firemedic1’s AchillesBlog

For informational purposes only.  Here is my MRI report on my ATR.

HISTORY: Evaluate for Achilles Injury

TECHNICAL FACTORS: Sagittal, coronal and axial imaging was performed using T1-weighted, T2 weighted, and fat-suppressed imaging techniques.

FINDINGS: A high grade tear of the Achilles tendon is identified approximately 8 cm proximal to the calcaneal insertion.  Only a markedly attenuated remnant of the Achilles tendon appears to remain in continuity.  Retraction of the proximal mytendinous fragment is identified and the proximal and distal fragments are separated by a fluid-filled gap measuring approximately 3 cm in length.  Marked thickening and abnormal signal intensity involve the distal tendon fragment consistent with intratendinous edema and hemorrhage.  Marked adjacent soft tissue edema is observed.

The tibialis posterior and flexor tendons appear intact but mild increased fluid surrounding the tibialis posterior tendon is observed.  No tarsal tunnel mass is identified.  The tibialis anterior and extensor tendons appear normal.  The peroneus longus and brevis tendons appear intact.

No acute osseous injury is identified.  Edema involving the distal soleus muscle is observed compatible with strain.

The anterior and posterior inferior tibiofibular ligaments appear intact.  The anterior and posterior talofibular ligaments appear intact.  the calcaneofibular ligament and deltoid ligament appear normal.  There is no evidence of transchondral injury involving the dome of the talus.  The ligaments of the sinus tarsi appear normal.

CONCLUSION: left ankle
High grade tear of the Achilles tendon approximately 8 cm proximal to the calcaneal insertion.  The retracted proximal tendon fragment and the thickened distal tendon fragment are separated by a fluid-filled gap measuring approximately 3 cm in length.  Only a markedly attenuated remnant of the medial aspect of the Achilles tendon appears to remain in continuity.

END REPORT

Pics of MRI - sorry I am unable to rotate the pictures so they are upright.

This entry was posted on Wednesday, June 22nd, 2016 at 09:36 and is filed under In the beginning.... You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response, or trackback from your own site.