Achilles Tendon Rupture

Stickles, Sean P.; Friedman, Larry S.; Demarest, Michael; Raio, Christopher

doi:10.5811/westjem.2014.10.24127

Cited by 10 publications

(11 citation statements)

References 7 publications

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“…Anisotropy occurs when the transducer is not perpendicular to the tendon fibers and makes the tendon appear hypoechoic. 6,10,11 When the tendon appears hypoechoic, it can mimic pathology or injury. 6,10,11 To avoid this pitfall, the technologist can angle the transducer back and forth to ensure that the hypoechoic area goes away when the transducer is perpendicular to the tendon.…”

Section: Discussionmentioning

confidence: 99%

Full Thickness Achilles Tendon Tears: Two Case Studies

Carrigan

2022

Journal of Diagnostic Medical Sonography

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The Achilles tendon is the largest and strongest tendon in the body. With increasing age and repetitive use, the Achilles tendon is more prone to injury, ranging from a mild injury to a full thickness tear. Achilles tendon injuries are one of the most common sporting injuries, and sonography may be the first imaging modality used to diagnose. Technologists must be familiar and able to recognize partial and full thickness tendon tears to assist in accurately diagnosing these injuries. Both the case studies provided demonstrate patients involved in sporting activities that resulted in complete Achilles tendon ruptures.

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Section: Discussionmentioning

confidence: 99%

Full Thickness Achilles Tendon Tears: Two Case Studies

Carrigan

2022

Journal of Diagnostic Medical Sonography

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“…Pointof-care ultrasound allows for immediate results by visualizing real-time motion and dynamics of injured soft tissues with sensitivities .94-1.00 reported [3][4][6][7]. The clinical utility of ultrasound in Achilles tendon injuries has been previously demonstrated [10][11][12][13]. This encounter addresses the importance of point-ofcare ultrasound in patients with an inconclusive physical exam limited by body habitus and acute pain.…”

Section: Discussionmentioning

confidence: 99%

A Step in the Right Direction: Point-of-Care Ultrasound as an Evaluation Tool of Achilles Tendon Injuries in the Emergency Department

Silvers

Lowe

Cortez

2020

Cureus

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This report describes the diagnosis of an Achilles tendon tear in a female patient with an inconclusive physical exam, which was limited by the patient's body habitus. Expedient use of point-of-care ultrasound supported the diagnosis of an Achilles tear with findings of a tendinous defect, fibrous stranding, and surrounding anechoic fluid, suggestive of localized hemorrhage. The patient was splinted in plantar flexion and had prompt orthopedic referral with MRI that verified Achilles tear.

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“…The advantages of US include its wide availability, portability, safety, and favorable time and cost factors. Several case studies have shown point-of-care US (POCUS) to be useful in the acute setting for diagnosing an ATR [ 6 ]. There are few studies evaluating the use of cadaver models for POCUS education.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Hands-On Versus Online Learning in Teaching Ultrasound Skills for Achilles Tendon Rupture: A Pilot Study

Das¹,

Kapoor²,

Brown³

et al. 2020

Cureus

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In the emergency department, the diagnosis of an Achilles tendon rupture (ATR) is reportedly missed in greater than 20% of cases. A limited number of studies evaluate the use of cadaver models as a potential ultrasound teaching and training modality. We hypothesize that emergency medicine residents can effectively utilize point-of-care ultrasound (POCUS) on cadaver models and a focused teaching intervention to assess their ability to detect ATRs. Methods A prospective study of 23 EM residents was performed. All participants in the study were divided into two learner groups: (a) independent and (b) hands-on. The independent learner group received a 30-minute online didactic lecture demonstrating how to diagnose ATRs. The hands-on learner group received direct instruction on cadaver lower leg models with a ruptured and normal Achilles tendon (AT). Both groups then participated in identifying either normal or ruptured ATs on six cadaver lower leg models. Results The sensitivity and specificity were 89% and 82% in the independent learner group 96% and 100% in the hands-on learner group, respectively. The overall sensitivity and specificity were 91% and 88%, respectively. There was a trend toward successful identification with increased years of residency training. Conclusions In this study, lower leg and ankle cadaver models were found to be as effective as an independent learner model for potential POCUS teaching and training modality in both novice and more advanced trainees.

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Achilles Tendon Rupture

Cited by 10 publications

References 7 publications

Full Thickness Achilles Tendon Tears: Two Case Studies

Full Thickness Achilles Tendon Tears: Two Case Studies

A Step in the Right Direction: Point-of-Care Ultrasound as an Evaluation Tool of Achilles Tendon Injuries in the Emergency Department

Comparison of Hands-On Versus Online Learning in Teaching Ultrasound Skills for Achilles Tendon Rupture: A Pilot Study

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