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
From the case:
Achilles tendon tear
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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.
From the case:
Achilles tendon tear
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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.