Calcific tendinitis - Achilles

Case contributed by Dr Chris O'Donnell


Pain and swelling in the mid Achilles tendon. Employed as a builder thus climbs up and down ladders all day.

Patient Data

Age: 50 years
Gender: Male

Gross calcification within the mid-substance of the Achilles with markedly increased blood flow in the adjacent tendon but no retrocalcaneal bursal distension or inflammation.  Note also marked enthesial bone formation in the calcaneum.

Case Discussion

Unlike the supraspinatus tendon, calcification is associated with features of inflammation ie increased blood flow and swelling. This is a true tendinitis, not just tendinopathy.

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Case information

rID: 44139
Published: 9th Apr 2016
Last edited: 21st Nov 2019
Inclusion in quiz mode: Included

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