to scan the achilla tendon and calf muscles the patient is still in prone position with the foot in a relative dorsy flexion so placing the transducer on the calanus we can see the ccanal bone right here with already the fibers inserting to the calcaneus please observe the uh thickness of the ailla standon uh that you can see clearly the FI pattern and also that the bone is re SL the transducer from medial to lateral in order to have every fiber visualized in this zone right here at the end of the calcaneus uh underneath the achillis tendon there is the Bersa this is the retr calcal Bersa sometimes you might find some physiological fluid uh so that wouldn't be a problem what would be pathological is that you see a large affusion so we can see the thickness of the aillis tendon right here and following the aillis tendon to proxel then you will see underneath the ker fat pad so this is Ker's fat pad and here we can see the flexer hes muscle so if I would wiggle her uh big toe first toe then you can indeed see that that is the flexor holist muscle uh sliding more towards uh proximal um we can see that at one point the K fat pet is becoming smaller and ends right here the achillis tendon is becoming thinner right there and this is the Zone also where we can see this dark muscle right here this is a Solus muscle flowing inserting into the aillis tendon and once again underneath the large flexor holus muscle now moving and then we can follow the Solus and the gastrus up in roses to proximal so this would be the Solus muscle and this is the gastrus up in roses and at one point uh when we are doing this then you can see that now here there will be a muscle becoming larger and this is the gastrus muscle so once again uh Solus muscle and then we can see now the fibers of the medial gastr muscle inserting right here in this apium layer this is the muscular tendonous Junction of the gastrus spot where lots of muscle tearing is involved and then it flows right into the gastrus osis again um and of course the same thing can also be done to the lateral gastrus so let's go to the lateral side and then at one point we will also see the gastr the lateral gastr muscles right there so going back to the insertion of the eist tendon so Solus muscle inserting into the achillis tendon and in the end also inserting right here in the calcal bone uh we're going to move the transducer to uh short access VI and then uh we can see the Eulis sendon also in short AIS so first scanning the ccanal bone with on top of it we can see the uh the achillis tendon and U yeah on either side you will have air so you cannot avoid that uh so make sure that you have a nice oval appearance of the achiles sendon in screen so this is the oval appearance in cross-section in transverse view so look at the echogenicity of the tendon look at the thickness of the tendon maybe also the cross-section of the tendon and follow the tendon towards proximal at one point you will see that the Solus muscle is going to start right here so this is the Solus muscle so now going back you see that it is um disappearing again so this is again the muscular tendonous Junction from the uh yeah Solus muscle and achillus tendon to Solus muscle and the medial gastr um nemus up in roses
