IFMSA INTERNSHIP, MOSTAR, BOSNIA AND HERZEGOVINA: SURGERY OF BURSITIS OF ACHILLES TENDON - CASE REPORT

Abstract Background Alkaptonuria is a rare genetic metabolic disorder due to deficiency of homogentisate 1,2-dioxygenase (HGD), an enzyme catalyzing the conversion of homogentisate to 4-maleylacetoacetate in the pathway for the catabolism of phenylalanine and tyrosine. HGD deficiency results in accumulation of homogentisic acid and its pigmented polymer. Ochronosis is a bluish-black discoloration due to the deposition of the polymer in collagenous tissues. Extensive ochronotic involvement of the Achilles tendon in alkaptonuria and its surgical treatment is rarely reported. Case report A 43-year-old man presented to our clinic in March 2019 with sudden onset of left Achilles tendon pain with no history of prior trauma. Surgical exploration revealed a complete disruption of the tendon at its attachment to the calcaneus. Black pigmentation was extensive and reached the calcaneal tuberosity, extending about 7 cm from the insertion. Discussion Achilles reconstruction was performed using flexor hallucis longus tendon transfer. The patient experienced uncomplicated healing with satisfactory functional results. Conclusion Orthopedic surgeons should be aware of the progressive nature of alkaptonuria. Extensive degenerative changes of the ruptured tendon should be suspected so that physicians can plan tendon repair and facilitate prompt surgical intervention.

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Ultrasonographic Evidence of the Regenerative Potential of Platelet Rich Plasma In Partial Tear of Achilles Tendon - A Case Report

Journal of Medical Science And clinical Research ◽

10.18535/jmscr/v6i12.136 ◽

2018 ◽

Vol 6 (12) ◽

Author(s):

Abhimanyu Vasudeva ◽

Keyword(s):

Case Report ◽

Achilles Tendon ◽

Platelet Rich Plasma ◽

Partial Tear

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Ocular dirofilariasis in bosnia and herzegovina: A case report and review of the literature

Journal of Current Ophthalmology ◽

10.4103/joco.joco_143_20 ◽

2020 ◽

Vol 32 (3) ◽

pp. 293 ◽

Cited By ~ 1

Author(s):

Jasmin Zvornicanin ◽

Edita Zvornicanin ◽

Fatima Numanovic ◽

Zineta Delibegovic ◽

Damir Husic ◽

...

Keyword(s):

Case Report ◽

Bosnia And Herzegovina ◽

Review Of The Literature

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Partial Achilles Tendon Ruptures Associated with Fluoroquinolone Antibiotics: A Case Report and Literature Review

Foot & Ankle International ◽

10.1177/107110079601700811 ◽

1996 ◽

Vol 17 (8) ◽

pp. 496-498 ◽

Cited By ~ 62

Author(s):

William C. McGarvey ◽

Dishan Singh ◽

Saul G. Trevino

Keyword(s):

Magnetic Resonance Imaging ◽

Case Report ◽

Magnetic Resonance ◽

Literature Review ◽

Achilles Tendon ◽

Tendon Rupture ◽

Resonance Imaging ◽

Achilles Tendinitis ◽

Fluoroquinolone Antibiotics ◽

Tendon Ruptures

Fluoroquinolone antibiotics (such as ciprofloxacin, pefloxacin, ofloxacin, norfloxacin, temafloxacin, etc.) have recently been implicated in the etiology of Achilles tendinitis and subsequent tendon rupture. We report on a patient with bilateral partial Achilles tendon ruptures associated with ciprofloxacin therapy and present a review of the current literature on this increasingly recognized complication. Treatment with fluoroquinolones should be discontinued at the first sign of tendon inflammation so as to reduce the risk of subsequent rupture. Magnetic resonance imaging is useful in distinguishing between Achilles tendinitis and partial tendon rupture.

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