Traumatic Rupture of Tibialis Posterior and Flexor Digitorum Longus in an Isolated Medial Malleolus Fracture: A Case Report

Authors

Eleftherios L. Halkias, Henry Ford HealthFollow
Martin J. Weaver, Henry Ford HealthFollow
Simarjeet Puri, Henry Ford HealthFollow
Rajan Sharma, Henry Ford HealthFollow
Devone T. Mansour, Henry Ford HealthFollow
Benjamin J. Best, Henry Ford HealthFollow

Recommended Citation

Halkias EL, Weaver M, Puri S, Sharma R, Mansour D, Best B. Traumatic Rupture of Tibialis Posterior and Flexor Digitorum Longus in an Isolated Medial Malleolus Fracture: A Case Report. JBJS Case Connect. 2026;16(1).

Document Type

Article

Publication Date

1-1-2026

Publication Title

JBJS Case Connect

Keywords

Humans, Male, Aged, Tendon Injuries, Ankle Fractures, Rupture, Fracture Fixation, Internal

Abstract

CASE: A 78-year-old man with type 2 diabetes and spinal stenosis complicated by chronic neuropathy suffered an open medial malleolus fracture with proximal tendon rupture after fall from height. Fracture fixation was achieved with cannulated screws. Meticulous repair of the proximal tibialis posterior and flexor digitorum longus tendon avulsions required tunneling into the deep posterior compartment. Postoperatively, the patient was non-weight bearing, responsive to therapy, and discharged home.

CONCLUSION: This unique case illustrates the importance of maintaining a high index of suspicion for tendinous injury. A careful physical examination, understanding of injury mechanisms, and a high index of suspicion for these associated injuries should be maintained to maximize patient outcomes.

Medical Subject Headings

Humans; Male; Aged; Tendon Injuries; Ankle Fractures; Rupture; Fracture Fixation, Internal

PubMed ID

41642974

Volume

16

Issue

1