Achilles tendon rupture - chronic

Case contributed by Ammar Haouimi
Diagnosis almost certain


Neglected trauma of the right ankle, 9 months ago. Persistent pain in the heel.

Patient Data

Age: 50 years
Gender: Male

The MRI sequences demonstrate a complete disruption of the Achilles tendon 5 cm proximal to its calcaneal insertion 'critical zone'. There is a fibrotic scar tissue connecting the proximal, and distal ends of the Achilles tendon. 

The plantaris tendon remains intact. 

Case Discussion

MRI features of a chronic Achilles tendon rupture with the formation of a fibrous bridge between the proximal and distal ends.

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