Bilateral simultaneous spontaneous rupture of the Achilles tendon

Acute Bilateral Traumatic Achilles Tendon Rupture - A Rare Presentation

The Achilles tendon is the strongest tendon in the body, which is commonly ruptured in male athletes. Bilateral rupture of the Achilles tendon is a rare condition with very few reported cases in the literature. It poses a challenge in management, and hence, we report a case with traumatic bilateral Achilles tendon rupture in a young male patient and its management. One side was treated conservatively as the rupture was partial and the other side, which had a complete tear, was operated. At nine months follow-up, the patient has had a satisfactory result and is now bearing full weight without any problems. We suggest this method of treatment to be worthwhile for this unusual entity.

Pulmonary embolism associated with spontaneous bilateral Achilles tendon rupture

Bilateral Achillies tendon ruptures are a rare occurrence that usually occur in patients with chronic systemic disease. Many cases are also associated with corticosteroid or fluoroquinolone use. Nonoperative treatment is generally indicated in this patient population, as the patients are often considered poor surgical candidates. Nonoperative immobilization, however, conveys the risk of developing deep venous thrombosis and pulmonary embolism. Such risks are even greater in patients displaying bilateral Achilles tendon ruptures. In this report, we illustrate the case of a near-fatal pulmonary embolism as associated with bilateral spontaneous Achilles tendon ruptures. We also review the current literature and make recommendations for prophylaxis and treatment of these potentially devastating complications.

Bilateral spontaneous and simultaneous rupture of the Achilles tendons secondary to exercises for limb ischemia: A case report

Exercise is proven to be safe and effective treatment and is prescribed routinely for the conservative management of intermittent claudication. Before advising about the exercises, the assessment of these patients rarely includes risk factors for the Achilles tendon rupture. We present a case report of bilateral simultaneous and spontaneous rupture of the Achilles tendons secondary to the exercises prescribed for intermittent claudication in a patient with significant risk factors for Achilles rupture.