Soft-Tissue Radiography, Computed Tomography, and Ultrasonography of Partial Achilles Tendon Ruptures

Kälebo, P.; Goksör, L.-Å.; Swärd, L.; Peterson, L.

doi:10.1080/02841859009173098

Cited by 14 publications

(19 citation statements)

References 9 publications

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“…High-resolution sonography is commonly used in the assessment of Achilles tendons 6,19,[25][26][27] ; however, for accurate diagnosis, it is necessary to have the baseline information of the tendons. Results of this study showed that there was no significant difference in the thickness of Achilles tendons among subjects of different age groups (P > .05); however, the cross-sectional area of the Achilles tendons of older subjects (≥50 years) was significantly greater than that of younger subjects (<50 years) (P < .05).…”

Section: Discussionmentioning

confidence: 99%

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Sonographic Measurement of Achilles Tendons in Asymptomatic Subjects

Pang

Ying

2006

Journal of Ultrasound in Medicine

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Section: Discussionmentioning

confidence: 99%

“…High-resolution sonography is a useful imaging tool for the assessment of Achilles tendons because of its high image quality for accurate assessment and measurement of the tendons. 6,[25][26][27] Moreover, sonography is noninvasive and easily available. It has been reported that sonography has high reliability in measurements of Achilles tendons.…”

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confidence: 99%

Sonographic Measurement of Achilles Tendons in Asymptomatic Subjects

Pang

Ying

2006

Journal of Ultrasound in Medicine

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“…During the last 10 years, ultrasonography (US) (27,28) and magnetic resonance tomography (MRI) (29) have evolved as valuable diagnostic methods. For this purpose, US provides a cost-effective, accurate, objective and reproducible direct image of the tendon (30,31). There is a high correlation between US and surgical findings (30, 3 1).…”

Section: Discussionmentioning

confidence: 99%

“…However, the interpretation of the ultrasonographic findings requires considerable skill and experience (29)(30)(31). We have used US routinely since 1988 (30, 3 1) and have found a good correlation between US findings and those seen during surgery (30,31). Quinn et al (29) have shown the effectiveness of MRI in patients both with chronic conditions and complete tears.…”

Section: Discussionmentioning

confidence: 99%

Long‐term results after surgical management of partial Achilles tendon ruptures

Morberg

Jerre

Swärd

et al. 1997

Scandinavian Med Sci Sports

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Long-term results after surgical management of partial Achilles tendon ruptures. Scand J Med Sci Sports 1997: 7: 299-303. 0 Munksgaard, 1997 Although Achilles tendon injuries are common overuse injuries in sports, the exact incidence is unknown, primarily as a result of varying definitions and diagnoses of the underlying pathological changes. Despite numerous studies of treatment of the Achilles tendon injuries, the longterm results are not well known. The results after surgical treatment of chronic partial Achilles tendon ruptures in 64 patients with a follow-up of 6 (1.5-1 1) years were evaluated in a retrospective study. The ruptures were divided into three groups: (I) proximal (more than 3 cm above the calcaneus), (11) distal and (111) combined (proximal and distal). All patients underwent an operation involving the excision of the devitalized tendon tissue and, in groups (11) and (Ill), also the excision of the deep Achilles bursa and removal of the dorsal corner of the calcaneus. The functional results were satisfactory in 43 (67%) patients and unsatisfactory in 21 (33%). The results were better in patients with proximal ruptures than in patients with either distal or combined ruptures. Males experienced better results than females. Post-operative immobilization in a plaster cast had no significant influence on the final result. Nine (14%) patients with either a distal or a combined rupture were re-operated on and in seven of them the final result was satisfactory. The conclusion of this study is that partial Achilles tendon ruptures are often difficult to treat and only two out of three patients can be expected to obtain satisfactory re-

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“…Achilles tendinopathies are sometimes complicated by the presence of a partial tear 10 . On ultrasound, partial tears present with discontinuity of tendon fibres, focal hypoechoic areas and localised swelling, with the commonest position of tears identified as 3-4 cm above the superior calcaneus 11,12 . A recent study showed that a partial tear was most likely to be a disrupted dorsal tendon (skin side), associated with neo-vascularisation and located in the posterior midtendon 13 .…”

Section: Introductionmentioning

confidence: 99%

Conservative, minimally invasive and open surgical repair for management of acute ruptures of the Achilles tendon: a clinical and functional retrospective study

Maffulli

Buono

Richards

et al. 2019

Muscle Ligaments and Tendons J

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Background: Achillodynia is common and includes Achilles tendinopathy, partial Achilles tears and Achilles tendon ruptures. However, we believe an additional pathology should be considered for Achillodynia differentials -the intratendinous tear (ITT). Methods: Examinations of 740 achillodynic patients in one specialist centre were reviewed. ITTs were defined as a clearly visualised echopoor area situated centrally and extending to, but not through the tendon periphery, with pain on palpation and no clinical findings consistent with Achilles rupture. Descriptive statistics were used to analyse differences between pathological sub-groups, and images described qualitatively. Results: 5% (29 males, 8 females) of 740 patients had an ITT. Patients typically presented with a history of sudden onset localised pain and the ability to train but not reach maximal loading. Average age was 36. 3 years (range 20-64), significantly lower than mid-tendon tendinopathy (8.48 years; p<0.01). 92% had concurrent Achilles tendinopathy. Elite sportspeople were more highly represented in the ITT than mid-tendon tendi nopathy groups (86.2% ITT group vs 13.8% mid-tendon AT group; p<0.01). Conclusions: ITTs should be actively searched for in patients with Achilles pathology, especially in elite male athletes with a history of high-impact pain. Prospective research is warranted concerning diagnosis and management. Level of evidence: IV.

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Soft-Tissue Radiography, Computed Tomography, and Ultrasonography of Partial Achilles Tendon Ruptures

Cited by 14 publications

References 9 publications

Sonographic Measurement of Achilles Tendons in Asymptomatic Subjects

Sonographic Measurement of Achilles Tendons in Asymptomatic Subjects

Long‐term results after surgical management of partial Achilles tendon ruptures

Conservative, minimally invasive and open surgical repair for management of acute ruptures of the Achilles tendon: a clinical and functional retrospective study

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