INTRODUCTION
Achilles tendon disorders are among the more frequent maladies encountered in sports medicine. They are commonly associated with overuse injuries and can affect the quality of movement leading to thickening, vascularization, and hypoechogenicity of the diseased tendon.

There are various types of overuse tendon injuries include tendinopathies, peri tendinitis, and tendon rupture. Increased tendon thickness is the most mentioned indicator of tendinopathies.

The US performed has become increasingly important in the assessment of ligaments and tendons around the ankle because it is low cost, fast, readily available.
AIM OF THE WORK
The aim of the work was to assess the role of ultrasound imaging in the evaluation of tendon Achilles lesions

PATIENTS
The study was conducted on 30 patients with Tendo Achilles lesions referred to Radiology Department of Alexandria University Main Hospital, during the period from January 2020 to January 2021.

METHODS
All patients that fulfill the inclusion criteria were subjected to Full history taking, Clinical examination, Ultrasonographic examination, including resting axial and sagittal planed superficial high-frequency transducer probe examined series, and further Dynamic state examination, and Plain digital radio-graph and MRI examination of the Ankle joint when ever clinically indicated.