Michael Shilton

Many thanks Steve, the patient was certainly reporting more tenderness proximally which supports your thoughts on MTJ.
For my learning I’ve got a couple of questions.
I’ve attached a few more long axis views and although there was some extra blood flow in the soft tissue oedema there was none in and around the Achilles which surprised me given the extent of the tear. Is this because of the 8 week passage of time do you think?
Also I realise I’m not as secure as I thought with the anatomy/location of the soleus, when I see a long axis collagen pattern I thought that was Achilles but in this case it’s so thick can soleus appear like this too? Am I right in thinking soleus doesn’t have a a tendon as such of its own rather it attaches to the Achilles throughout its length? Thanks, Mike

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