An adult male had posterior ankle trauma. He was referred for an ultrasound examination with a clinical diagnosis of Achilles tendon tear. Ultrasound shows a complete tear of the distal Achilles tendon with an intact plantaris tendon. Surgical exploration verified an intact plantaris tendon and a complete tear of the Achilles tendon. The torn tendon was surgically repaired.

Intraoperative details, photos and video courtesy of operating surgeon Dr. Ritesh Patel.

Postoperative 3 months ultrasound shows intact repaired Achilles tendon.