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Abstract In our study, there was total agreement between the results of clinical diagnosis and MRI findings regarding the diagnosis of being partial thickness Achilles tendon tear and complete tear. However MRI added more information in case of partial tears about associated tendinosis and/or peritendinitis and in cases of full thickness tears, it added information about the exact site of tear, gap distance and fraying of torn edges which helped in decision taking for management. MR imaging results were helpful in choosing the line of treatment and follow-up during healing period and allows discrimination of normal from pathological structures and observation of the internal substance of the tendon. Clinical tests were devoid of important details which were essential for choosing the management being operative or conservative, thus MRI is superior to clinical tests in detection and global evaluation of Achilles tendon injuries (Tan and Kudas, 2010). Algorism for AT management according to MRI findings; Figure (21): Algorism for AT management according to MRI findings (Chiodo and Wilson, 2006). |