Achilles tendinopathy

Case contributed by Dr Maulik S Patel

Presentation

Right posterior ankle region pain. The patient was referred for an ultrasound of the Achilles tendon evaluation.

Patient Data

Gender: Female
X-ray

There is diffuse thickening of the Achilles tendon soft tissue shadow. The Kager fat pad is normal. There is minimal Achilles tendon enthesopathy. 

Ultrasound

There is diffuse thickening of Achilles tendon. The anterior surface of tendon show convexity anteriorly. There is no tendon tear/calcification.

There is no peritendon fluid. Increased echogenicity of Kager's fat pad. 

Case Discussion

Findings favor Achilles tendinosis without tendon tear.

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Case information

rID: 12705
Published: 2nd Jan 2011
Last edited: 3rd May 2020
Inclusion in quiz mode: Included