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Severe ligamentous injury of the ankle with ruptured tendo Achillis and fractured neck of talus.

Severe tendon and ligament rupture of the ankle associated with a fracture of the talus were successfully treated by surgical repair followed by cast immobilization. We suggest that the mechanism of injury was forced dorsiflexion with initial rupture of the Achilles tendon, followed by rupture of the ankle ligaments and fracture of the neck of the talus.