Achilles tendon enthesopathy in ochronosis

Journal of Postgraduate Medicine | January 1, 2006| | Copyright

A 60-year-old man presented with pain in the back of right ankle of 1 year duration. The pain was associated with walking and relieved by rest. He also complained of backache of long duration. On clinical examination his gait was awkward with short stance phase. There was thickening of the tendoachilles with nodularity. There was a palpable gap felt along the course of the tendon 2 cm proximal to the bony insertion, indicating rupture [Figure 1]. He also had smooth kyphosis and reduced movements of the lumbosacral spine. On further examination he had thickening of the pinna bilaterally.

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