Achilles tendon enthesopathy

Case contributed by Brendan Cullinane

Presentation:

Heel pain

Patient Data:

Age: Adult
Modality: Ultrasound

See below

Modality: X-ray

The sizable spur at the Achilles tendon insertion is confirmed. There is also a calcaneal spur at the plantar fascia origin and other findings (Eduardo Ira radiographer, Dr. Gary Geier radiologist).

Case Discussion:

Achilles tendon problems are not uncommon in athletes and patients over 35 years old.
Usually it is affected between 3-6 cm from its attachment to the heel (achilles tendinitis or achilles tendinosis), or it may be affected at it's attachment to the calcaneus (achilles enthesopathy).
Features compatible with achilles tendon enthesopathy.

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