Surgical Management of a Spontaneous Black Tendon Rupture


  • Sandesh Madi Kasturba Medical College, Manipal University
  • Vivek Pandey Kasturba Medical College, Manipal University
  • Vishnu Senthil Kasturba Medical College, Manipal University
  • Kiran Acharya Kasturba Medical College, Manipal University


Spontaneous non-traumatic rupture of Tendo-Achilles (TA) as a presenting feature of alkaptonuria is unusual. In this disorder, there is deposition of homogentisic acid in the cartilage of major joints and intervertebral disc is responsible for the degenerative changes. Infrequently, it also gets deposited in major tendons that renders them structurally weak ensuing in pathological ruptures. A case is presented with non-traumatic TA rupture and its surgical management in alkaptonuria.


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