{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T05:01:03Z","timestamp":1767934863121,"version":"3.49.0"},"reference-count":36,"publisher":"Baishideng Publishing Group Inc.","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World J Orthop"],"abstract":"<jats:p>BACKGROUND<\/jats:p>\n                  <jats:p>Ankle fractures are well-documented in snow sports, but concomitant Achilles tendon and peroneal tendon ruptures are rare. This case report presents a previously unreported combination of Achilles tendon rupture, peroneal tendon rupture, and fibular fracture in a snowboarder, highlighting the complex nature of diagnosis, management, and rehabilitation.<\/jats:p>\n                  <jats:p>CASE SUMMARY<\/jats:p>\n                  <jats:p>A 50-year-old male snowboarder presented with severe right ankle pain following a high speed tumbling crash. Initial evaluation revealed an Achilles tendon rupture and a non-displaced distal lateral malleolus fracture. Subsequent magnetic resonance imaging confirmed complete tears of the Achilles tendon and both peroneus longus and brevis tendons, along with a Weber A lateral malleolus fracture. Surgical intervention included a 4-suture core Krak\u00f3w repair of the Achilles tendon with calcaneal docking, open reduction and internal fixation of the distal fibula fracture, and primary repair of both peroneal tendons. Post-operatively, a modified Achilles repair protocol was implemented. At 16 weeks post-surgery, radiographs showed a well-healed fibular fracture, and physical examination confirmed intact Achilles and peroneal tendon repairs. By 6 months, the patient had regained full daily and work activities, including recreational pursuits.<\/jats:p>\n                  <jats:p>CONCLUSION<\/jats:p>\n                  <jats:p>This case underscores the importance of maintaining a high index of suspicion for concomitant injuries in high-energy ankle trauma during snow sports. Timely advanced imaging and a comprehensive surgical approach are crucial for optimal outcomes in such complex cases.<\/jats:p>","DOI":"10.5312\/wjo.v17.i1.112222","type":"journal-article","created":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T02:30:53Z","timestamp":1767925853000},"source":"Crossref","is-referenced-by-count":0,"title":["Achilles, peroneus longus and brevis ruptures with lateral malleolus fracture: A case report and review of literature"],"prefix":"10.5312","volume":"17","author":[{"given":"Alexander","family":"Vlasak","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher","family":"Orear","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gary","family":"Sakryd","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joshua","family":"Metzl","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2060","published-online":{"date-parts":[[2026,1,18]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.23937\/ijfa-2017\/1710017"},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2014.09.027"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2017.05.043"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jotr.2014.11.003"},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.1093\/jscr\/rjw062"},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.4236\/ojo.2013.35042"},{"key":"B7","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-7-59"},{"key":"B8","doi-asserted-by":"publisher","DOI":"10.5580\/1c5"},{"key":"B9","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-200205000-00013"},{"key":"B10","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2005.06.003"},{"key":"B11","unstructured":"Lubin JW, Miller RA, Robinson BJ, Blevins FT. 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