Achilles tendon tear

Case contributed by Maulik S Patel

Presentation

Left ankle swelling. Clinical diagnosis of Achilles tear.

Patient Data

Age: 50 years
Gender: Male
x_ray

Lateral radiograph of ankle shows calcaneal enthesophytes. Thickening of soft tissue shadow of Achilles tendon with loss of margin definition is seen. Kager's fat pad is effaced. Bone flake is noted away from calcaneum.

ultrasound

Ultrasonography shows complete tear with a defect size of 15 mm. Proximal stump shows thick, hypervascular tendon. Normal asymptomatic side.

Case Discussion

The symptomatic tendon is torn, and the asymptomatic one is normal.

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