Achilles tendon tear

Case contributed by Dr Yasser Asiri

Presentation

Sudden pain in the posterior aspect of the leg.

Patient Data

Age: 55 years
Gender: Female
MRI

Full thickness tear of the achilles tendon with retraction and significant fluid-filled gap between the proximal fibers and distal tendon fibers.  Background tendopathy seen evident by thickened tendon and loss of the normal anterior tendon concavity. Notice the presence of plantaris tendon.

Case Discussion

Achilles tendon tear classically occurs 3 to 5 cm proximal to the calcaneal insertion site because this is a relatively hypovascular watershed region. Acute tendon rupture is usually clinically evident, however, MRI is usually obtained to assess the gap for pre-op planning. Intact plantaris tendon can sometimes preserve the ability to plantar flex. 

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Case information

rID: 64716
Published: 8th Dec 2018
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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