Diagnosis: Achilles rupture
Findings on Imaging:
- Imaging studies such as MRI may show an Achilles rupture, which is a tear in the Achilles tendon.
- On MRI, the Achilles rupture may be visualized as a focal discontinuity in the tendon with surrounding edema and hemorrhage.
- MRI may also reveal associated injuries such as partial tears, tendinopathy, or paratenonitis.
Next Steps in Management:
- Management of an Achilles rupture depends on the extent and severity of the injury, as well as the patient’s overall health and activity level.
- Treatment options may include non-surgical interventions such as immobilization and physical therapy, or surgical repair of the tendon.
- Regular imaging follow-up is recommended to monitor for healing and to assess the need for additional treatment or intervention.
Key Take Away Points:
- Achilles rupture is a common injury that involves a tear in the Achilles tendon.
- Imaging studies such as ultrasound or MRI can help diagnose an Achilles rupture by showing a gap or discontinuity in the tendon, along with associated swelling and fluid accumulation.
- MRI can also reveal associated injuries such as partial tears, tendinopathy, or paratenonitis.
- Treatment of an Achilles rupture may include non-surgical or surgical intervention, depending on the extent and severity of the injury.
- Regular imaging follow-up is recommended to monitor for healing and to assess the need for additional treatment or intervention.
Case submitted by Dr. Araceli Cabanillas to radRounds Radiology Network
