A 22-year-old man presented with traumatic rupture of the anterior tibial tendon associated with a closed ankle fracture. The tendon rupture was not diagnosed before surgery but was recognized at the time of open reduction. The tendon was repaired and the fracture was internally fixed. Six months after the operation, the patient had nearly full range of pain-free ankle movement and normal gait. To our knowledge, such a case has not been reported previously. Although anterior tibial tendon rupture is rare, it should be suspected in cases of closed ankle fracture, irrespective of the mechanism of injury.
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