Spontaneous Achilles Tendon Rupture in a Patient with Ankylosing Spondylitis

Seok Kyun Park; Soo Uk Chae

doi:10.4078/jrd.2016.23.2.136

Journal List > J Rheum Dis > v.23(2) > 1064254

Go to TopGo to Top Go to BottomGo to Bottom

TOOLS

Park and Chae: Spontaneous Achilles Tendon Rupture in a Patient with Ankylosing Spondylitis

Clinical Image

J Rheum Dis 2016;23(2):136-138.

Published online: 31 October 2016

DOI: https://doi.org/10.4078/jrd.2016.23.2.136

Spontaneous Achilles Tendon Rupture in a Patient with Ankylosing Spondylitis

Seok Kyun Park, Soo Uk Chae

Department of Orthopedic Surgery, Daeun Hospital, Jeonju, Korea

Corresponding to: Soo Uk Chae, Department of Orthopedic Surgery, Daeun Hospital, 277 Senae-ro, Wansan-gu, Jeonju 54969, Korea. E-mail: oschae68@hanmail.net

Received 19 November 2015 Revised 13 December 2015 Revised 14 December 2015 Accepted 14 December 2015

This is a Free Access article, which permits unrestricted non-commerical use, distribution, and reproduction in any medium, provided the original work is properly cited.

REFERENCES

1. Braun J, Sieper J. Ankylosing spondylitis. Lancet. 2007; 369:1379–90.

2. Kim HW, Lee SH. Pathogenesis of ankylosing spondylitis. J Rheum Dis. 2015; 22:61–8.

3. Jiang N, Wang B, Chen A, Dong F, Yu B. Operative versus nonoperative treatment for acute Achilles tendon rupture: a meta-analysis based on current evidence. Int Orthop. 2012; 36:765–73.

Figure 1.

Simple anteroposterior (A) and lateral (B) L-spine radiography show a bamboo spine.

Figure 2.

(A) The clinical photo shows swelling, ecchymosis and dimpling in the posterior aspect of the ankle. (B) Simple lateral ankle image shows loss of Kager's triangle and bony fragments (arrow). (C) Sagittal T2 magnetic resonance image shows rupture of the Achilles tendon at calcaneal insertion site and enthesopathic spur.

Figure 3.

(A) Intraoperative finding shows the rupture of the Achilles tendon at calcaneal insertion site and combined with bony fragments. (B) Achilles tendon rupture was treated with tendon to bone repair using suture anchors. (C) Postoperative finding shows complete repair tendon to bone repair.

Figure 4.

Six months follow-up simple lateral ankle image shows intact morphology of Kager's triangle (arrow) (A), ultrasonography shows normal distal Achilles tendon with fibrillar pattern at calcaneal insertion (arrowheads) (B). ACHI. T: Achilles tendon, LT: left, RT: right.

TOOLS

Similar articles