This 24 y/o male with a history of chronic heel pain was referred for MRI of the ankle. Selected saggital images shown above demonstrate findings consistent with an intra-substance (interstitial) tear of the achilles tendon with tendon thickening and linear increased signal. There is fluid in the retrocalcaneal (pre-achilles) bursa and there is edema in the posterior calcaneus.

  1. Cheung Y, Rosenberg ZS, Magee T, Chinitz L. Normal anatomy and pathologic conditions of ankle tendons: current imaging techniques. Radiographics 1992 May;12(3):429-44 PMID:1609136
  2. Panageas E, Greenberg S, Franklin PD, Carter AP, Bloom D. Magnetic resonance imaging of pathologic conditions of the Achilles tendon. Orthop Rev 1990 Nov;19(11):975-80 PMID:2270180
  3. Haygood TM. Magnetic resonance imaging of the musculoskeletal system: part 7. The ankle. Clin Orthop 1997 Mar;(336):318-36 PMID:9060518
  4. Kabbani YM, Mayer DP. Magnetic resonance imaging of tendon pathology about the foot and ankle. Part I. Achilles tendon. J Am Podiatr Med Assoc 1993 Jul;83(7):418-20 PMID:8350256
  5. Bonner AC, Cloutier J, Econopouly J, Feitz D. Diagnosis of partial rupture of tendo Achillis with magnetic resonance imaging. J Foot Surg 1990 May-Jun;29(3):212-7 PMID:2380492
  6. Marcus DS, Reicher MA, Kellerhouse LE. Achilles tendon injuries: the role of MR imaging. J Comput Assist Tomogr 1989 May-Jun;13(3):480-6 PMID:2723180
  7. Keene JS, Lash EG, Fisher DR, De Smet AA. Magnetic resonance imaging of Achilles tendon ruptures. Am J Sports Med 1989 May-Jun;17(3):333-7 PMID:2729482
  8. Astrom M, Gentz CF, Nilsson P, Rausing A, Sjoberg S, Westlin N. Imaging in chronic achilles tendinopathy: a comparison of ultrasonography, magnetic resonance imaging and surgical findings in 27 histologically verified cases. Skeletal Radiol 1996 Oct;25(7):615-20 PMID:8915043
  9. Bottger BA, Schweitzer ME, El-Noueam KI, Desai M. MR imaging of the normal and abnormal retrocalcaneal bursae. AJR Am J Roentgenol 1998 May;170(5):1239-41 PMID:9574592
  10. Shalabi A, Kristoffersen-Wiberg M, Aspelin P, Movin T. MR evaluation of chronic Achilles tendinosis. A longitudinal study of 15 patients preoperatively and two years postoperatively. Acta Radiol 2001 May;42(3):269-76 PMID:11350284
  11. Haims AH, Schweitzer ME, Patel RS, Hecht P, Wapner KL. MR imaging of the Achilles tendon: overlap of findings in symptomatic and asymptomatic individuals. Skeletal Radiol 2000 Nov;29(11):640-5 PMID:11201033
  12. Schweitzer ME, Karasick D. MR imaging of disorders of the Achilles tendon. AJR Am J Roentgenol 2000 Sep;175(3):613-25 PMID:10954440
  13. Karjalainen PT, Soila K, Aronen HJ, Pihlajamaki HK, Tynninen O, Paavonen T, Tirman PF. MR imaging of overuse injuries of the Achilles tendon. AJR Am J Roentgenol 2000 Jul;175(1):251-60 PMID:10882283
  14. Soila K, Karjalainen PT, Aronen HJ, Pihlajamaki HK, Tirman PJ. High-resolution MR imaging of the asymptomatic Achilles tendon: new observations. AJR Am J Roentgenol 1999 Aug;173(2):323-8 PMID:10430128
  15. Movin T, Kristoffersen-Wiberg M, Rolf C, Aspelin P. MR imaging in chronic Achilles tendon disorder. Acta Radiol 1998 Mar;39(2):126-32 PMID:9529441
  16. Weinstabl R, Stiskal M, Neuhold A, Aamlid B, Hertz H. Classifying calcaneal tendon injury according to MRI findings. J Bone Joint Surg Br 1991 Jul;73(4):683-5 PMID:2071660
  17. Fleiss DJ. Achilles tendon injuries: conservative versus surgical treatment. Orthopedics 1999 Oct;22(10):909 PMID:10535550
  18. Nicolaisen T, Skovgaard D, Kjaer M. Conservative treatment of a partial Achilles tendon rupture with an intratendinous lesion. Scand J Med Sci Sports 1997 Jun;7(3):191-3 PMID:9200325

Use the Back or Backward button on your browser to return