Calcaneal enthesophyte

Case contributed by Mohamed Mahmoud Elthokapy
Diagnosis certain

Presentation

posterior ankle and heel pain associated with walking and repetitive exercising.

Patient Data

Age: 35 years
Gender: Male
x-ray
Lateral
Lateral
axial
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Info

There is a sizable calcaneal enthesophyte at the insertion of the right Achilles tendon. 

No acute fractures are identified.

The talar dome is intact.

The ankle articulation is intact.

Case Discussion

Enthesophytes are abnormal bony projections at the site of attachment of a tendon or ligament. They represent a common bony response to stress.

Calcaneal enthesophyte is a special type of Achilles tendon ossification that occurs distally at its insertional segment

This patient was subjected to surgery for removal of the right calcaneal enthesophyte that was suspected to be the cause of chronic irritation of the distal Achilles tendon. Postoperative improvement was documented

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