achilles tendon & plantaris tendon
DESCRIPTION
ACHILLES TENDON & Plantaris Tendon. Tendinosis, Paratendinosis Haglund’s Deformity. PLANTARIS MUSCLE. ACHILLES TENDON. PLANTARIS TENDON. Fig 2(2). Fig 1(1). Achilles Tendon - PowerPoint PPT PresentationTRANSCRIPT
ACHILLES TENDON& Plantaris Tendon
Tendinosis, Paratendinosis Haglund’s Deformity
ACHILLES TENDON
PLANTARIS TENDON
PLANTARIS MUSCLE
Fig 1(1) Fig 2(2)
Achilles Tendon Is the large tendon formed by the medial and lateral gastrocnemius muscles and the soleal muscle, inserting onto the Calcaneum.The Achilles tendon provides the power to ‘push off’ when walking or running.
Achilles tendon long and trans-normal ultrasound appearance
Two of the more commonly encountered pathologiesTendinosis and Paratendinitis symptoms and appearances compared.
Tendinosis Paratendinitis
MAY CO-EXIST
Acute- pain, stiffness, limitation daily activities
Pain and swelling
Chronic- absent/moderate pain, induced with exercise +/- nodules
Normal intratendinous structure (when isolated paratendinitis)
Tendon swelling, textural heterogeneity, intratendinous focal hypoechoic areas
Effusion, irregular tendon margins, adhesions, heterogeneous appearance of pre Achilles fat pad.
Demonstrating tendinosis of the Achilles Tendon and a swollen Retro Achilles bursa
Retro Achilles bursitis
Haglund’s Deformity possible cause of Retroachilles swelling/burstis
Haglund’s deformity
bursitis
Medical multimedia groupFig 3(3)
Retrocalcaneal Bursa.Situated between the Achilles tendon and the Calcaneum- pain similar to the presentation of Achilles tendinosis
Retrocalcaneal bursitis
Increased vascularity within Achilles tendon and the retrocalcaneal bursa.
Increased vascularity within the Achilles tendon and retroachilles bursa
Note:- always relax the foot when Using colour so as not to compress the vessels.
Increased vascularity –paratenonperitendinitis
An intact Plantaris tendon can cause a false impression of a partially torn Achilles tendon.Care must be taken to assess the Plantaris Tendon and to be aware that when performing Thompsons’ manoeuver- squeezing the calf to produce plantar flexion of the foot whichindicates an intact Achilles Tendon that the Plantaris tendon may cause plantar flexion of the foot in a ruptured Achilles, leading to a false impression of intact Achilles tendon.
References1. Muscle system pro.III 3d4Medical. Ipad Application.2012 available from www.Apple.com/app 2. Netta. Elsiever. Ipad Application. 2011.available from www.Apple.com/App 3. Medical Multimedia group www.orthi=ogate.org/patient-education/foot