Rupture of Achilles tendon

Case contributed by Bahman Rasuli


Sudden pain and audible snap in the left heel while playing volleyball.

Patient Data

Age: 35 years
Gender: Female

Rupture of Achilles tendon measuring about 7 cm tendon gap with a distal stump and retraction of the proximal end.

The fluid signal and edematous changes in place of the normal tendon.

Abnormal intrasubstance increased fluid signal and thickening along with anterior talofibular ligament related to ATFL chronic sprain.

Fluid signal around the ankle posteromedial tendons (PTT, FDL, and FHL ) suggestive of tenosynovitis.

Case Discussion

Complete traumatic rupture of the Achilles tendon type IV (complete rupture with a defect of >6 cm) according to Kuwada classification of Achilles tendon tear is well demonstrated in this case.

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