Achilles tendiopathy

Case contributed by Dr Maulik S Patel

Presentation

Posterior ankle pain.

X-ray

There is diffuse thickening of the Achilles tendon soft tissue shadow. The pre-Achilles 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 favour Achilles tendinopathy without tendon tear.

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Case information

rID: 12705
Case created: 2nd Jan 2011
Last edited: 8th Aug 2017
Inclusion in quiz mode: Included

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