Post traumatic achilles tendon ossification

Case contributed by Dr Varun Babu

Presentation

Remote history of ankle trauma 20 years ago with chronic posterior ankle pain

Patient Data

Age: 65 years
Gender: Male

Approximately 3 to 4 cm proximal to the achilles tendon insertion on the calcaneum, there are areas of amorphous calcification with a focal bulge. the achilles tendon fibers are not discontinuous. Other incidental findings include a loose body in posterior recess of talar joint, inferior calcaneal spur, and mild heel fat pad edema. 

Case Discussion

Dystrophic calcification occurs in tendons at sites of trauma / injury or repetitive stress as demonstrated here. Whilst insertional site is a common location of repetitive stress, in this case, the history of an old trauma is the culprit for the more proximal calcification. 

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.