Acute Achilles Paratendinopathy following Major Injury of the Crural Fascia in a Professional Soccer Player: A Possible Correlation?

Background. The anatomy and mechanical properties of the Crural Fascia (CF), the ubiquitous connective tissue of the posterior region of the leg, have recently been investigated. The most important findings are that (i) the CF may suffer structural damage from indirect trauma, (ii) structural change...

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Main Authors: Gabriele Mattiussi, Michele Turloni, Pietro Tobia Baldassi, Carlos Moreno
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2016/1830875
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author Gabriele Mattiussi
Michele Turloni
Pietro Tobia Baldassi
Carlos Moreno
author_facet Gabriele Mattiussi
Michele Turloni
Pietro Tobia Baldassi
Carlos Moreno
author_sort Gabriele Mattiussi
collection DOAJ
description Background. The anatomy and mechanical properties of the Crural Fascia (CF), the ubiquitous connective tissue of the posterior region of the leg, have recently been investigated. The most important findings are that (i) the CF may suffer structural damage from indirect trauma, (ii) structural changes of the CF may affect the biomechanics of tissues connected to it, causing myofascial pain syndromes, and (iii) the CF is in anatomical continuity with the Achilles paratenon. Consistent with these points, the authors hypothesize that the onset of acute Achilles paratendinopathy may be related to histological and biomechanical changes of the CF. Case Presentation. A professional male football player suffered an isolated injury of the CF, interposed between the soleus and medial gastrocnemius (an atypical site of injury) with structural connective integrity of the muscles. After participating in the first official match, two and a half months after the trauma, he has unexpectedly demonstrated the clinical picture of acute Achilles paratendinopathy in the previously injured limb. Conclusions. Analysis of this case suggests that the acute Achilles paratendinopathy may be a muscle injury complication from indirect trauma of the calf muscle, if a frank and extensive involvement of the CF were to be ascertained.
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spelling doaj-art-be9da52d7974480992bb527ad6710ca32025-02-03T01:12:19ZengWileyCase Reports in Orthopedics2090-67492090-67572016-01-01201610.1155/2016/18308751830875Acute Achilles Paratendinopathy following Major Injury of the Crural Fascia in a Professional Soccer Player: A Possible Correlation?Gabriele Mattiussi0Michele Turloni1Pietro Tobia Baldassi2Carlos Moreno3Medical Staff, Udinese Calcio SPA, 33100 Udine, ItalyMedical Staff, Udinese Calcio SPA, 33100 Udine, ItalyMedical Staff, Udinese Calcio SPA, 33100 Udine, ItalyMedical Staff, Udinese Calcio SPA, 33100 Udine, ItalyBackground. The anatomy and mechanical properties of the Crural Fascia (CF), the ubiquitous connective tissue of the posterior region of the leg, have recently been investigated. The most important findings are that (i) the CF may suffer structural damage from indirect trauma, (ii) structural changes of the CF may affect the biomechanics of tissues connected to it, causing myofascial pain syndromes, and (iii) the CF is in anatomical continuity with the Achilles paratenon. Consistent with these points, the authors hypothesize that the onset of acute Achilles paratendinopathy may be related to histological and biomechanical changes of the CF. Case Presentation. A professional male football player suffered an isolated injury of the CF, interposed between the soleus and medial gastrocnemius (an atypical site of injury) with structural connective integrity of the muscles. After participating in the first official match, two and a half months after the trauma, he has unexpectedly demonstrated the clinical picture of acute Achilles paratendinopathy in the previously injured limb. Conclusions. Analysis of this case suggests that the acute Achilles paratendinopathy may be a muscle injury complication from indirect trauma of the calf muscle, if a frank and extensive involvement of the CF were to be ascertained.http://dx.doi.org/10.1155/2016/1830875
spellingShingle Gabriele Mattiussi
Michele Turloni
Pietro Tobia Baldassi
Carlos Moreno
Acute Achilles Paratendinopathy following Major Injury of the Crural Fascia in a Professional Soccer Player: A Possible Correlation?
Case Reports in Orthopedics
title Acute Achilles Paratendinopathy following Major Injury of the Crural Fascia in a Professional Soccer Player: A Possible Correlation?
title_full Acute Achilles Paratendinopathy following Major Injury of the Crural Fascia in a Professional Soccer Player: A Possible Correlation?
title_fullStr Acute Achilles Paratendinopathy following Major Injury of the Crural Fascia in a Professional Soccer Player: A Possible Correlation?
title_full_unstemmed Acute Achilles Paratendinopathy following Major Injury of the Crural Fascia in a Professional Soccer Player: A Possible Correlation?
title_short Acute Achilles Paratendinopathy following Major Injury of the Crural Fascia in a Professional Soccer Player: A Possible Correlation?
title_sort acute achilles paratendinopathy following major injury of the crural fascia in a professional soccer player a possible correlation
url http://dx.doi.org/10.1155/2016/1830875
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AT pietrotobiabaldassi acuteachillesparatendinopathyfollowingmajorinjuryofthecruralfasciainaprofessionalsoccerplayerapossiblecorrelation
AT carlosmoreno acuteachillesparatendinopathyfollowingmajorinjuryofthecruralfasciainaprofessionalsoccerplayerapossiblecorrelation