JBJS | Ilizarov Method of Repair of Achilles Tendon Rupture in a Patient with Congenital Insensitivity to Pain : A Case Report

The Journal of Bone & Joint Surgery, Volume 85, Issue 9

Case Reports | September 01, 2003

Ilizarov Method of Repair of Achilles Tendon Rupture in a Patient with Congenital Insensitivity to Pain : A Case Report

Kevin G. Shea, MD; Larry Showalter, MD

The Journal of Bone & Joint Surgery. 2003; 85:1816-1818

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Extract

Congenital insensitivity to pain is a rare disorder characterized by the absence of normal response to painful stimuli ¹ . Sensation to light touch and sensation to temperature are usually present ² . The most common orthopaedic manifestations of congenital insensitivity to pain are recurrent fracture, self-mutilation, autoamputation, osteomyelitis, septic arthritis, Charcot arthropathy, scoliosis, joint laxity, and joint dislocation ^3,4 . We describe the case of a five-year-old boy with congenital insensitivity to pain in whom osteomyelitis of the calcaneus and avulsion of the Achilles tendon developed. An Ilizarov device was used to reconstruct the severely contracted Achilles tendon. The family of our patient was informed that data concerning the case would be submitted for publication.

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Topics

ilizarov technique ; congenital pain insensitivity ; rupture ; repair of achilles tendon ; achilles tendon ; calcaneus

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These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.

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