A 45 year old man comes in after falling off his son’s skateboard. He describes a sudden pain in the back of his calf and now has some swelling and clinically you think this is an Achilles tendon rupture.
Describe and interpret these scans
Image 1: Longitudinal view of the Achilles tendon, beginning at the calcaneal insertion and slowly moving cranially.
The complete rupture is seen at the musculotendinous intersection.
Achilles tendon rupture
Dynamic assessment of the site of injury is a useful addition. Hold the transducer over the site of injury and gently dorsiflex the foot. The two ends of the Achilles rupture will separate if it is complete.