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Acute Rupture of Achilles Tendon in an Adolescent with a History of Ponseti Casting and Achilles Tenotomy

A Case Report

Egger, Anthony C. MD1; Levine, Ari D. MD2; Mistovich, R. Justin MD2,3

doi: 10.2106/JBJS.CC.18.00197
Case Reports

Case: We present the case of a 15-year-old girl who has a history of Ponseti casting followed by Achilles tenotomies for congenital clubfeet as an infant and subsequently suffered an acute traumatic midsubstance Achilles tendon rupture on the left and midsubstance Achilles tendinosis on the right.

Conclusions: Traumatic pediatric Achilles ruptures are rare. There are no prior reported cases in patients with a history of Achilles tenotomy, despite it being a described potential complication. This case highlights the potential for an Achilles rupture years after tenotomy and presents surgical repair as a satisfactory treatment option for Achilles ruptures in adolescents.

1Cleveland Clinic Foundation, Cleveland, Ohio

2MetroHealth Medical Center, Cleveland, Ohio

3University Hospitals Rainbow Babies and Children's Hospital, Cleveland, Ohio

E-mail address for R.J. Mistovich:

Investigation Performed at MetroHealth Medical Center, Cleveland, Ohio

Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (

Copyright © 2019 by The Journal of Bone and Joint Surgery, Incorporated
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