Achilles Tendon problems – MR scan result???
I recently had an MR scan on both my Achilles tendons – I’ve had stiffness in both for 3 months on and off now.
The results are at hand and I wondered if anyone had similar symptoms, or any advice on recovery.
Severe spasticity secondary to developmental cord syndrome – despite this very sporty and has problem with both Achilles tendons.
RIGHT ACHILLES – FINDINGS:
There is slight fusiform thickening noted in the mid third of the Achilles tendon which measures 8mm in short axis diameter which is just above the normal limits consistent with minor degree of chronic Achilles tendinopathy. The tendon itself remains low signal with no increased signal to suggest acute tendinopathy/partial tear. There is a little increased signal however noted in the paratenon posteriorly in the mid third and on the lateral side related to the upper part of the tendon suggesting a degree of focal inflammation (paratendinitis). The rest of the Achilles tendon including the musculotendinous junction and distal insertion remains intact. No enlargement of the retrocaneal or retro-Achilles bursae.
There is a 15mm diameter focal osteochondral defect on the mid third of the medial tablar dome. This represents an old transchondral fracture due to inversion injury. No gross loose bodies noted and articular cartilage appears relatively well preserved throughout the tibiotalar joint. minimal fluid noted but no loose bodies. Normal subtalar and tarsal joint. Normal marrow signals otherwise. What I can see of the ankle ligaments appear unremarkable, the lateral tendon complex appears grossly intact. Normal medial, lateral and anterior tendons.
1) Minor degree of chronic Achilles tendinopathy associated with a little focal paratendinitis.
2) Osteochondral defect noted in relation to the medial talar dome consistent with an old transchondral fracture with subsequent healing. No gross evidence of a loose body and the lateral ligament complex remains grossly intact. Further assessment can be made with formal MR imaging of the ankle.
LEFT ACHILLES – FINDINGS:
As noted on the contralateral side there is a little fusiform thickening to the mid third of the Achilles tendon which measures 9mm in short axis diameter consistent with a minor degree of chronic Achilles tendinopathy. No increased signal noted within the tendon to suggest acute tendinopathy/tear. There is a little inflammation in the paratenon posterolaterally in the mid third. Rest of the paratenon remains intact. Normal musculotendinous junction and distal insertion with no enlargement of the retrocalcaneal or retro Achilles bursae.
Normal tibiotalar, subtalar and tarsal joints with no transchondral injury identified. Normal marrow signals and ankle ligaments. Normal medial, lateral and anterior tendons.
Minor degree of chronic Achilles tendinopathy associated with a little focal paratendinits in the mid third posterolaterally.
Hope you can help!