%0 Journal Article %1 Durufle2001 %A Durufl?, A. %A Petrilli, S. %A Gallien, P. %A Cristina, M. C. %A de Crouy, A. C. %A Nicolas, B. %D 2001 %J Ann Readapt Med Phys %K Achilles Tendon; Casts, Surgical; Cerebral Palsy; Humans; Male; Middle Aged; Ossification, Heterotopic; Rupture, Spontaneous %N 6 %P 347--350 %T Fractures of ossified Achilles tendon in cerebral palsy. Apropos of a case %V 44 %X PURPOSE: To describe a case of ossification of the Achilles tendon fracture in cerebral palsy. METHODS: From the detailed case report, review of the literature was performed. RESULTS: A 49 years old patient who have presented a bilaterally pain syndrome of the ankles. Clinical investigations showed a bilaterally ossification of the Achilles tendon, with a fracture on the left side. The evolution was marked by the occurrence of an other fracture on the right side. Both needed surgery. Just a few cases of such ossification have been reported in literature. This ossification are more often asymptomatic. Complications such fracture are rare, no more than 20 cases have been reported, and only one case in cerebral palsy. The etiologic factors are multiple, including partial or complete rupture or surgery, with a probably great importance of tissular hypoxemia. Men older than 40 years old are more often concerned. DISCUSSION: In the majority of case ossification of the Achilles tendon are painless, and fortuitously discovered. In case of ankle pain syndrome, a research of fracture must be done. Standard X-rays and RMI are the more instructive exams for diagnosis. The treatment of these fractures is more often the surgery. Orthopaedic treatments remain rarely used because of the duration of treatment and of a major risk of recurrence. CONCLUSION: In adult cerebral palsy a standard X-rays of the two Achilles tendon must be realised in case of the occurrence of an ankle pain syndrome especially if an antecedent of Achilles tendon lengthening is known.

@article{Durufle2001, abstract = {PURPOSE: To describe a case of ossification of the Achilles tendon fracture in cerebral palsy. METHODS: From the detailed case report, review of the literature was performed. RESULTS: A 49 years old patient who have presented a bilaterally pain syndrome of the ankles. Clinical investigations showed a bilaterally ossification of the Achilles tendon, with a fracture on the left side. The evolution was marked by the occurrence of an other fracture on the right side. Both needed surgery. Just a few cases of such ossification have been reported in literature. This ossification are more often asymptomatic. Complications such fracture are rare, no more than 20 cases have been reported, and only one case in cerebral palsy. The etiologic factors are multiple, including partial or complete rupture or surgery, with a probably great importance of tissular hypoxemia. Men older than 40 years old are more often concerned. DISCUSSION: In the majority of case ossification of the Achilles tendon are painless, and fortuitously discovered. In case of ankle pain syndrome, a research of fracture must be done. Standard X-rays and RMI are the more instructive exams for diagnosis. The treatment of these fractures is more often the surgery. Orthopaedic treatments remain rarely used because of the duration of treatment and of a major risk of recurrence. CONCLUSION: In adult cerebral palsy a standard X-rays of the two Achilles tendon must be realised in case of the occurrence of an ankle pain syndrome especially if an antecedent of Achilles tendon lengthening is known.}, added-at = {2014-07-19T19:24:00.000+0200}, author = {Durufl?, A. and Petrilli, S. and Gallien, P. and Cristina, M. C. and de Crouy, A. C. and Nicolas, B.}, biburl = {https://www.bibsonomy.org/bibtex/24c9952b140677f758792953dcef8f05a/ar0berts}, groups = {public}, interhash = {ccef97686ad2bc02679f736e86223192}, intrahash = {4c9952b140677f758792953dcef8f05a}, journal = {Ann Readapt Med Phys}, keywords = {Achilles Tendon; Casts, Surgical; Cerebral Palsy; Humans; Male; Middle Aged; Ossification, Heterotopic; Rupture, Spontaneous}, month = Jul, number = 6, pages = {347--350}, pii = {S016860540100112X}, pmid = {11587677}, timestamp = {2014-07-19T19:24:00.000+0200}, title = {[Fractures of ossified Achilles tendon in cerebral palsy. Apropos of a case]}, username = {ar0berts}, volume = 44, year = 2001 }