Achilles tendon ossification: Pathology, imaging and aetiology

Abstract

The Achilles tendon usually responds to an insult with the development of mature bone, not dystrophic calcification, with no evidence of inflammatory or degenerative changes.

Achilles Pain, Stiffness, and Muscle Power Deficits: Achilles Tendinitis

“…• Acute Achilles tendon rupture 2,109 • Partial tear of the Achilles tendon 52 • Retrocalcaneal bursitis 47 • Posterior ankle impingement 113 • Irritation or neuroma of the sural nerve 2 • Os trigonum syndrome 80 • Accessory soleus muscle 67 • Achilles tendon ossification 105 • Systemic inflammatory disease 7 • Insertional Achilles tendinopathy Clinicians should consider diagnostic classifications other than Achilles tendinopathy when the patient's reported activity limitations or impairments of body function and structure are not consistent with those presented in the diagnosis/classification section of this guideline, or, when the patient's symptoms are not resolving with interventions aimed at normalization of the patient's impairments of body function.…”

Nonsurgical treatment of a mid-tendon fracture in an extensively mineralized Achilles tendon

“…A recent review article on Achilles tendon mineralization concluded that the tendo Achilles can respond to an insult with the development of mature bone, with no evidence of inflammatory or degenerative changes at the time of biopsy. 4 The etiology most commonly implicated is either a traumatic incident or surgery. 4 Studies have shown the incidence of postoperative mineralization after open tendon repair ranges from 14.4--28%.…”

“…4 The etiology most commonly implicated is either a traumatic incident or surgery. 4 Studies have shown the incidence of postoperative mineralization after open tendon repair ranges from 14.4--28%. 6,7 The development of mineralization has a negative effect on clinical outcome, especially with lesions larger than 10 mm.…”

“…The condition is characterized by a mineralized mass within the tendon and adjacent soft-tissue edema. 3,4 Mineralization can occur either at the insertion of the Achilles tendon into the os calcis or in the main body of the tendon. 5 The exact mechanism for tendinous mineralization is still unclear and a matter of controversy.…”

Ossifying tendinitis of the rotator cuff after arthroscopic excision of calcium deposits: report of two cases and literature review

“…It is usually associated with surgical intervention or trauma [9] and is more commonly seen in the Achilles tendon [10] or following repair of ruptured distal biceps [11]. To our knowledge, there is no description of OT as a complication of calcifying tendinitis of the rotator cuff.…”