Delayed keloid lesion after endoscopic surgery of the Achilles tendon.

A case history of a 32-year-old female Olympic pole vaulter is reported. Two months after endoscopic surgery for chronic Achilles tendinopathy, she developed a keloid lesion on the hindfoot area. She was treated with corticosteroids, topical and intralesional injections. A satisfactory result was obtained, and the athlete was able to resume her competitive activity at 5 months after surgery. Keloid pathogenesis, treatment, and prevention are briefly discussed.