Skip to main content

Advertisement

SpringerLink
Log in

Bilateral asynchronous chronic Achilles tendon tear in lupus erythematosus: a case report

  • Case Report
  • Published:
Journal of Orthopaedics and Traumatology Submit manuscript

Abstract

Systemic lupus erythematous is a multisystem and multiorgan disease that, in some patients, causes tendon and ligament degeneration that may lead to rupture. Early treatment is generally preferred but sometimes good results are achieved in chronic lesions. Bilateral failure of the same structure has been described very rarely. We report the case of a woman with chronic lupus and bilateral asynchronous Achilles tendon lesions. Good short-term clinical results were obtained despite late surgery and lupus chronicity.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Govoni M, Castellino G, Bosi S et al (2006) Incidence and prevalence of systemic lupus erythematosus in a district of north Italy. Lupus 15:110–113

    Article  PubMed  Google Scholar 

  2. Manson JJ, Rahman A (2006) Systemic lupus erythematosus. Orphanet J Rare Dis 27:1–6

    Google Scholar 

  3. Alvarado-Sanchez B, Hernandez-Castro B, Portales-Perez D et al (2006) Regulatory T cells in patients with systemic lupus erythematosus. J Autoimmun 27:110–118

    Article  PubMed  Google Scholar 

  4. Zoma A (2004) Musculoskeletal involvement in systemic lupus erythematosus. Lupus 3:851–853

    Article  Google Scholar 

  5. Apard T, Moui Y (2004) Spontaneous rupture of extensor pollicis longus in systemic lupus erythematosus. Chir Main 23:254–256

    Article  PubMed  Google Scholar 

  6. Chiou YM, Lan JL, Hsieh TY et al (2005) Spontaneous Achilles tendon rupture in a patient with systemic lupus erythematosus due to ischemic necrosis after methyl prednisolone pulse therapy. Lupus 14:321–325

    Article  PubMed  Google Scholar 

  7. Cooney LM, Aversa JM, Newman JH (1980) Insidious bilateral infrapatellar tendon rupture in a patient with systemic lupus erythematosus. Ann Rheum Dis 39:592–595

    Article  PubMed  PubMed Central  Google Scholar 

  8. Pritchard CH, Berney S (1990) Patellar tendon rupture in systemic lupus erythematosus. J Rheumatol 17:1571–1573

    Google Scholar 

  9. Prasad S, Lee A, Clarnette R, Faull R (2003) Spontaneous bilateral patellar tendon rupture in a woman with previous Achilles tendon rupture and systemic lupus erythematosus. Rheumatology 42:905–906

    Article  PubMed  Google Scholar 

  10. Wener JA, Schein AJ (1974) Simultaneous bilateral rupture of the patellar tendon and quadriceps expansion in systemic lupus erythematosus. A case report. J Bone Joint Surg Am 56:823–824

    PubMed  Google Scholar 

  11. Besse JL, Lerat JL, Moyen B, Brunet-Guedj E (1999) Achilles tendon repair using a bone-tendon graft harvested from the knee extensor system: three cases. J Foot Ankle Surg 38:70–74

    Article  PubMed  Google Scholar 

  12. Lerch K, Caro W, Perlick L et al (2003) Unrecognized and untreated rupture of the achilles tendon. Operative treatment in cases of unstable scar tissue. Orthopäde 32:816–823

    PubMed  Google Scholar 

  13. Bach AD, Leffler M, Kneser U et al (2007) The versatility of the distally based peroneus brevis muscle flap in reconstructive surgery of the foot and lower leg. Ann Plast Surg 58:397–404

    Article  PubMed  Google Scholar 

  14. Knobloch K, Thermann H, Hufner T (2007) Achilles tendon rupture. Early functional and surgical options with special emphasis on rehabilitation issues. Sportverletz Sportschaden 21:34–40

    Article  PubMed  Google Scholar 

  15. Yasuda T, Kinoshita M, Okuda R (2007) Reconstruction of chronic achilles tendon rupture with the use of interposed tissue between the stumps. Am J Sports Med 35:582–588

    Article  PubMed  Google Scholar 

  16. Majewski M, Widmer KH, Steinbruck K (2002) Achilles tendon ruptures. 25 year’s experience in sport-orthopedic treatment. Sportverletz Sportschaden, 16:167–173

    Article  PubMed  Google Scholar 

  17. Kazimoglu C, Bolukbasi S, Kanatli U et al (2003) A novel biodegradable PCL film for tendon reconstruction: Achilles tendon defect model in rats. Int J Artif Organs 26:804–812

    PubMed  Google Scholar 

  18. Bring DK, Kreicbergs A, Renstrom PA, Ackermann PW (2007) Physical activity modulates nerve plasticity and stimulates repair after Achilles tendon rupture. J Orthop Res 25:164–172

    Article  PubMed  Google Scholar 

  19. Jacob KM, Paterson R (2007) Surgical repair followed by functional rehabilitation for acute and chronic achilles tendon injuries: excellent functional results, patient satisfaction and no reruptures. ANZ J Surg 77:287–291

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Orthopedics and Traumatology Unit, SS. Annunziata Hospital, Via Repetti 2, I-27057, Varzi (PV), Italy

    S. Cigni & D. Rovati

Authors
  1. S. Cigni
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. D. Rovati
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to S. Cigni.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Cigni, S., Rovati, D. Bilateral asynchronous chronic Achilles tendon tear in lupus erythematosus: a case report. J Orthopaed Traumatol 8, 140–144 (2007). https://doi.org/10.1007/s10195-007-0081-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10195-007-0081-0

Key words

Search

Navigation