---
title: "Triple Achilles tendon rupture: case report. | Sutter Health"
description: "A case report with 1-year follow-up data of a 57-year-old male soccer referee who had sustained an acute triple Achilles tendon rupture injury during a game."
url: "https://www.sutterhealth.org/research/publications/triple-achilles-tendon-rupture-case-report-1055312309"
---

1.  [Home](https://www.sutterhealth.org/) /
2.  [Research](https://www.sutterhealth.org/research) /
3.  [Research publications](https://www.sutterhealth.org/research/publications) /
4.  Triple Achilles tendon rupture: case report.

# Triple Achilles tendon rupture: case report.

Saxena A & Hofer D.

_J Foot Ankle Surg. pii: S1067-2516(17)30536-7. doi: 10.1053/j.jfas.2017.08.023. \[Epub ahead of print\]_

2017-11-16

## Abstract

We present a case report with 1-year follow-up data of a 57-year-old male soccer referee who had sustained an acute triple Achilles tendon rupture injury during a game.

His triple Achilles tendon rupture consisted of a rupture of the proximal watershed region, a rupture of the main body (mid-watershed area), and an avulsion-type rupture of insertional calcific tendinosis.

The patient was treated surgically with primary repair of the tendon, including tenodesis with anchors.

Postoperative treatment included non-weightbearing for 4 weeks and protected weightbearing until 10 weeks postoperative, followed by formal physical therapy, which incorporated an "antigravity" treadmill.

The patient was able to return to full activity after 26 weeks, including running and refereeing, without limitations.

[PubMed abstract](https://www.ncbi.nlm.nih.gov/pubmed/29154089)

## Research topics

-   [Disease Management](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Disease+Management%5C%22%22)
-   [Musculoskeletal Disorders](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Musculoskeletal+Disorders%5C%22%22)

## Related publications

[View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication)

-   Publication
    
    ### [Treatment of medial tibial stress syndrome with radial soundwave therapy in elite athletes: current evidence, report on two cases, and proposed treatment regimen.](https://www.sutterhealth.org/research/publications/medial-tibial-stress-syndrome-radial-soundwave-therapy-1055312476)
    
    Saxena A, Fullem B, Gerdesmeyer L.
    
    J Foot Ankle Surg. 2017 Sep - Oct;56(5):985-989. doi: 10.1053/j.jfas.2017.06.013. Review.
    
    2017 Sep 01
    
-   Publication
    
    ### [Synovial chondromatosis of the ankle: report of two cases with 23 and 126 loose bodies.](https://www.sutterhealth.org/research/publications/synovial-chondromatosis-of-the-ankle-1055312460)
    
    Saxena A, St Louis M.
    
    J Foot Ankle Surg. pii: S1067-2516(16)00130-7. doi: 10.1053/j.jfas.2016.02.009. \[Epub ahead of print\]
    
    2016 Apr 05
    
-   Publication
    
    ### [Percutaneous plating of Weber B fibular fractures.](https://www.sutterhealth.org/research/publications/percutaneous-plate-weber-b-fibula-fx-1055312373)
    
    Saxena A, Yun A.
    
    J Foot Ankle Surg. pii: S1067-2516(16)30393-3. doi: 10.1053/j.jfas.2016.11.012. \[Epub ahead of print\]
    
    2017 Jan 12
    
-   Publication
    
    ### [External auditory exostoses: evaluation and treatment.](https://www.sutterhealth.org/research/publications/external-auditory-exostoses-evaluation-treatment-1055312964)
    
    Hetzler DG.
    
    Otolaryngol Head Neck Surg. 139(3):482; author reply 482. doi: 10.1016/j.otohns.2008.05.629.
    
    2008 Sep 01
    
-   Publication
    
    ### [Subtalar joint arthrodesis using a single lag screw.](https://www.sutterhealth.org/research/publications/subtalar-joint-arthrodesis-use-one-lag-screw-1055312972)
    
    Haskell A, Pfeiff C, Mann R.
    
    Foot Ankle Int. 25(11):774-7.
    
    2004 Nov 01
    

[View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication)

```json
{"@context":"https://schema.org","@type":"MedicalOrganization","name":"Sutter Health","@id":"https://www.sutterhealth.org/#medicalorganization","url":"https://www.sutterhealth.org","logo":"https://www.sutterhealth.org/static/images/sutter-health-logo.svg","address":{"@type":"PostalAddress","streetAddress":"2200 River Plaza Drive","addressLocality":"Sacramento","addressRegion":"CA","postalCode":"95833","addressCountry":"US"},"areaServed":{"@type":"AdministrativeArea","name":"California"},"sameAs":["https://www.facebook.com/SutterHealth","https://www.instagram.com/sutterhealth/","https://x.com/SutterHealth","https://www.youtube.com/sutterhealth","https://www.linkedin.com/company/sutter-health","https://en.wikipedia.org/wiki/Sutter_Health"]}
```

```json
{"@context":"https://schema.org","@type":"BreadcrumbList","@id":"https://www.sutterhealth.org/research/publications/triple-achilles-tendon-rupture-case-report-1055312309#breadcrumblist","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https://www.sutterhealth.org/"},{"@type":"ListItem","position":2,"name":"Research","item":"https://www.sutterhealth.org/research"},{"@type":"ListItem","position":3,"name":"Research publications","item":"https://www.sutterhealth.org/research/publications"},{"@type":"ListItem","position":4,"name":"Triple Achilles tendon rupture: case report."}]}
```

```json
{"@context":"https://schema.org","@type":"MedicalScholarlyArticle","@id":"https://www.sutterhealth.org/research/publications/triple-achilles-tendon-rupture-case-report-1055312309#medicalscholarlyarticle","name":"Triple Achilles tendon rupture: case report.","headline":"Triple Achilles tendon rupture: case report.","abstract":"We present a case report with 1-year follow-up data of a 57-year-old male soccer referee who had sustained an acute triple Achilles tendon rupture injury during a game. His triple Achilles tendon rupture consisted of a rupture of the proximal watershed region, a rupture of the main body (mid-watershed area), and an avulsion-type rupture of insertional calcific tendinosis. The patient was treated surgically with primary repair of the tendon, including tenodesis with anchors. Postoperative treatment included non-weightbearing for 4 weeks and protected weightbearing until 10 weeks postoperative, followed by formal physical therapy, which incorporated an \"antigravity\" treadmill. The patient was able to return to full activity after 26 weeks, including running and refereeing, without limitations.","description":"A case report with 1-year follow-up data of a 57-year-old male soccer referee who had sustained an acute triple Achilles tendon rupture injury during a game.","keywords":["Disease Management","Musculoskeletal Disorders"],"datePublished":"2017-11-16","url":"https://www.sutterhealth.org/research/publications/triple-achilles-tendon-rupture-case-report-1055312309","inLanguage":"en-US","identifier":[{"@type":"PropertyValue","propertyID":"PMID","value":"29154089"},{"@type":"PropertyValue","propertyID":"DOI","value":"10.1053/j.jfas.2017.08.023"}],"sameAs":["https://pubmed.ncbi.nlm.nih.gov/29154089/","https://doi.org/10.1053/j.jfas.2017.08.023"],"isPartOf":{"@type":"Periodical","name":"J Foot Ankle Surg"},"author":[{"@type":"Person","name":"Saxena A"},{"@type":"Person","name":"Hofer D"}],"sourceOrganization":{"@type":"MedicalOrganization","name":"Palo Alto Medical Foundation Research Institute"},"about":[{"@type":"DefinedTerm","name":"Disease Management","url":"https://www.sutterhealth.org/research-search-results?facets=%5B%7B%22i%22%3A%22c_researchTopics.name%22%2C%22v%22%3A%5B%22Disease+Management%22%5D%7D%5D&verticalKey=research_publication"},{"@type":"DefinedTerm","name":"Musculoskeletal Disorders","url":"https://www.sutterhealth.org/research-search-results?facets=%5B%7B%22i%22%3A%22c_researchTopics.name%22%2C%22v%22%3A%5B%22Musculoskeletal+Disorders%22%5D%7D%5D&verticalKey=research_publication"}],"mainEntityOfPage":{"@type":"WebPage","@id":"https://www.sutterhealth.org/research/publications/triple-achilles-tendon-rupture-case-report-1055312309","breadcrumb":{"@id":"https://www.sutterhealth.org/research/publications/triple-achilles-tendon-rupture-case-report-1055312309#breadcrumblist"}}}
```
