Can sonography predict the outcome in patients with Achillodynia?

Archambault, Joanne; Wiley, J. Preston; Bray, Robert C.; Verhoef, MJ; Wiseman, David; Elliott, P. D.

doi:10.1002/(sici)1097-0096(199809)26:7<335::aid-jcu1>3.0.co;2-a

Cited by 94 publications

(66 citation statements)

References 17 publications

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“…A simple grading system has been devised for tendinopathy: grade 1 represents a normal tendon; grade 2 an enlarged tendon; and grade 3 a tendon containing a hypoechoic area. 33 Hypoechoic areas can be nodular, diffuse or multifocal, and correlate well with macroscopic findings at surgery. MRI provides extensive information on the internal morphology of tendon and the surrounding structures, and is useful to evaluate various stages of chronic degeneration and for differentiation between peritendinitis and tendinosis.…”

Section: Imaging Methodsmentioning

confidence: 77%

Achilles tendinopathy: aetiology and management

Maffulli

Sharma

Luscombe

2004

JRSM

221

120

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Section: Imaging Methodsmentioning

confidence: 77%

Achilles tendinopathy: aetiology and management

Maffulli

Sharma

Luscombe

2004

JRSM

221

120

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“…Furthermore, baseline US findings did not predict the 12-month clinical outcome. Some correlation between the severity of US findings and predictions of recovery has been shown in a retrospective study (Archambault et al, 1998). Abnormalities seen on US in asymptomatic Achilles tendons were related to a 45% risk of developing symptoms (Fredberg and Bolvig, 2002).…”

Section: Imaging Methodsmentioning

confidence: 88%

Iontophoresis with or without dexamethazone in the treatment of acute Achilles tendon pain

Neeter

Thomeé

Silbernagel

et al. 2003

Scandinavian Med Sci Sports

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The purpose of this double‐blind study was to evaluate the effects of iontophoresis with dexamethazone to iontophoresis with saline solution on patients who had acute (less than 3 months) pain from the Achilles tendon, in terms of range of motion, muscular endurance, pain and symptoms. Twenty‐five patients (15 men and 10 women), aged between 18 and 76 years (mean = 38), were evaluated before and after 2 weeks of treatment with iontophoresis, as well as after 6 weeks, 3 and 6 months and 1 year. Two groups were treated for 2 weeks with iontophoresis for each treatment. Three ml of dexamethazone were used for the experiment group (n = 14) and 3 ml of saline solution for the control group (n = 11). Both groups then followed the same rehabilitation programme for 10 weeks. Good reliability was found for the toe‐raise and range of motion tests. Poor reliability was, however, found for the pain on palpation test, which was therefore excluded. No difference was found between or within groups for the toe‐raise test. Several significant improvements were seen in the experiment group but not in the control group, in the range of motion test, pain during and after physical activity, pain during walking and walking up and down stairs, morning stiffness and tendon swelling. Even though the small sample size limits the possibilities to draw definite conclusions, we conclude from the present study, using a double‐blind, randomised approach and a 1‐year follow‐up period, that positive effects from using iontophoresis with dexamethazone were found in the treatment of patients with acute Achilles tendon pain.

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“…Runners with VISA-A scores less than 80 were also considered symptomatic [20]. The B-mode US (hypoechogenicities) and SE changes that were evident in both the longitudinal and transverse planes (with dimension measured more than 1 mm in either planes) were documented and graded according to previously validated criteria listed in Table 1 [14,21,22]. Grades 2 and 3 were defined as pathologic tendons for all imaging modes.…”

Section: Outcome Measuresmentioning

confidence: 99%