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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Format: | Article |
Language: | English |
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Wiley
2016-01-01
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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. |
format | Article |
id | doaj-art-be9da52d7974480992bb527ad6710ca3 |
institution | Kabale University |
issn | 2090-6749 2090-6757 |
language | English |
publishDate | 2016-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Orthopedics |
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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