- 期刊
Double-Level Partial Rupture of Unilateral Achilles Tendon: An Unusual but Disabling Injury
單側雙位置的Achilles腱部分斷裂：一種罕見但嚴重的傷害
摘要
We present the case of a 43-year-old female with a partial Achilles tendon rupture. The patient experienced a popping sensation while running and a painful weakness while walking, both indicative of a rupture. However, physical examination showed no gap during palpation and a negative Thompson test, suggesting a partial tear. This case's features are discussed with its implications, including the possibility of progress to complete rupture. The patient underwent surgical repair of the Achilles tendon due to high functional demand. It is crucial to consider the risks associated with such a procedure, in this case, including the possibility of progression to a full rupture, as well as the potential for complications. Partial Achilles tendon ruptures require imaging (ultrasound/MRI) for diagnosis, and often surgery for large tears to prevent progression and ensure tissue re-approximation.
並列摘要
這是一位43歲女性患者，其遭受跟腱部分斷裂。患者在跑步時感受到突然的破裂感，這些症狀均為跟腱斷裂的典型表現。然而，經由體格檢查，觸診時未發現明顯的斷裂間隙，且Thompson試驗呈陰性，這些結果暗示其為部分性撕裂。我們針對此案例的特點進行討論，其中涉及其可能轉變為完全斷裂的隱憂。考量到她高強度的功能需求，此患者選擇進行跟腱手術修復。在進行此類手術時，必須深入評估與手術相關的風險，包括其可能完全斷裂的風險以及其它潛在的術後併發症。對於部分跟腱斷裂，需要透過影像學（例如超音波或核磁共振）來進行確診，而對於大型的撕裂，常常需要手術治療，以預防病情進展並確保撕裂組織得以重新接合。