Achilles tendon ossification

Case contributed by Hein Els

Diagnosis almost certain

Citation, DOI, disclosures and case data

Citation:

Els H, Achilles tendon ossification. Case study, Radiopaedia.org (Accessed on 08 Jun 2023) https://doi.org/10.53347/rID-40994

DOI:

https://doi.org/10.53347/rID-40994

Permalink:

https://radiopaedia.org/cases/40994

rID:

40994

Disclosures:

At the time the case was submitted for publication Hein Els had no recorded disclosures.

View Hein Els's current disclosures

Case published:

21 Nov 2015

Revisions:

12 times, by 2 contributors - see full revision history and disclosures

Systems:

Musculoskeletal

Quiz mode:

Included

Presentation

Had club foot as a child. Now presents with foot pain. Impingement questioned.

Patient Data

Age: 60 years

Gender: Male

From the case: Achilles tendon ossification

x-ray

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Lateral

Thickening and ossification of the Achilles tendon. Haglund deformity. Plantar calcaneal spur. Subchondral cysts at the calcaneo-cuboid joint.

From the case: Achilles tendon ossification

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Sagittal bone window

No osseous impingement at the ankle. Subchondral lucency at the talar dome in keeping with the Hawkin sign, likely from disuse osteopenia or local hyperemia in this case. Small volume ankle joint effusion. Degenerative changes at the middle and anterior subtalar, talonavicular and proximal intertarsal joints. Subluxation of the talonavicular joint. Ossification of the Achilles tendon. Haglund deformity of the calcaneus. Plantar calcaneal spur.