Achilles tendinitis associated with fluoroquinolones.

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Abstract

[Indexed for MEDLINE] 20. J Foot Ankle Surg. 2017 May-Jun;56(3):555-563. doi: 10.1053/j.jfas.2017.01.024. Epub 2017 Feb 28. Achilles Impingement Tendinopathy on Magnetic Resonance Imaging. Bullock MJ(1), Mourelatos J(2), Mar A(3). Author information: (1)Surgeon, Saginaw Valley Bone and Joint Center, Saginaw, MI. Electronic address: markbullockdpm@gmail.com. (2)Doctor, Eastpointe Radiologists, PC, Grosse Pointe Woods, MI. (3)Research Assistant, St. John Hospital and Medical Center, Detroit, MI. Haglund's syndrome is impingement of the retrocalcaneal bursa and Achilles tendon caused by a prominence of the posterosuperior calcaneus. Radiographic measurements are not sensitive or specific for diagnosing Haglund's deformity. Localization of a bone deformity and tendinopathy in the same sagittal section of a magnetic resonance imaging scan can assist with the diagnosis in equivocal cases. The aim of the present cross-sectional study was to determine the prevalence of Haglund's syndrome in patients presenting with Achilles tendinopathy and note any associated findings to determine the criteria for a diagnosis of Haglund's syndrome. We reviewed 40 magnetic resonance imaging scans with Achilles tendinopathy and 19 magnetic resonance imaging scans with Achilles high-grade tears and/or ruptures. Achilles tendinopathy was often in close proximity to the superior aspect of the calcaneal tuberosity, consistent with impingement (67.5%). Patients with Achilles impingement tendinopathy were more often female (p