Case: Lower limb radiograph #55092349
Lower limb Beginner
Read this radiograph systematically before revealing the answer. What is the main abnormality?
Tip: scroll or pinch to zoom, drag to pan, and try Invert.
Answer: Calcaneal spur
What to look for in calcaneal spur
- A bony projection from the calcaneus: plantar (at the plantar fascia origin) or posterior (at the Achilles insertion).
- Well corticated, with no fracture line.
- Common and often asymptomatic.
Description by the image author (may be in another language): Calcification deposits forming an enthesophyte within the Achilles tendon at its calcaneal insertion, in a 68 year old woman with pain and swelling by the heel, further pointing to the diagnosis of Achilles tendinitis . The Achilles tendon (seen as somewhat brighter than the surrounding soft tissue in this X-ray presentation) is wider than normal, further suggesting inflammation. There is also an
Educational case. The diagnosis comes from the image's documented source; the "what to look for" list describes the condition in general and is not a report of this individual image.
