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Bilateral Achilles Tendon Rupture Following A Fall from Height: Case Report Mahendra, I Gede Bramantya Surya; Purnaning, Dyah
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6960

Abstract

Achilles tendon rupture is an injury characterized by partial or complete disruption of the Achilles tendon, commonly caused by trauma or a sudden change in foot position. This condition accounts for approximately 20% of all major tendon ruptures. This study aims to present and analyze a rare case of bilateral Achilles tendon rupture, emphasizing the clinical presentation, diagnostic challenges, and management considerations. Men are at 2–12 times higher risk than women, with the incidence increasing between the ages of 40 and 59 years. Diagnosis is established through history taking, physical examination, and imaging modalities such as ultrasonography or MRI. We report a case of a 53-year-old male who presented with pain and swelling in both posterior ankles for the past three months, following a fall from a height of approximately four meters. The patient experienced limited mobility and required a walking aid. Physical examination revealed bilateral edema, a palpable defect in the Achilles tendon, tenderness, a positive Thompson test, and weakness of plantar flexion. MRI confirmed bilateral Achilles tendon rupture. The patient had previously undergone conservative management, including the application of an ankle strap and administration of nonsteroidal anti-inflammatory drugs, with no improvement. Bilateral Achilles tendon rupture is a rare condition, typically resulting from high-energy trauma. Delayed diagnosis and treatment may increase the risk of complications and long-term disability. Management options include conservative or surgical approaches, selected based on patient age, extent of rupture, and activity level. Bilateral Achilles tendon rupture following a fall from height is an uncommon case, highlighting the importance of prompt diagnosis and appropriate treatment to prevent permanent functional impairment.
Osteogenesis Imperfecta: Case Report and Literature Review Mahendra, I Gede Bramantya Surya; Purnaning, Dyah
Jurnal Penelitian Pendidikan IPA Vol 10 No 11 (2024): November
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v10i11.9342

Abstract

Osteogenesis imperfecta or brittle bone disease is a disorder of congenital bone fragility caused by genetic mutations in the procollagen type 1 code (COL1A1 and COL1A2). The global prevalence of children born with osteogenesis imperfecta is estimated to be 1 in 100,000 children worldwide. The diagnosis of osteogenesis imperfecta is based on history taking, physical examination, and supporting examination. Management of patients with osteogenesis imperfecta requires multidisciplinary treatment. There are several treatments that can be done, including conservative management, surgical management, and medical rehabilitation. This case report will discuss an 8-year-old girl who was treated at the West Nusa Tenggara Provincial Hospital with a diagnosis of closed fracture of the sinistra femur, osteogenesis imperfecta, and Congenital Talipes Equinovarus (CTEV).