Wei Mao - ۱ Department of Orthopaedic Surgery, Yangpu Hospital, School of Medicine, Tongji University, China ۲ Department of Orthopaedic Surgery, National University Hospital, National University Health System, Singapore ۳ Department of Orthopaedic
Shi-min Chang - Department of Orthopaedic Surgery, Yangpu Hospital, School of Medicine, Tongji University, China
Choon Chiet Hong - ۲ Department of Orthopaedic Surgery, National University Hospital, National University Health System, Singapore ۳ Department of Orthopaedic Surgery, Yong Loo Lin School of Medicine, National University of Singapore, Singapore

We present a unique case of a ۵۹-year-old shipyard worker who sustained an avulsion fracture of the tibialis anterior tendon, concurrently with a comminuted fracture at the base of the first metatarsal. This is the first reported case highlighting this concomitant presentation, which underlines the possibility of avulsion fractures accompanying comminuted fractures. Importantly, such avulsion fractures could lead to skin tenting and potential necrosis, necessitating early identification and prompt intervent ion. The patient underwent successful surgical intervention and displayed good functional restoration ۱۵ months postoperatively. Level of evidence: IV

avulsion fracture, comminuted fracture, first metatarsal base, skin tenting, tibialis anterior tendon