Achilles tendinopathy imaging

NewsBot · Oct 19, 2013

Members do not see these Ads. Sign Up.
Achilles tendon: functional anatomy and novel emerging models of imaging classification.
Del Buono A, Chan O, Maffulli N.
Int Orthop. 2013 Apr;37(4):715-21.

PURPOSE:
Ideally, a classification should have some prognostic value, and should therefore include precise information upon extent and location of the Achilles tendon disorders. We propose a new imaging and anatomical system to classify Achilles tendon disorders at imaging using US and MRI.
APPROACH:
We consider the non-insertional region as the tendon mid-portion, and distinguish the insertional component into a pre-insertion site, located about two centimetres above the calcaneum, and a calcaneal insertion, where the tendon is attached to the bone. On sagittal scans, we introduced a new classification which considers two main portions: "musculotendinous" and "insertional". In the context of the muscolotendinous portion, it is possible to find muscle fibres proximally, and the free tendon distally. This latter is made up of proximal, middle and distal portions. We also propose a 5 grade Doppler classification system to quantify blood flow, in which Grades I and II are respectively characterised by the presence of one and two vessels within the tendon; in Grades III, IV and V, the neovascularisation respectively involves less than 50 %, from 50 to 90 %, and more than 90 % of the tendon tissue. These proposed systems will require validation and possible modification to be applied to different tendons.
Click to expand...

Admin2 · Oct 23, 2013

Related Threads:
Ultrasonographic evaluation in plantar fasciitis.
Other threads tagged with diagnostic ultrasound

NewsBot · Jun 1, 2017

Ultrasound characteristics of the mid-portion of the Achilles tendon in runners: a systematic review protocol.
Molyneux P et al
Syst Rev. 2017 May 30;6(1):108. doi: 10.1186/s13643-017-0501-z.

BACKGROUND:
Achilles tendinopathy is one of the most common overuse injuries in recreational and competitive runners, yet the clinical significance and frequency of abnormal sonographic characteristics in runners remains unclear. This paper presents a protocol for a systematic review which aims to assess existing literature which has employed ultrasonography to evaluate characteristics of the mid-portion of the Achilles tendon in runners.
METHODS:
An electronic literature search will be conducted using the following electronic databases: MEDLINE, CINAHL and SPORTDiscus. Studies published in English will be included if they evaluate ultrasound characteristics associated with mid-portion Achilles tendinopathy in runners. Methodological quality will be assessed using a scale adapted from the Newcastle-Ottawa Scale.
DISCUSSION:
This will be the first systematic review to summarise the existing evidence on ultrasound characteristics of the mid-portion of the Achilles tendon in recreational runners.
Click to expand...

NewsBot The Admin that posts the news.

Admin2 Administrator Staff Member

NewsBot The Admin that posts the news.

Outcomes of Achilles tendinopathy

Tendon structure and Achilles tendinopathy symptoms

Clinical Impact of Metabolic Syndrome on Eccentric Exercises Achilles Tendinopathy

Thoracic Spinal Manipulation in Achilles Tendinopathy

Insertional Achilles Tendinopathy

Outcomes for Insertional Achilles Tendinopathy

Domains of Tendon Health to Identify Latent Subgroups of Achilles Tendinopathy

Share This Page