case_images: PMC10694234_01
case_images: MRI images of the patient's Achilles tendon. Mid-sagittal view using T1-weighted imaging (left) and sagittal view using PD-FS imaging (right).
case_images: fsurg-10-1233502-g001.jpg
case_images: PMC10694234_01_fsurg-10-1233502-g001.jpg
case_images: F1
case_images: The Figure 1 shows two different MRI images of the patient's AT.
case_images: Ultrasonography images of the patient's AT after the first surgery. The sagittal image (left) shows an increase in mucoid and fluid content, indicating post-operative inflammation. The transverse image (right) displays fluid accumulation surrounding the AT, with bright spots enhancing the image.
case_images: fsurg-10-1233502-g002.jpg
case_images: PMC10694234_01_fsurg-10-1233502-g002.jpg
case_images: F2
case_images: However, post-operative ultrasonography (US) imaging revealed some local swelling and a small amount of effusion with enhanced bright spots Figure 2.
case_images: Illustration of the second operation (left), transosseous fixation (middle) and the resulted MRI image (right).
case_images: fsurg-10-1233502-g003.jpg
case_images: PMC10694234_01_fsurg-10-1233502-g003.jpg
case_images: F3
case_images: The wound was closed layer by layer to prevent skin tension, and a hemovac was used to drain tissue fluid. Temporary p-p splint fixation was applied, and the procedure was successfully completed without any immediate complications (Figure 3, left and middle). The T2-weighted coronal image showed a hypointense signal in the bone (Figure 3, right).