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Abstract
A 39-year-old male presented to the orthopaedic OPD with complaints of difficulty in walking since 3 months associated with pain over bilateral heel region. The pain was also associated with intermittent popping sound from bilateral ankle joints. Local examination revealed bilateral loss of Achilles tendon contour along with increased range of dorsiflexion and tenderness. Thompson squeeze test and O’Brien needle test were positive indicating rupture of Achilles tendon.
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References
- Phornphutkul C, Introne WJ, Perry MB, et al. Natural history of alkaptonuria. N Engl J Med 2002;347(26):2111-21.
- Bhattar PA, Zawar VP, Godse KV, et al. Exogenous Ochronosis. Indian J Dermatol 2015;60(6):537-43.
- Quyoom S, Jehangir M, Hassan I, et al. Ochronosis. Indian J Dermatol Venereol Leprol 2003;69:76-7.
- Mwafi N, Alasmar A, Al-Momani M, et al. Alkaptonuria with extensive ochronotic degeneration of the Achilles tendon and its surgical treatment: a case report and literature review. Asian Biomedicine 2021;15(3):129-36.
- Jiang L, Cao L, Fang J, et al. Ochronotic arthritis and ochronotic Achilles tendon rupture in alkaptonuria: a 6 years follow-up case report in China. Medicine (Baltimore) 2019;98(34):e16837.
- Kahveci R, Ergungor MF, Gunaydin A, et al. Alkaptonuric patient presenting with “black” disc: a case report. Acta Orthopaedica et Traumatologica Turcica 2013;47(2):134-8.
References
Phornphutkul C, Introne WJ, Perry MB, et al. Natural history of alkaptonuria. N Engl J Med 2002;347(26):2111-21.
Bhattar PA, Zawar VP, Godse KV, et al. Exogenous Ochronosis. Indian J Dermatol 2015;60(6):537-43.
Quyoom S, Jehangir M, Hassan I, et al. Ochronosis. Indian J Dermatol Venereol Leprol 2003;69:76-7.
Mwafi N, Alasmar A, Al-Momani M, et al. Alkaptonuria with extensive ochronotic degeneration of the Achilles tendon and its surgical treatment: a case report and literature review. Asian Biomedicine 2021;15(3):129-36.
Jiang L, Cao L, Fang J, et al. Ochronotic arthritis and ochronotic Achilles tendon rupture in alkaptonuria: a 6 years follow-up case report in China. Medicine (Baltimore) 2019;98(34):e16837.
Kahveci R, Ergungor MF, Gunaydin A, et al. Alkaptonuric patient presenting with “black” disc: a case report. Acta Orthopaedica et Traumatologica Turcica 2013;47(2):134-8.