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My Foot Doesn't Work Right

Author: Chris Durkin, DO, Robert "Max" Lystrup, MD, CAQSM
Peer-reviewer: Matthew Negaard, MD
Editor: Alex Tomesch, MD

A 35 year-old male felt a painful "pop" in his posterior left lower leg while playing football.  Afterwards his "foot didn't work right anymore."  X-ray of the left ankle and tib/fib are normal but he is unable to ambulate.  You place an ultrasound over the area of maximal tenderness and discover the following:

Figure 1: Ultrasound of the L posterior ankle 11cm proximal to the calcaneal insertion of the achilles tendon.  Robert Lystrup's  images.



[1] Khan-Farooqi W, Anderson RB. Achilles tendon evaluation and repair. The Journal of Musculoskeletal Medicine. 2010;27(5).

[2] Ahmad J, Repka M, Raikin SM. Treatment of myotendinous Achilles ruptures. Foot Ankle Int. 2013;34(8):1074-1078.