Achilles tendinosis

Case contributed by Maulik S Patel
Diagnosis almost certain

Presentation

Pain around the Achilles region

Patient Data

Age: 60 years
Gender: Female
x-ray

Enthesophyte present. Thickening of soft tissue shadow of Achilles tendon with calcified foci.

ultrasound

Radiographic findings confirmed on ultrasound. Thickening of the distal Achilles tendon. Hypoechogenesity with loss of normal fibrillar pattern. Calcification in tendon substance.Tendon hypervascularity present. Retrocalcaneal hypervascularity is noted without significant fluid.

Case Discussion

Features consistent of Achilles tendinosis

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