Magnetic Resonance Imaging of the Achilles Tendon

  • Kush Singh
  • Clyde A. Helms

Clinical Indications

Several different clinical scenarios warrant evaluation of the Achilles tendon with magnetic resonance imaging (MRI). However, the main reasons to image the Achilles are pain, trauma, infection, or a mass. Less commonly, an MRI may be used to screen for hypercholesterolemia. Although a diagnosis of Achilles tendon rupture is usually evident clinically, the gap between the ruptured ends of the tendon may be difficult to ascertain by physical examination alone. This gap is frequently used to determine which technique will be employed for surgical repair. When the gap is small, and the injury acute, then nonoperative management may be selected (see Chapter 5). In the chronic rupture, when the gap is less than 6 cm, the augmentation techniques can be applied and when the gap is greater than 6 cm, then tendon transfer is selected. It is often useful for the surgeon to know which technique will be best utilized for preoperative planning, and in these situations MRI can...


High Signal Intensity Achilles Tendon Musculotendinous Junction Tendon Fiber Myxoid Degeneration 
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  1. 1.
    Chandnani VP,Bradley YC. 1994; Achilles tendon and miscellaneous tendon lesions. Magn Reson Imaging Clin North Am 2:(1)89–96.Google Scholar
  2. 2.
    Pavlov H, Heneghan MA, Hersh A, et al. 1982; The Haglund syndrome: initial and differential diagnosis. Radiology 144:(1)83–8.PubMedGoogle Scholar
  3. 3.
    Gerster JC, Vischer TL, Bennani A,. et al. 1977; The painful heel. Comparative study in rheumatoid arthritis, ankylosing spondylitis, Reiter's syndrome, and generalized osteoarthrosis. Ann Rheum Dis 36:(4)343–8.PubMedCrossRefGoogle Scholar
  4. 4.
    Turlik MA. 1990; Seronegative arthritis as a cause of heel pain. Clin Podiatr Med Surg 7:(2)369–75.PubMedGoogle Scholar
  5. 5.
    Dussault RG, Kaplan PA, Roederer G. 1995; MR imaging of Achilles tendon in patients with familial hyperlipidemia: comparison with plain films, physical examination, and patients with traumatic tendon lesions. AJR Am J Roentgenol 164:(2)403–7.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Kush Singh
    • 1
  • Clyde A. Helms
    • 1
  1. 1.Department of RadiologyDuke University Medical CenterDurhamUSA

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