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Am J Phys Med Rehabil · Apr 2004
Case ReportsTibial nerve block with anesthetics resulting in achilles tendon avulsion.
- Thierry Deltombe, Jean-François Nisolle, Philippe De Cloedt, Philippe Hanson, and Thierry Gustin.
- Spasticity Group, Departments of Physical Medicine and Rehabilitation, University Hospital of Mont-Godinne U.C.L. (Université Catholique de Louvain), Yvoir, Belgium.
- Am J Phys Med Rehabil. 2004 Apr 1;83(4):331-4.
AbstractDiagnostic tibial nerve block with anesthetics is a common and safe procedure for the management of the spastic equinovarus foot. Side effects have been rarely reported. We present the case of a hemiplegic patient with a spastic equinovarus foot who presented with an avulsion fracture of the calcaneum at the insertion of the Achilles tendon consecutive to a diagnostic tibial nerve block with anesthetic agents. Although rare, such a complication should be considered when the Achilles tendon is shortened and when the patient is suspected of bone osteoporosis or dystrophy.
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