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Unusual clinical presentation of a partial tibialis anterior rupture = Présentation clinique inhabituelle de la rupture partielle du tibialis anterior

JELLAD A; SALAH S; BOUAZIZ MA; BOUZAOUACHE H; BEN SALAH Z
ANN PHYS REHABIL MED , 2012, vol. 55, n° 1, p. 38-43
Doc n°: 156556
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1016/j.rehab.2011.10.005
Descripteurs : DE65 - PATHOLOGIE - TIBIA-PERONE

Subcutaneous rupture of the tibialis anterior tendon is rare. Diagnosis is
usually clear. The essential clinical symptoms are progressively: footdrop gait,
loss of ankle flexion strength, ankle foot pain and claw toes. But the occurrence
of an asymptomatic time period between the injury and the onset of clinical signs
can make the diagnosis more difficult. MRI is the gold standard examination for
tendons injuries and associated bone and joints damages. Surgical exploration
confirms MRI findings. It constitutes the treatment of choice for tibialis
anterior tendon rupture. Surgical or functional techniques used have an impact on
the design of the rehabilitation program, essential step in the care management
of these injuries. It avoids postoperative tendon adhesions and their functional
consequences. We report here a case of a man presenting with footdrop gait as the
only clinical symptom.
CI - Copyright A(c) 2011 Elsevier Masson SAS. All rights reserved.

Langue : ANGLAIS ; FRANCAIS

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