Multiple intratendinous ossified deposits of the Achilles tendon: Case report of an unusual pattern of ossification.
True ossification of the Achilles tendon is a rare condition as compared to calcification. The etiology of ossification is multifactorial, however, previous surgery, trauma and degenerative changes have been attributed to be the major causes. Three different patterns of ossification have been described within the Achilles tendon based on their location. We present a case of multiple discrete deposits of ossification within the main substance of the Achilles tendon in a young male with a previous history of clubfoot surgery in childhood. The pattern of ossification was different than all the previously reported cases. Pain was the predominant symptom. He was investigated by using plain radiographs, ultrasonography, computed tomography and magnetic resonance imaging. Surgical excision of all the bony lumps lead to satisfactory outcome without any complications.
Trauma and Orthopaedics, University Hospital of North Staffordshire, Stoke-on-Trent, England ST4 6QG, United Kingdom. Electronic address: haroon@orthoweb.co.uk.
Haroon
H
Majeed
Trauma and Orthopaedics, University Hospital of North Staffordshire, Stoke-on-Trent, England ST4 6QG, United Kingdom. Electronic address: ciaradeall@hotmail.com.
Ciara
C
Deall
ST4 Histopathology, University Hospital of North Staffordshire, Stoke-on-Trent, England ST4 6QG, United Kingdom. Electronic address: amandeep.mann@uhns.nhs.uk.
Amandeep
A
Mann
University Hospital of North Staffordshire, Stoke-on-Trent, England ST4 6QG, United Kingdom. Electronic address: donald.mcbride@uhns.nhs.uk.
Donald J
DJ
McBride
D000125:Achilles Tendon / Q000473:pathology / Q000601:surgery*; D003025:Clubfoot / Q000601:surgery*; D006801:Humans; D008297:Male; D009999:Ossification, Heterotopic / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D052256:Tendinopathy / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D055815:Young Adult
Calcification; Ossification; Tendinopathy