Conservative Management of Bilateral Tendoachilles (TA) Rupture—A Case Report
Rahul Kakkar, Simon Chambers, Malcolm M. Scott
DOI: 10.4236/ss.2011.25050   PDF    HTML     6,040 Downloads   10,403 Views   Citations


Tendo Achilles ruptures are generally traumatic in origin and while bilateral tendo Achilles ruptures are a rare occurrence, most of them are associated with risk factors or pre-existing disease and generally involve trauma or sporting activities. Most of the cases of bilateral rupture are generally treated operatively. A spontaneous onset case of bilateral tendo achilles rupture is reported in a healthy man and its conservative (non operative) management discussed with a review of the literature.

Share and Cite:

R. Kakkar, S. Chambers and M. Scott, "Conservative Management of Bilateral Tendoachilles (TA) Rupture—A Case Report," Surgical Science, Vol. 2 No. 5, 2011, pp. 224-227. doi: 10.4236/ss.2011.25050.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] A. Mehra, R. Case and C. Croucher, “Bilateral Simulta-neous Spontaneous Rupture of the Achilles Tendon,” Hospital Medicine, Vol. 65, No. 5, 2004, pp. 308-309.
[2] N. Maffulli, M. G. Kenward, V. Testa, G. Capasso, R. Regine and J. B. King, “Clinical Diagnosis of Achilles Tendinopathy with Tendinosis,” Clinical Journal of Sport Medicine, Vol. 13, No. 1, 2003, pp. 11-15. doi:10.1097/00042752-200301000-00003
[3] M. Paavola, P. Kannus, T. Paakkala, M. Pasanen and M. Jarvinen, “Long-Term Prognosis of Patients with Achilles Tendinopathy. An Observational 8-Year Follow-up Study,” American Journal of Sports Medicine, Vol. 28, No. 5, 2000, pp. 634-642.
[4] M. Paavola, S. Orava, J. Leppilahti, P. Kannus and M. Jarvinen, “Chronic Achilles Tendon Overuse Injury: Com- plications after Surgical Treatment. An Analysis of 432 Consecutive Patients,” American Journal of Sports Medi-cine, Vol. 28, No. 1, 2000, pp. 77-82.
[5] L. Jozsa, M. Kvist, B. J. Balint, et al., “The Role of Rec-reational Sport Activity in Achilles Tendon Rupture. A Clinical, Pathoanatomical, and Sociological Study of 292 Cases,” American Journal of Sports Medicine, Vol. 17, No. 3, 1989, pp. 338-343. doi:10.1177/036354658901700305
[6] D. P. Hanlon, “Bilateral Achilles Tendon Rupture: An Unusual Occurrence,” Journal of Emergency Medicine, Vol. 10, No. 5, 1992, pp. 559-560. doi:10.1016/0736-4679(92)90136-H
[7] D. R. Baruah, “Spontaneous Rupture of Bilateral Achilles Tendon of a Patient on Long-Term Systemic Steroid The- rapy,” Unfallheilkunde, Vol. 87, No. 1, 1984, pp. 35-36.
[8] W. Dickey and V. Patterson, “Bilateral Achilles Tendon Rupture Simulating Peripheral Neuropathy: Unusual Complication of Steroid Therapy,” Journal of the Royal Society of Medicine, Vol. 80, 1987, pp. 386-387.
[9] S. F. Habusta, “Bilateral Simultaneous Rupture of the Achilles Tendon. A Rare Traumatic Injury,” Clinical Or-thopaedics and Related Research, Vol. 320, 1995, pp. 231-234.
[10] J. F. Haines, “Bilateral Rupture of the Achilles Tendon in Patients on Steroid Therapy,” Annals of the Rheumatic Diseases, Vol. 42, No. 6, 1983, pp. 652-654. doi:10.1136/ard.42.6.652
[11] M. Kelly, M. Dodds, J. S. Huntley and C. M. Robinson, “Bilateral Concurrent Rupture of the Achilles Tendon in the Absence of Risk Factors,” Hospital Medicine, Vol. 65, 2004, pp. 310-311.
[12] S. Orava, M. Hurme and J. Leppilahti, “Bilateral Achilles Tendon Rupture: A Report on Two Cases,” Scandinavian Journal of Medicine and Science in Sports, Vol. 6, No. 5, 1996, pp. 309-312. doi:10.1111/j.1600-0838.1996.tb00476.x
[13] D. D. Shukla, “Bilateral Spontaneous Rupture of Achilles Tendon Secondary to Limb Ischemia: A Case Report,” Journal of Foot and Ankle Surgery, Vol. 41, No. 5, 2002, pp. 328-329. doi:10.1016/S1067-2516(02)80052-7
[14] V. Battista, J. Combs and W. J. Warme, “Asynchronous Bilateral Achilles Tendon Ruptures and Androstenediol Use,” American Journal of Sports Medicine, Vol. 31, No. 6, 2003, pp. 1007-1009.
[15] W. T. Lee and J. F. Collins, “Ciprofloxacin Associated Bilateral Achilles Tendon Rupture,” Australian and New Zealand Journal of Medicine, Vol. 22, No. 5, 1992, p. 500.
[16] A. Aroen, D. Helgo, O. G. Granlund and R. Bahr, “Con-tralateral Tendon Rupture Risk is Increased in Individuals with a Previous Achilles Tendon Rupture,” Scandinavian Journal of Medicine & Science in Sports, Vol. 14, No. 1, 2004, pp. 30-33. doi:10.1111/j.1600-0838.2004.00344.x
[17] K. Matsumoto, S. Hukuda, J. Nishioka and S. Asajima, “Rupture of the Achilles Tendon in Rheumatoid Arthritis with Histologic Evidence of Enthesitis. A Case Report,” Clinical Orthopaedics and Related Research, Vol. 280, 1992, pp. 235-240.
[18] S. Garg and M. Thilagarajah, “Bilateral Rupture of Achilles Tendon (bilrat) without Predisposing Systemic Disease or Steroid Use: A Case Report and Review of the Literature,” The Internet Journal of Orthopedic Surgery. Vol. 13, No. 2, 2009.
[19] T. Hayes, D. McClelland and N. Mafulli, “Metasynchro-nous Bilateral Achilles Tendon Rupture. Bulletin,” Hos-pital for Joint Diseases, Vol. 61, No. 3-4, pp. 2003-2004.
[20] J. H. Mayer, “Correspondence. Bilateral Rupture of Achilles Tendons,” British Medical Journal, Vol. 1, 1961, p. 1830. doi:10.1136/bmj.1.5242.1830
[21] S. K. Rao, B. C. Navadgi and A. Vasdev, “Bilateral Spon- taneous Rupture of Achilles Tendons: A Case Report,” Journal of Orthopaedic Surgery, Vol. 13, No. 2, 2005, 178 -180
[22] M. Weber, M. Niemann, R. Lanz and T. Muller, “Non- operative Treatment of Acute Rupture of the Achilles Tendon: Results of a New Protocol and Comparison with Operative Rreatment,” American Journal of Sports Med- icine, Vol. 31, 2003, pp. 685-691.
[23] M. H. Eames, N.W. Eames, K. R. McCarthy and R. G. Wallace, “An Audit of the Combined Non-Operative and Orthotic Management of Ruptured Tendo Achillis,” Injury, Vol. 28, No. 4, 1997, pp. 289-292.
[24] J. K. Sekiya, K. E. Evensen, P. J. L. Jebson and J. E. Kuhn, “The Effect of Knee and Ankle Position on Dis- placement of Achilles Tendon Ruptures in a Cadaveric Model. Implications for Nonoperative Management,” American Journal of Sports Medicine, Vol. 27, No. 5, 1999, pp. 632-635.
[25] W. H. Wray, C. Regan, S. Patel, R. May and S. Parekh, “Positional Effects of the Knee and Ankle on the Ends of Acute Achilles Tendon Ruptures,” Foot & Ankle Specialist, Vol. 2, No. 5, 2009, pp. 214-218. doi:10.1177/1938640009346449
[26] M. A. Ramirez and L. C. Richardson, “Pulmonary Em- bolism Associated with Spontaneous Bilateral Achilles Tendon Rupture,” Journal of Foot and Ankle Surgery, Vol. 46, No. 4, 2007, pp. 283-287. doi:10.1053/j.jfas.2007.03.014

Copyright © 2024 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.