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Abstract
Diagnostic tibial nerve block with anesthetics is a common and safe procedure for the management of the spastic equinovarus foot. Side effects have been rarely reported. We present the case of a hemiplegic patient with a spastic equinovarus foot who presented with an avulsion fracture of the calcaneum at the insertion of the Achilles tendon consecutive to a diagnostic tibial nerve block with anesthetic agents. Although rare, such a complication should be considered when the Achilles tendon is shortened and when the patient is suspected of bone osteoporosis or dystrophy.
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Citations

Deltombe, T., Nisolle, J.-F., De Cloedt, P., Hanson, P., & Gustin, T. (2004). Tibial nerve block with anesthetics resulting in achilles tendon avulsion. American Journal of Physical Medicine and Rehabilitation, 83(4), 331-334. https://doi.org/10.1097/01.PHM.0000118247.67734.7C (Original work published 2004)