Achilles tendon rupture

Case contributed by Hidayatullah Hamidi
Diagnosis certain

Presentation

History of left ankle pain post-trauma.

Patient Data

Age: 45 years
Gender: Male
mri

Almost complete tear of the middle portion of the left Achilles tendon (more than 80% of the fibers) however no significant retraction of the tendon is noted proximally or distally.

The plantaris tendon is intact.

No bone marrow edema is noted in the right ankle joint bones.

No evidence of right ankle joint effusion.

Tibio-talar and tibio-calcaneal joints are intact.

Case Discussion

Imaging features represent a complete tear of the middle portion of the left Achilles tendon however no significant retraction of the tendon is noted proximally or distally.

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