1 thought on “Clinically suspect Achilles Tendonitis, MRI, Please Help”
hilary.umans
[image: Consult Heel 43F (3).jpg]
As I reported this, I realized there is marrow edema extending into the
posterior calcaneus.
Hemang mentioned insertional tendinosis (which I acknowledged, though it
seems relatively mild, with more inflammation of the peritenon).
I thought the edema at the posterior calcaneus is out of proportion to the
Achilles tendinosis…
I wonder if this is stress reaction without fracture.
I know we sometimes see this appearance in the anterior patella…I just
don’t recall seeing this pattern—-but, if this were a kid, I would
definitely call it apophysitis.
[image: Consult Heel 43F (3).jpg]
As I reported this, I realized there is marrow edema extending into the
posterior calcaneus.
Hemang mentioned insertional tendinosis (which I acknowledged, though it
seems relatively mild, with more inflammation of the peritenon).
I thought the edema at the posterior calcaneus is out of proportion to the
Achilles tendinosis…
I wonder if this is stress reaction without fracture.
I know we sometimes see this appearance in the anterior patella…I just
don’t recall seeing this pattern—-but, if this were a kid, I would
definitely call it apophysitis.
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