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Near-complete Achilles tendon rupture

Case contributed by Dalia Ibrahim
Diagnosis certain

Presentation

Acute severe posterior ankle pain

Patient Data

Age: 45 years
Gender: Male

Achilles tendon rupture with retracted ends of its torn fibers, with a blood & fluid filled gap that measures about 2 cm.

Few remaining intact fibers are seen along its medial aspect.

Extensive calcaneus marrow edema.

Diffuse circumferential subcutaneous soft tissue edema (most evident along the anterior aspect).

Annotated image

Achilles tendon rupture with retracted ends of its torn fibers (yellow arrows).

Few remaining intact fibers are seen along its medial aspect (red arrow).

Case Discussion

This is a case of high grade partial thickness tear of the Achilles tendon.

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