Bilateral Spontaneous Rupture of the Achilles Tendon as an Initial Presentation of Alkaptonuria: A Case Report
Published: June 1, 2024 | DOI: https://doi.org/10.7860/JCDR/2024/70163.19507
Sundara Raja Perumal, K Malathy, CD Anand
1. Professor, Department of Radiodiagnosis, SRM Medical College Hospital and Research Centre, SRM Institute of Science and Technology, Kattankulathur, Chengalpattu, Tamil Nadu, India.
2. Professor, Department of Radiodiagnosis, SRM Medical College Hospital and Research Centre, SRM Institute of Science and Technology, Kattankulathur, Chengalpattu, Tamil Nadu, India.
3. Professor, Department of Pathology, SRM Medical College Hospital and Research Centre, SRM Institute of Science and Technology, Kattankulathur, Chengalpattu, Tamil Nadu, India.
Correspondence
Dr. Sundara Raja Perumal,
Professor, Department of Radiodiagnosis, SRM Medical College Hospital and Research Centre, Kattankulathur, Chengalpattu-603203, Tamil Nadu, India.
E-mail: majsundp@srmist.edu.in
Rupture of the Achilles tendon is a common occurrence in the athletic population with a history of injury; however, a complete rupture of both Achilles tendons is uncommon. Spontaneous rupture of the bilateral Achilles tendons is an even rarer phenomenon, usually highlighting an underlying pathological condition. The authors present a 32-year-old healthy male patient with no previous known co-morbidities and radiological evidence of a complete tear of both Achilles tendons. Histopathological examination of resected tendon tissue revealed dark-coloured deposits within, and further investigations established the diagnosis of alkaptonuria. Non traumatic bilateral rupture of the Achilles tendon should raise suspicion of underlying metabolic/genetic disorders like alkaptonuria.
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