Achilles tendon rupture

Case contributed by Bahman Rasuli
Diagnosis almost certain

Presentation

Left ankle pain and swelling with limitation of movement following trauma.

Patient Data

Age: 50 years
Gender: Female
mri

Achilles tendon rupture with retracted ends of its torn fibers, with a fluid-filled gap that measures about 4.5 cm.

Abnormal intrasubstance increased fluid signal along with deltoid ligament deep part and anterior talofibular ligament related to ligament sprain.

Case Discussion

This case well demonstrates a complete traumatic rupture of the Achilles tendon, type III (complete rupture with a tendinous gap of 3 to 6 cm) according to the Kuwada classification of Achilles tendon tears.

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