2nd study 10 wk later sudden increase in Rt Achilles region pain
X-ray with plantarflexed foot shows loss of normal outline of the distal Achilles tendon. There is an avulsed enthesophyte. Kager fat pad shows areas of loss of normal fat density.
X-ray with dorsiflexed foot shows thinning of the distal Achilles tendon. The avulsed enthesophyte shows increased distance from the calcaneum.