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| Sag PDFS |
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| Sag T1 arrows shows old healed osteotomy |
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| Cor T2FS |
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| Ax PDFS |
The referrer requested assessement of Achilles (specified "posterior tendon") healing, now 8 months after FHL transfer for Achilles rupture.
In the T1-weighted image you can see a healed calcaneal osteotomy, and there is suture artifact around the distal achilles, related to a more remote Haglund's procedure which pre-dated the complete tendon rupture in the hypovascular zone.
Now 8 months out, there is some intrasubstance bright T2 signal at the anterior insertion of the FHL onto the posterosuperior calcaneus, surrounding a bioabsorbable screw, possibly reaction to the screw degradation.
I am both surprised that the referrer wants to evaluate healing of the native achilles, and that there is persistent bright T2 signal in a >3cm achilles defect so long after the initial injury.
Isn't the FHL now replacing rather than augmenting the achilles in this instance?
Why is it important to assess healing of the achilles defect?
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ReplyDeleteHere's a new comment for testing purposes. Does it show up on the main blog page? Is the thread highlighted (bold) indicating a new comment? (I can't see this since my own comment is not "new" for me.)
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Definitely an extra effort if one needs to scroll down on the main blog page and visually check for new comments to whatever posts (cases) are of interest...
ReplyDeleteI’m viewing this on my phone now. Behrang can correct me if I’m wrong. We only get email notification for new post. I think you would have to check the blog page for comments. It’s a trade off—-most complaints I receive are about the high email volume. Many never complain, but either filter OCAD to Spam or unsubscribe. I see there are google blogger compatible phone apps—does anyone know if they’re worth trying, and which? They’re all $2.99...I don’t want to break the bank!
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