Foreign body - ankle

Case contributed by Dr Maulik S Patel

Presentation

H/o thorn injury to achilles region 9 days back. C/o local pain. Ultrasound to look for foreign body.

Patient Data

Age: about 50 yrs
Gender: Male
Ultrasound

A linear echogenic focus ( 5 mm ) is noted abutting posterior surface of distal achilles tendon. It is surrounded by thin hypo - anechoiec  cleft.   Focal area of loss of fibrillar pattern is noted in adjacent distal tendon. Achilles tendon - intact. Retrocalcaneal fluid is noted.

Hyper vascularity is noted in achilles paratenon, focal hypoechoic area of distal achilles tendon and retrocalcaneal fat pad.

Photo

Thorn

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Case information

rID: 24084
Case created: 27th Jul 2013
Last edited: 18th Dec 2015
Inclusion in quiz mode: Included

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