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Ultrasound Division


ULTRA SONOGRAPHY FILE
MUSCULO-SKELETAL

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HIGH RESOLUTION SONOGRAPHY- REPTURE OF TENDON ACHILLES


 Click on the following Image for a closer, enlarged look . . .

 

CLINICAL  FEATURES : 51y male, presented with inability to climb steps. Pateint is suffering with diabetis from last 12year. On examination wide gap noted in the tendo-achilles bilaterally .

TECHNICAL VIEW : High resolution longitudinal sectional study of tendon achilles at ankle joint level.

SONOGRAPHIC  FINDINGS : Two blind ends seperated by wide gap(1.1cms) noted in the tendo-achellis, just above the insertion of tendon . Upper blind end shows  calcification.  

DIAGNOSIS : Rupture(old) of tendon achilles

DISCUSSION : injections of steroids into or around the Achilles tendon may provoke rupture.  there will be clinical inflammation, but objective pathologic evidence for cellular inflammation is lacking, and in these conditions the term tendinosis is more appropriate

- teninosis may be related to region of diminished blood supply just above the tendon insertion; - often the tendinosis remains subclinical until it presents as a rupture;

  - flouroquinolones may also contribute to tendon ruptur

SUBMITTED BY :   Dr.M.Adinarayana raoM.D.(Radio-diagnosis)

                                    Dr.Y.Ramana M.S.(Ortho)

 



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