Pushpender Gupta MBBS, Presenter: Nothing to Disclose

Leon Lenchik MD, Abstract Co-Author: Nothing to Disclose

Scott David Wuertzer MD, MS, Abstract Co-Author: Nothing to Disclose

1. There is a relationship between Achilles tendon anatomy and pathology. 2. MR imaging allows for accurate diagnosis of a wide range of Achilles tendon pathology.

Perspective: The Achilles tendon is the largest and strongest tendon in the body; however, it is the most commonly injured tendon, accounting for approximately 20% of all large tendon injuries. Review of pertinent anatomy: The Achilles tendon typically develops pathology in three different zones: the musculotendinous junction zone, the midsubstance zone approximately 4 cm proximal to the calcaneus, and the insertional zone at the calcaneus. This anatomy will be reviewed. Etiology and risk factors: Although the etiology for Achilles tendon pathology is often idiopathic, the most common pathologies are related to overuse and/or repetitive micro-trauma. Risk factors include systemic disorders including diabetes, hyperlipidemia, and hypertension. Examples: The MR imaging characteristics for common and uncommon pathology in the Achilles tendon will be discussed through case examples. Specifically, examples of insertional and non-insertional tendinosis, Haglund’s syndrome, paratenonitis, paratendinitis, tendon tears, tendon avulsions, and an Achilles tendon xanthoma will be shown. Management: A brief discussion of current management recommendations.

http://abstract.rsna.org/uploads/2014/14012229/14012229_fui3.pdf

Gupta, P, Lenchik, L, Wuertzer, S, Achilles Tendon: MR Imaging Review of Anatomy and Pathology.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14012229.html