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Bilateral Spontaneous Rupture of the Achilles Tendon as an Initial Presentation of Alkaptonuria: A Case Report
TD01-TD03
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.