Prognostic Value of Achilles Tendon Doppler Sonography in Asymptomatic Runners

Hirschmüller, Anja; Frey, V.; Konstantinidis, Lukas; Baur, Heiner; Dickhuth, Hans-Hermann; Südkamp, Norbert P.; Helwig, Peter

doi:10.1249/mss.0b013e31822b7318

Cited by 86 publications

(128 citation statements)

References 38 publications

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“…In relation to the participant characteristics, all but 1 of the 17 included studies were carried out within sporting populations. Specifically, five involved volleyball,35 38 39 41 44 two involved basketball,16 36 three involved soccer players,14 42 45 one involved fencing,12 one involved badminton,46 one involved ballet dancers,10 two involved running15 43 and one involved various sporting populations 37. The remaining study16 was performed on participants from the general population referred to a sports medicine centre.…”

Section: Resultsmentioning

confidence: 99%

Can ultrasound imaging predict the development of Achilles and patellar tendinopathy? A systematic review and meta-analysis

et al. 2016

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Section: Resultsmentioning

confidence: 99%

Can ultrasound imaging predict the development of Achilles and patellar tendinopathy? A systematic review and meta-analysis

et al. 2016

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“…Hirschmuller et al 23 examined the achilles tendons in 634 asymptomatic runners, and found that only neovascularity was a risk factor for symptom development.…”

Section: Discussionmentioning

confidence: 99%

The prevalence and clinical significance of sonographic tendon abnormalities in asymptomatic ballet dancers: a 24-month longitudinal study

et al. 2012

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The presence of sonographic abnormalities is common in ballet dancers, but only the presence of focal hypoechoic changes predicts the development of future tendon-related disability. This suggests that screening of asymptomatic individuals may be of use in identifying those who are at higher risk of developing tendon-related disability, which may in turn allow targeted modifications of training or other preventative regimens.

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“…Abnormal imaging has been reported in various tendons in as many as 59% of asymptomatic individuals. 8,14,34,37,41,48,52 This reflects the complex nature, and our limited understanding, of tendon pain. Tendon pain is not solely driven by local tissue changes, yet there is likely to be an interaction between the local tissue and the peripheral and central nervous system.…”

Section: Can Imaging Predict the Onset Of Pain Or Clinical Outcome?mentioning

confidence: 99%

Tendinopathy: Is Imaging Telling Us the Entire Story?

Docking¹,

Ooi²,

Connell³

2015

Journal of Orthopaedic & Sports Physical Therapy

149

132

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Synopsis Tendinopathy is frequently associated with structural disorganization within the tendon. As such, the clinical use of ultrasound and magnetic resonance imaging for tendinopathy has been the focus of numerous academic studies and clinical discussions. However, similar to other musculoskeletal conditions (osteoarthritis and intervertebral disc degeneration), there is no direct link between tendon structural disorganization and clinical symptoms, with findings on imaging potentially creating a confusing clinical picture. While imaging shows the presence and extent of structural changes within the tendon, the clinical interpretation of the images requires context in regard to the features of pain and the aggravating loads. This review will critically evaluate studies that have investigated the accuracy and sensitivity of imaging in the detection of clinical tendinopathy and the methodological issues associated with these studies (subject selection, lack of a robust gold standard, reliance on subjective measures). The advent of new imaging modalities allowing for the quantification of tendon structure or mechanical properties has allowed new critical insight into tendon pathology. A strength of these novel modalities is the ability to quantify properties of the tendon. Research utilizing ultrasound tissue characterization and sonoelastography will be discussed. This narrative review will also attempt to synthesize current research on whether imaging can predict the onset of pain or clinical outcome, the role of monitoring tendon structure during rehabilitation (ie, does tendon structure need to improve to get a positive clinical outcome?), and future directions for research, and to propose the clinical role of imaging in tendinopathy. J Orthop Sports Phys Ther 2015;45(11):842–852. Epub 21 Sep 2015. doi:10.2519/jospt.2015.5880

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Prognostic Value of Achilles Tendon Doppler Sonography in Asymptomatic Runners

Cited by 86 publications

References 38 publications

Can ultrasound imaging predict the development of Achilles and patellar tendinopathy? A systematic review and meta-analysis

Can ultrasound imaging predict the development of Achilles and patellar tendinopathy? A systematic review and meta-analysis

The prevalence and clinical significance of sonographic tendon abnormalities in asymptomatic ballet dancers: a 24-month longitudinal study

Tendinopathy: Is Imaging Telling Us the Entire Story?

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