Excision and Reconstruction of Alveolar Rhabdomyosarcoma Involving the Achilles Tendon in a Pediatric Patient: A Case Report

JBJS Case Connect. 2021 Apr 22;11(2). doi: 10.2106/JBJS.CC.20.00263.


Case: We describe a case of a 9-year-old boy who presented with a left calf mass consistent with alveolar rhabdomyosarcoma involving the Achilles tendon. The patient underwent radical resection of the Achilles tendon and Achilles tendon allograft reconstruction. At 2.5-year follow-up, the child had full ankle range of motion and strength and no signs of disease.

Conclusions: Radical resection of Achilles tendon in the setting of malignancy and reconstruction with allograft is a rare procedure that has not been previously described in the pediatric population. Orthopaedic oncologists can consider this option for the rare malignancies involving the Achilles tendon.

Publication types

  • Case Reports

MeSH terms

  • Achilles Tendon* / transplantation
  • Child
  • Humans
  • Male
  • Plastic Surgery Procedures* / methods
  • Range of Motion, Articular
  • Rhabdomyosarcoma, Alveolar* / surgery
  • Transplantation, Homologous