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Peroneal Tendons Rupture in a Closed Talar Body Fracture: A Rare Injury
Affiliation:1. Assistant Professor of Orthopedic Surgery, Foot & Ankle Surgeon, Bone and Joint Diseases Research Center, Department of Orthopedic Surgery, Chamran Hospital, Shiraz University of Medical Sciences, Shiraz, Iran;2. Professor, Foot and Ankle Center Vienna, Vienna, Austria;1. Lecturer and Consultant Orthopaedic Surgeon, Department of Orthopaedic Surgery and Traumatology, Obafemi Awolowo University, Ile Ife, Nigeria;2. Professor and Head of Department of Orthopaedic Surgery and Traumatology, Obafemi Awolowo University, Ile Ife, Nigeria;3. Senior Lecturer and Consultant Radiologist, Department of Radiology, Obafemi Awolowo University, Ile Ife, Nigeria;1. Resident, Medical Education Department, Grant Medical Center, Columbus, OH;2. Resident, Graduate Medical Education, Westside Regional Medical Center, Plantation, FL;3. Fellow, Orthopedic Foot and Ankle Center, Worthington, OH;4. Student, Barry University School of Podiatric Medicine, Miami, FL;5. Assistant Professor, Barry University School of Podiatric Medicine, Miami, FL;1. Resident Physician, Grant Medical Center, Columbus, OH;2. Director, FASCO Reconstructive Foot & Ankle Surgery Fellowship. Chairman, Podiatric Medicine & Surgery, Grant Medical Center, Columbus, OH;1. Resident, Trinitas Regional Medical Center, Elizabeth, NJ;2. Surgeon, CentraState Medical Center, Freehold, NJ;3. Medical Director, Pathology, CentraState Medical Center, Freehold, NJ;4. Residency Director and Chief of Podiatry, Trinitas Regional Medical Center, Elizabeth, NJ;1. Surgeon, Center for Joint Surgery, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, China;2. Professor, Center for Joint Surgery, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, China;3. Associate Professor, Center for Joint Surgery, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, China
Abstract:
The combination of tendon and ligament ruptures with fracture of the talus is very rare. We demonstrate our experience in the acceptable management of a 34-year-old male referred with a closed comminuted fracture of the talar body after falling 7 meters. During the surgery, complete rupture of the peroneus brevis tendon, partial rupture of the peroneus longus tendon, and an avulsed superficial deltoid ligament from medial malleolus were found. Twelve months after open reduction and internal fixation of the talar body fracture and repair of the peroneal tendons and superficial deltoid ligament, the patient was satisfied, without any talar dome collapse, sclerosis, or arthritic changes. It is recommended to take care of possible tendon or ligament ruptures during fixation of talar fractures in cases of high-energy trauma.
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