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Giant calcific insertional Achilles tendinopathy with Haglund's deformity following childhood tendon lengthening: a rare case report.


ABSTRACT:

Background

Calcific insertional Achilles tendinopathy (CIAT) is a rare and challenging condition characterized by calcium hydroxyapatite deposition at the Achilles tendon's calcaneal insertion. While typically affecting older individuals, its occurrence in younger patients is uncommon, particularly with large calcific lesions.

Case presentation

We report a rare case of a 36-year-old male presenting with progressive left Achilles tendon insertional pain and swelling. The patient had a history of Achilles tendon lengthening surgery in childhood. Imaging revealed large, multifocal calcific deposits within the tendon. Surgical intervention involved a posterior midline longitudinal approach with complete debridement of calcified lesions, Haglund deformity resection, and flexor ha

SUBMITTER: Li Z 

PROVIDER: S-EPMC12661871 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature