Case ReportsFracture of the Ankle Associated With Rupture of the Achilles Tendon: Case Report and Review of the LiteratureAssal, Mathieu; Stern, Richard; Peter, Robin Author Information Clinique et Policlinique d'orthopédie et de chirurgie de l'appareil moteur, Hôpitaux Universitaires de Genéve, Genéve, Switzerland Accepted May 16, 2001. Address correspondence and reprint requests to Dr. Mathieu Assal, 3731 Meridian Ave, North Seattle, WA 98103, U.S.A. No financial support of this project has occurred. The authors have received nothing of value. The manuscript submitted does not contain information about medical devices. Journal of Orthopaedic Trauma 16(5):p 358-361, May 2002. Buy Abstract A thirty-five-year-old man fell two meters from a ladder and sustained a closed fracture of the medial malleolus with an ipsilateral complete Achilles tendon rupture. The Achilles tendon rupture was diagnosed by means of the patient's complaints and physical findings. The ankle fracture was diagnosed incidentally on routine radiographs. Such a combination of injuries has been reported infrequently in the literature, and striking similarities have been described in the mechanism of injury and fracture pattern. Remarkably, in three of four reports the combined injury was initially misdiagnosed. © 2002 Lippincott Williams & Wilkins, Inc.