TITLE:
Bilateral Achilles Tendon Xanthoma in an 18-Year-Old Patient
AUTHORS:
S. K. Venkatesh Gupta, B. Sahithya, S. P. Prashanth
KEYWORDS:
Achilles Tendon Xanthoma, Low Density Lipoprotein, Magnetic Resonance Imaging, Ultrasound
JOURNAL NAME:
Open Journal of Orthopedics,
Vol.7 No.4,
April
30,
2017
ABSTRACT: Background: Xanthomas are rare, non-neoplastic
lesions which occur due to defect in the LDL receptors leading to their
accumulation in tendons and synovium. The
prevalence of heterozygous familial hypercholesterolaemia (HFH) is
approximately 1 in 500. Aim: To study a rare case of bilateral achilles
tendon xanthoma and its functional outcome. Case Presentation: We
presented a case of xanthoma over posterior aspect of both lower third legs just
above the heel in an 18-year-old female, and diagnosis was confirmed by
clinical examination ultrasound and MRI, for which subtotal resection was
planned and further followed up. Postoperative treatment consisted of six weeks
long leg cast immobilization. After 10 weeks the patient started walking
without any difficulties. Conclusion: Subtotal resection of achilles
tendon xanthoma has given a good functional outcome. There is no need for reconstruction of tendon in every case.