Sonoelastography of the Achilles Tendon

Ooi, Chin-Chin; Schneider, Michal; Malliaras, Peter; Jones, Donna; Saunders, Steve; McMahon, Andrew P.; Connell, David

doi:10.1097/jsm.0000000000000265

Cited by 26 publications

(16 citation statements)

References 32 publications

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“…Coombes et al described that a low Achilles V s is correlated with higher age, self-reported pain and disability over the preceding week, and with decreased loading capacity of the Achilles tendon [ 53 ]. Studies in athletes demonstrated that tendon softening may predict pain and tendinopathy [ 38 , 69 – 71 ]. Using conventional US, Fredberg et al identified athletes with the greatest risk of developing tendon disorders [ 72 ].…”

Section: Resultsmentioning

confidence: 99%

Ultrasound elastography: compression elastography and shear-wave elastography in the assessment of tendon injury

et al. 2018

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Ultrasound elastography (USE) is a recent technology that has experienced major developments in the past two decades. The assessment of the main mechanical properties of tissues can be made with this technology by characterisation of their response to stress. This article reviews the two major techniques used in musculoskeletal elastography, compression elastography (CE) and shear-wave elastography (SWE), and evaluates the studies published on major electronic databases that use both techniques in the context of tendon pathology. CE accounts for more studies than SWE. The mechanical properties of tendons, particularly their stiffness, may be altered in the presence of tendon injury. CE and SWE have already been used for the assessment of Achilles tendons, patellar tendon, quadriceps tendon, epicondylar tendons and rotator cuff tendons and muscles. Achilles tendinopathy is the most studied tendon injury with USE, including the postoperative period after surgical repair of Achilles rupture tendon. In relation to conventional ultrasound (US), USE potentially increases the sensitivity and diagnostic accuracy in tendinopathy, and can detect pathological changes before they are visible in conventional US imaging. Several technical limitations are recognised, and standardisation is necessary to ensure repeatability and comparability of the results when using these techniques. Still, USE is a promising technique under development and may be used not only to promote an early diagnosis, but also to identify the risk of injury and to support the evaluation of rehabilitation interventions.Key Points• USE is used for the assessment of the mechanical properties of tissues, including the tendons.• USE increases diagnostic performance when coupled to conventional US imaging modalities.• USE will be useful in early diagnosis, tracking outcomes and monitoring treatments of tendon injury.• Technical issues and lack of standardisation limits USE use in the assessment of tendon injury.

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Section: Resultsmentioning

confidence: 99%

Ultrasound elastography: compression elastography and shear-wave elastography in the assessment of tendon injury

et al. 2018

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“…On the other hand, Ooi et al noted a large number of tendon abnormalities (22/42 players with abnormality at baseline) in a group of Australian rules football players. 21 Patients with baseline Achilles tendon abnormality were more likely to develop Achilles symptoms. Finally, McAuliffe performed a meta-analysis, pooling available data.…”

Section: Discussionmentioning

confidence: 97%

Prevalence of Asymptomatic Achilles Tendinosis

et al. 2018

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“…The authors of this study concluded that SE could be useful in identifying early tendon degeneration [52] . In a study of asymptomatic football players at baseline, preseason softening of the Achilles tendon on SE was found to be a significant predictor for the development of symptoms postseason [51] . Ooi et al replicated similar findings in marathon runners who demonstrated softening within the Achilles tendon after a marathon run, suggesting that softening is a subclinical finding that might predict at-risk tendon [50] .…”

Section: Ue Technology and Tendon-specific Basic Knowledgementioning

confidence: 94%

“…UE has been used to predict at-risk Achilles tendons in athletes such as volleyball players, soccer players and marathon runners [50] , [51] , [52] . In a study of 21 asymptomatic professional volleyball players, Balaban et al found the majority of athletes (26 of 42) to have intermediate and soft tissue on SE at the middle third of the tendon, which was different from a matched cohort of healthy volunteers who predominantly (40 of 42) had hard tissue [52] .…”

Section: Ue Technology and Tendon-specific Basic Knowledgementioning

confidence: 99%

Ultrasound elastography and ultrasound tissue characterisation for tendon evaluation

Washburn

Onishi

Wang

2018

Journal of Orthopaedic Translation

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Ultrasound elastography (UE) and ultrasound tissue characterisation (UTC) are two newer modes of ultrasound (US) which have begun to attract scientific interests as ways to improve tendon characterisation. These modes of US show early promise in improved diagnostic accuracy, prediction of at-risk tendons and prognostication capability beyond conventional grey-scale US. Here, we provide a review of the literature on UE and UTC for Achilles, patellar and rotator cuff tendons.The translational potential of this article: The present literature indicates that UE and UTC could potentially increase the clinician's ability to accurately diagnose the extent of tendon pathology, including preclinical injury.

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Sonoelastography of the Achilles Tendon

Abstract: Conventional ultrasound supplement with sonoelastography may be able to identify elite athletes at risk of Achilles tendon injury, which may, in turn, impact therapeutic decisions.

Cited by 26 publications

References 32 publications

Ultrasound elastography: compression elastography and shear-wave elastography in the assessment of tendon injury

Ultrasound elastography: compression elastography and shear-wave elastography in the assessment of tendon injury

Prevalence of Asymptomatic Achilles Tendinosis

Ultrasound elastography and ultrasound tissue characterisation for tendon evaluation

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