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

Auliffe, Seán Mc; McCreesh, Karen; Culloty, Fiona; Purtill, Helen; O’Sullivan, Kieran

doi:10.1136/bjsports-2016-096288

Cited by 151 publications

(153 citation statements)

References 72 publications

(103 reference statements)

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“…This percentage and the relative risk of 3.89 are in agreement with the results of previous studies 22 indicating that the ultrasonographic structural changes in asymptomatic subjects may represent markers of an early presymptomatic pathology. However, a frequently cited criticism of ultrasound findings is their poor reliability.…”

Section: Discussionsupporting

confidence: 91%

“…However, a frequently cited criticism of ultrasound findings is their poor reliability. For instance, ultrasonography is perceived to have a high risk of error when evaluating tendon thickness and CSA 22,23 . Moreover, the qualitative assessment of Achilles and patellar tendon echogenicity showed poor to moderate inter-observer agreement 16 .…”

Section: Discussionmentioning

confidence: 99%

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Quantitative analysis of patellar tendon size and structure in asymptomatic professional players: sonographic study

Giacchino

Caresio

Gorji

et al. 2017

MLTJ

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SummaryBackground: Ultrasonographic abnormalities of the patellar tendon frequently occur in asymptomatic athletes and it is not always clear whether they precede (and may predict) the development of tendinopathy. Objective: This study aimed to investigate by ultrasonography the prevalence of patellar tendon abnormalities in players of "pallapugno" and to establish whether structural tendon abnormalities predict tendinopathy development. Methods: Ultrasound B-mode images of the patellar tendon of both sides were acquired in fourteen throwers. Qualitative assessments of tendon structure and neovascularization and quantitative assessments of tendon thickness, cross sectional area (CSA), and echo-intensity were performed. Results: Qualitative assessments showed a subclinical tendinopathy of the non-dominant tendon in 5 out of 14 throwers (35% of cases), while quantitative assessments showed abnormalities of the nondominant tendon in 8 out of 14 players (57% of cases). Echo-intensity and CSA were the quantitative variables most discriminant between asymptomatic players without structural tendon abnormalities and those with tendon abnormalities. Two players (2 out of 8 cases: 25%) developed a clinical tendinopathy after a follow-up of six months. Conclusion: The prevalence of subclinical tendinopathy in the non-dominant patellar tendon of throwers was high. Patellar tendon abnormalities at baseline seem to increase the risk of development of subsequent patellar tendinopathy. Level of evidence: II b (individual cohort study).

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Quantitative analysis of patellar tendon size and structure in asymptomatic professional players: sonographic study

Giacchino

Caresio

Gorji

et al. 2017

MLTJ

View full text Add to dashboard Cite

show abstract

“…In the UK, the National Institute of Health Care Excellence (NICE) recommended that imaging should only be conducted in specialist care and only if it is likely to alter management (i.e., suspected serious sinister pathology) for low back pain and sciatica in over 16s (NG59) [10]. That said, a meta-analysis of studies of using ultrasound imaging of tendon abnormalities in asymptomatic pain free sports people was predictive of future tendinopathy suggesting that imaging may help predict at risk of future problems [11].…”

Section: Introductionmentioning

confidence: 99%

Trauma and Pain: A Fragile Link

Johnson¹

2017

J Trauma Treat

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There is a commonly held belief that the relationship between trauma and pain is strong. The more severe the trauma the more severe the pain. This short commentary demonstrates the fragility of the relationship between trauma and pain and suggests that healthcare professionals should not think of pain in terms of single causes or cures but should treat the person in pain with personalized pain management.

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“…McAuliffe 200 indicó que pese a que se encontró un gran porcentaje de población deportista asintomática con anomalías en el tendón con áreas hipoecoicas, aumentos del grosor del tendón y neovascularización, estas anomalías encontradas en las imágenes por US eran predictivas del desarrollo de tendinopatía aquilea o patelar de manera moderada en el futuro. Los pacientes con estas imágenes tenían casi 5 veces más riesgo de desarrollar una tendinopatía.…”

Section: • Presentación Clínicaunclassified

“…Por otra parte, debe tenerse en cuenta el punto de vista biopsicosocial en el que actualmente tanto se hace hincapié. El estilo de vida, el aspecto emocional, la personalidad, el rol en el equipo, la situación del equipo y el estrés entre otros son factores que sin ninguna duda juegan un papel fundamental en el sistema nervioso central del sujeto y que influyen en la sintomatología y el dolor 200 .…”

Section: Fuente: Elaboración Propiaunclassified

Relación entre estructura del pie y características del ligamento rotuliano en jugadores de voleibol

Gonell¹,

Valeriano²

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TÍTULO:RELACIÓN A mi mujer, Rosana y mi hija, Judith, por aguantarme y por saberme perdonar un tiempo que jamás podré devolverles.A mis padres y a mis hermanos por su colaboración en este estudio, a los primeros por estar siempre ahí, como no podía ser de otra manera, apoyándome en cualquiera que fuera mi objetivo sin poner la más mínima traba y a los segundos por considerarlos co-autores de este trabajo por sus colaboraciones artísticas.A Fermín Valera y Francisco Minaya por infundirme el concepto de la fisioterapia invasiva y de la ecografía musculoesquelética.A Pablo Herrera por abrirme las puertas del voleibol y darme la oportunidad de conocer un deporte que, aunque minoritario y pobre materialmente, es rico en humanidad.A todos los jugadores/as de voleibol que me han dejado su cuerpo, por su paciencia y por saber aguantar mi insistencia.A Manuel Camarasa por su ayuda y con quien espero que sigamos con proyectos en común que nos guíen hacia nuevos conocimientos y mejora en nuestra profesión. Resultados y conclusiones. Los sujetos con valores negativos en el test IPP en el pie izquierdo experimentaron un menor riesgo de afectación del tendón. No se detectó ningún tipo de relación entre el rango de dorsiflexión del tobillo y la imagen ecográfica del tendón rotuliano. Los sujetos con puntuaciones bajas en escala VISA-P o mayores puntuaciones en EAV tenían más riesgo de imagen ecográfica alterada. El diámetro antero-posterior del tendón rotuliano, la afectación y/o rotura de los haces de colágeno junto con la vascularización se asociaron con el dolor anterior de rodilla.Palabras clave: Ligamento Rotuliano, Ultrasonografía, Lesiones en Deportes, Factores de Riesgo, Pie, Pronación, Supinación, Voleibol. 10 ABSTRACTIntroduction. Injury sports prevention has been the aim of study due to its relevance in player's life and inability to participate in their sports commitments.Moreover, the increase of sport's requirement makes injury's study an interesting issue for investigation in sport discipline. From physiotherapy can contribute to the decrease of its incidence either from prevention programs or from detection of possible subjects at risk of injury.Objectives. To identify characteristics of the individuals and their sport activity Tabla 10b.-Diámetro antero-posterior a 10mm inferior a polo inferior de la rótula.V. relacionadas con la actividad deportiva. 98Tabla 10c.-Diámetro antero-posterior a 10mm inferior a polo inferior de la rótula.V. relacionadas con la prevención y los buenos hábitos. 99Tabla 10d.-Diámetro antero-posterior a 10mm inferior a polo inferior de la rótula. V. relacionadas con la estructura del pie 9915 Tabla 11a.-Ecogenicedad del tendón rotuliano derecho. Datos sociodemográficos. 101Tabla 11b.-Ecogenicedad del tendón rotuliano derecho.V. relacionadas con la actividad deportiva. 102Tabla 11c.-Ecogenicedad del tendón rotuliano derecho. V. relacionadas con la prevención y los buenos hábitos 103Tabla 11d.-Ecogenicedad del tendón rotuliano derecho.V. relacionadas con la estructura del pie 103Tabla 1...

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

Abstract: Identification of at-risk athletes using screening tools such as US may allow preventative programmes to be implemented. However, it is clear that other factors beyond tissue structure are involved in the development of lower limb tendinopathy.

Cited by 151 publications

References 72 publications

Quantitative analysis of patellar tendon size and structure in asymptomatic professional players: sonographic study

Quantitative analysis of patellar tendon size and structure in asymptomatic professional players: sonographic study

Trauma and Pain: A Fragile Link

Relación entre estructura del pie y características del ligamento rotuliano en jugadores de voleibol

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