Bilateral spontaneous Achilles tendon rupture in a pregnant patient
Omar Aljasim1
, Arman Vahabi2, S. Kemal Aktuğlu2
1Department of Orthopedics and Traumatology, Medikal Park Gebze Hospital, Kocaeli, Turkey
2Department of Orthopedics and Traumatology, Ege University, Faculty of Medicine, Izmir , Turkey
Keywords: Achilles tendon, rupture, spontaneous, pregnancy
Abstract
Spontaneous bilateral Achilles tendon rupture is a rare injury. There is an established association between Achilles tendon rupture and corticosteroid or fluoroquinolone use. However, a bilateral rupture in a pregnant patient stands as a rare condition. We present the case of a 28-year-old pregnant female patient with spontaneous bilateral Achilles tendon rupture. The patient had a history of bilateral Achilles tendinopathy. Conservative treatment was initially chosen due to pregnancy. The conservative treatment yielded a good result on the left side. The right side had no clinical improvement and was treated surgically 10 weeks after the injury. The Bosworth technique was used to reconstruct the right Achilles tendon. Clinical outcomes were excellent after two years of follow-up. In conclusion, caution is advised in pregnant patients with a history of Achilles tendinopathy, as conservative treatment does not always result in a good outcome.
The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.
The authors received no financial support for the research and/or authorship of this article.