Achilles tendon tear

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Sudden onset of severe pain and swelling in the Achilles region following trauma at home 10 days prior.

Patient Data

Age: 75 years
Gender: Male
mri

Complete disruption of the Achilles tendon 5 cm proximal to its calcaneal insertion 'critical zone' with a tendinous gap = 23 mm filled with edema and hemorrhage. Extensive subcutaneous edema is noted.

The plantaris tendon remains intact. 

Annotated image

Annotated image showing an intact plantaris tendon.

Case Discussion

MRI features of Achilles tendon tear type II according to Kuwada classification of Achilles tendon tear, typically treated with end-end anastomosis.

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