Achilles tendon injury

Case contributed by Dr Maulik S Patel

Presentation

C/o direct injury to posterior aspect of ankle - in achilles region by sharp edge.

Patient Data

Age: 40 years
Gender: Female
X-ray

An air cleft is noted perpendicular to achilles tendon soft tissue shadow. It involves near full thickness of tendon.

No bony injury noted.

Ultrasound

A fluid cleft with trapped air is noted at site of open injury to ankle. It involves near full thickness of tendon. Deeper most fibres are intact.

In short axis, about 50% width of the tendon is involved.

Case Discussion

Findings favour distal achilles tendon cut injury.

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Case information

rID: 29084
Case created: 2nd May 2014
Last edited: 28th Feb 2016
Inclusion in quiz mode: Included

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