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Achilles tendon tear

Case contributed by Dr Maulik S Patel

Presentation

Two months before the presentation, the patient had trauma to the posterior aspect of the left distal leg and ankle.

Patient Data

Age: 45 years
Gender: Male
X-ray

There is a presence of calcaneal spurs. Achilles tendon shadow shows thinning in the distal leg. The tendon shadow shows thickening near the insertion. Kager fat pad is partially obliterated.

There is no fracture/ dislocation.

Ultrasound

There is a complete tear of Achilles tendon approximately 6 cm away from the insertion site. The gap between the two edges of the tendon is 5 cm with a neutral position of the foot ( without plantar / dorsiflexion ). The torn ends of the tendon show thickening. The distal tendon near the insertion shows a normal echopattern.

Case Discussion

The case shows Achilles tendon tear.

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