Achilles tendon injury
Cut injury to achilles region by kite thread (5 wks earlier).
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Distal most tendon - normal. No changes of tendinosis.
About 30 mm proximal to insertion, there is focal tendon abnormality.
About 1/2 thickness of fibres is involved by cut injury - partial thickness tear which involves full width of the tendon. Site injury is noted as anechoic oblique line extending from skin to mid part of achilles tendon.
Adjacent superficial fibres are hypoechoic without tear.
Hypervascularity is noted locally.
Deeper fibres are normal in echopattern and intact.
Findings of partial thickness, full width tear involving distal achilles tendon; by cut injury caused by kite thread.
There is no back ground of tendinosis.