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Ossification of the Achilles tendon

Ossification of the Achilles tendon is seen both with previous macrotrauma of the tendon (e.g Achilles tendon rupture, previous surgery) as well as repetitive microtrauma.

It is somewhat more common than dystrophic calcification of the Achilles tendon, and may represent a separate entity rather than progression. 

It is characterised by mature bone (cortex, trabeculae, marrow etc..).

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