Achilles tendinosis - severe

Case contributed by Dr Henry Knipe

Presentation

Posterior ankle pain.

Patient Data

Age: 65 years
Gender: Female
MRI

Severe Achilles non-insertional tendinosis, with thickening up to 15 mm in AP dimension. This involves almost the whole length of the Achilles tendon. Milder insertional tendinosis with moderate-sized enthesophyte at the posterior calcaneus. Moderate paratendon edema. Preserved Kager fat pad. No tear. No retrocalcaneal or retro-Achilles bursal effusion.

No acute tear to the lateral, syndesmotic, deltoid, and spring ligamentous complex.

No tendon tear.

No osseous coalition. No exaggerated focal chondral wear, abnormal subchondral marrow signal, or osteochondral lesion, including talar dome.

Moderate degenerative changes at the 1st MTPJ with moderate joint effusion

Small plantar calcaneal spur, and thickening of the plantar fascia origin.

Case Discussion

Severe Achilles tendinosis involving almost the entire length of the tendon but without a tear or associated bursitis. 

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Case information

rID: 89306
Published: 24th May 2021
Last edited: 30th May 2021
Inclusion in quiz mode: Included

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