis, operative findings and treatment.
Since 1998, 5 cases of atypical Achilles ruptures were seen at Hawkes Bay Hospital. There were 2 coronal Z ruptures and 3 sagittal ruptures All were treated surgically.
At minimal 18 months follow-up all Z ruptures did very well.
This study highlights atypical Achilles tendon ruptures. Their exact incident is not known but these 5 cases were seen among 104 Achilles tendon ruptures operated on by the author.
The abstracts were prepared by Jean-Claude Theis. Correspondence should be addressed to him at Department of Orthopaedic Surgery, Dunedin Hospital, Private Bag 1921, Dunedin, New Zealand.
