IMPORTANT: We currently have a number of bugs related to image cropping and are actively trying to resolve them. In the meantime, we have disabled cropping. Apologies for any inconvenience. Stay informed: radiopaedia.org/chat

Achilles tendon injury

Case contributed by Maulik S Patel
Diagnosis almost certain

Presentation

C/o direct injury to posterior aspect of ankle - in achilles region by sharp edge.

Patient Data

Age: 40 years
Gender: Female
x-ray

An air cleft is noted perpendicular to achilles tendon soft tissue shadow. It involves near full thickness of tendon.

No bony injury noted.

ultrasound

A fluid cleft with trapped air is noted at site of open injury to ankle. It involves near full thickness of tendon. Deeper most fibers are intact.

In short axis, about 50% width of the tendon is involved.

Case Discussion

Findings favor distal achilles tendon cut injury.

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.