{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:32:37Z","timestamp":1786649557715,"version":"build-2736575974"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:p>Stingray injuries, though common in coastal regions, rarely result in severe musculoskeletal complications such as tendon rupture. This case report presents the first documented instance of a 61-year-old male who sustained a stingray injury to the Achilles tendon, initially masked by a concurrent infection, leading to a delayed diagnosis and surgical repair. The patient presented to urgent care 5 days postinjury with pain, erythema, and chills, and was treated for a soft-tissue infection. Persistent symptoms prompted a referral to the emergency department (ED), where magnetic resonance imaging revealed a complete Achilles tendon rupture with associated infection. Surgical repair was delayed until the infection resolved, and a V-Y gastrocnemius advancement was performed 9 weeks postinjury. The patient achieved full recovery at 1-year follow-up. This case underscores the importance of a high index of suspicion for musculoskeletal injuries in marine trauma, the role of advanced imaging in the ED, and the need for interdisciplinary management to prevent long-term complications. Emergency physicians must consider tendon injuries in patients with persistent symptoms following stingray envenomation, ensuring timely diagnosis and treatment to optimize outcomes.<\/jats:p>","DOI":"10.4103\/tjem.tjem_73_25","type":"journal-article","created":{"date-parts":[[2025,10,2]],"date-time":"2025-10-02T03:02:01Z","timestamp":1759374121000},"page":"313-316","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Can a stingray tear a tendon? A case report of delayed Achilles rupture following envenomation"],"prefix":"10.4103","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-0893-8278","authenticated-orcid":false,"given":"Jacob","family":"Stibelman","sequence":"first","affiliation":[{"name":"Cedars-Sinai Medical Center, Los Angeles, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5881-8986","authenticated-orcid":false,"given":"Moamen","family":"Elhaddad","sequence":"additional","affiliation":[{"name":"Cedars-Sinai Medical Center, Los Angeles, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-3694-1383","authenticated-orcid":false,"given":"Alexander","family":"Carrillo-Kashani","sequence":"additional","affiliation":[{"name":"Cedars-Sinai Medical Center, Los Angeles, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-3718-1883","authenticated-orcid":false,"given":"B. 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