Tendoachilles Calcification-Plain Film
Two views always help for evaluation of any X-ray finding and localize to the site of problem
Tendoachilles is the largest tendon in the body , spanning two joints and is subject to stress in daily activities (reaching upto 900kg in fast running at times ). Intense short use or prolonged overuse could result in degenerative changes of focal or diffuse variety leading to calcium deposition and is usually susceptible for rupture and degeneration 2-6 cms from site of insertion
Morris etal classified calcification in to 3 types for management techniques
ü type I-localised to tendon insertion and posterosuperior aspect of calcaneum
ü Type II-localised distal 1-3 cms of tendon
ü Type III-Intratendinous and involves most of it(IIIA) and all of it (IIIB)
Excision before other complications like rupture and ulcerations and bone infection etc would be preferred
X-ray true lateral is ideal with MR playing complementary role in evaluating other soft tissue structures. Presurgical doppler of the posterior tibial vessel is recommended
Tendoachilles Calcification-Plain Film
Reviewed by Sumer Sethi
on
Thursday, October 06, 2011
Rating:
Reviewed by Sumer Sethi
on
Thursday, October 06, 2011
Rating:
Sumer Sethi
Unique blend of academic excellence and entrepreneurship, heading leading firms in India- Teleradiology Providers, pioneering company providing teleradiology services and DAMS (Delhi Academy of Medical Sciences) Premier test preparation institute in India for MD/MS/MCI preparation. He has also been an invited faculty member at various conferences, including Teleradiology in IRIA 2008 and 2011, Hospital Build Middle East, Congress of the Brain Tumor Radiology in Neuro-oncology Society. Dr. Sethi is Editor-in-Chief of Internet Journal of Radiology. He has a keen interest in Web 2.0 technologies and in maintaining his famous radiology blog, which has been featured in multiple international journals.
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