Abstract
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.
Highlights
The Achilles tendon is the thickest and strongest tendon in the body [1,2] and forces up to 12 times body weight can be tolerated by it, it still accounts for 20% of all large tendon ruptures [2]
We present a case of spontaneous bilateral tendoachilles rupture in an otherwise healthy 49 year old man which was successfully treated conservatively with two different management protocols
Et al [21] reported another case but their patient had hypothyroidism and was taking thyroxine and they surmised that hypercholesterolemia and hypothyroidism lead to degenerate tendon which eventually ruptured
Summary
The Achilles tendon is the thickest and strongest tendon in the body [1,2] and forces up to 12 times body weight can be tolerated by it, it still accounts for 20% of all large tendon ruptures [2]. Spontaneous bilateral Achilles tendon ruptures are a rare occurrence [1,6,7,8,9,10,11,12] and account for about 1% of all Achilles tendon ruptures [9,11]. We present a case of spontaneous bilateral tendoachilles rupture in an otherwise healthy 49 year old man which was successfully treated conservatively with two different management protocols
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