Diagnosing Achilles Tendon Rupture with Ultrasound in Patients Treated Surgically: A Systematic Review and Meta-Analysis

Aminlari, Amir; Stone, Jennifer; McKee, Ryan M; Subramony, Rachna; Nadolski, Adam; Tolia, Vaishal; Hayden, Stephen R.

doi:10.1016/j.jemermed.2021.09.008

Cited by 16 publications

(16 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Furthermore, pain and swelling can limit the utility of the physical examination in the setting an acute injury. Although the history and examination were highly suggestive in this case, studies show that 20%–25% of injuries are missed on the initial examination, making POCUS a valuable adjunct 2–4…”

Section: How Do You Integrate Pocus For Achilles Tendon Injury Into C...mentioning

confidence: 80%

“…Ultrasound is highly specific and sensitive for the diagnosis of Achilles tendon rupture 1 2. One meta-analysis found that ultrasound had a sensitivity of 95% and a specificity of 99%, with a negative likelihood ratio of 0.05, for the diagnosis of tendon rupture 2. It is also a low-cost, rapid and well-tolerated imaging modality.…”

Section: What Are the Indications And Contraindications For Performin...mentioning

confidence: 99%

“…The Achilles tendon is the strongest tendon in the human body but also the most commonly ruptured 5. Furthermore, the incidence of Achilles tendon injuries is increasing as more patients participate in high-velocity sports activities; the popularity of athletic activities among middle-aged or older people increases; and there is increased use of medications that increase the risk of tendon injury, such as fluoroquinolones or steroids 2 5…”

Section: How Do You Integrate Pocus For Achilles Tendon Injury Into C...mentioning

confidence: 99%

See 2 more Smart Citations

SONO case series: point-of-care ultrasound for Achilles tendon injury

Neill

Shyy

2023

Emerg Med J

View full text Add to dashboard Cite

Section: How Do You Integrate Pocus For Achilles Tendon Injury Into C...mentioning

confidence: 80%

Section: What Are the Indications And Contraindications For Performin...mentioning

confidence: 99%

Section: How Do You Integrate Pocus For Achilles Tendon Injury Into C...mentioning

confidence: 99%

See 1 more Smart Citation

SONO case series: point-of-care ultrasound for Achilles tendon injury

Neill

Shyy

2023

Emerg Med J

View full text Add to dashboard Cite

“…A unique Achilles tendon defect repair score has also been developed, which assesses the presence or absence of echogenicity in the tendon defect area and the distribution of peritendinous tissue (Hiramatsu et al, 2018). One data showed that in 808 patients with Achilles tendon defects, ultrasound had a sensitivity of 94.8% and a specificity of 98.7% for detecting complete Achilles tendon defects, and the study illustrated the accuracy of ultrasound as a means of providing a diagnostic tool for treating patients with Achilles tendon defects (Aminlari et al, 2021). Doxycycline hydrochloride (DH) is a commonly used antibiotic in clinical practice.…”

Section: Open Accessmentioning

confidence: 99%

Poly (trimethylene carbonate)/doxycycline hydrochloride films in the treatment of Achilles tendon defect in rats

Zhang

Zhang²,

Li³

et al. 2023

Front. Bioeng. Biotechnol.

View full text Add to dashboard Cite

Introduction: In this study, Poly (trimethylene carbonate)/Doxycycline hydrochloride (PTMC/DH) films were introduced to repair the Achilles tendon defects for the first time.Methods: (PTMC/DH) films with different DH content of 10, 20, and 30% (w/w) were prepared by solvent casting. The in vitro and in vivo drug release of the prepared PTMC/DH films was investigated.Results: The results of drug release experiments showed that the PTMC/DH films released effective concentrations of doxycycline for more than 7 and 28 days in vitro and in vivo, respectively. The results of antibacterial activity experiments showed diameters of 25.00 ± 1.00 mm, 29.33 ± 1.15 mm, and 34.67 ± 1.53 mm, respectively, for the inhibition zones produced by the release solutions of PTMC/DH films with 10, 20 and 30% (w/w) DH at 2 h, indicating that the drug-loaded films could inhibit Staphylococcus aureus well. After treatment, the Achilles tendon defects have recovered well, as indicated by the more robust biomechanical properties and the lower fibroblast density of the repaired Achilles tendons. Pathology revealed that the pro-inflammatory cytokine, IL-1β, and the anti-inflammatory factor, TGF-β1, peaked in the first three days and gradually decreased as the drug was released more slowly.Discussion: These results demonstrated that the PTMC/DH films have great potential for regenerating Achilles tendon defects.

show abstract

“…Magnetic resonance imaging (MRI) is the gold standard imaging method in the diagnosis of tendinopathies ( 5), however, it has disadvantages such as being impractical in emergency situations, not being accessible in all facilities, and being expensive. Although bedside ultrasound imaging is increasingly used to assess tendon pathologies (6), it is still operator dependent and not available in many health centers. Due to the advantages, including being easily accessible, rapid and low-cost, radiography should be into focus in the early detection of Achilles tendon rupture.…”

Section: Introductionmentioning

confidence: 99%

Kager’s sign; an underestimated radiographic feature in detecting acute Achilles tendon rupture: A report on two cases

SATICI¹,

İslam²,

Aksel³

et al. 2022

J. Exp. Clin. Med.

View full text Add to dashboard Cite

This research aimed to show the role of the number of transferred embryos on pregnancy outcomes of the oocyte donation cycles (ODC). This retrospective cohort study included 122 ODCs performed at a private in vitro fertilization (IVF) center between 2020 June - 2021 January. Cases with severe male infertility, tuboperitoneal, and endometrial factors were not included in the study. The median (interquartile range) recipient age was 43 (30–54) years. ODC results revealed that 10.7% of the cases were negative, 4.9% were biochemical pregnancies, and 84.4% were clinical pregnancies. Pregnancy outcomes were checked; miscarriage, preterm, and term delivery rates were 5.7%, 3.9%, and 90.4%, respectively. The rate of recipients for the younger than 40 years was 32%, between the 40–44 years was 27%, and between 45–54 years was 41% respectively. Statistically significant difference was not observed between age groups in terms of endometrial thickness (p = 0.059), number of transferred embryos (p = 0.857), number of ODC attempt (p = 0.666), live birth rate (p = 0.1), and other pregnancy outcomes (p > 0.05, for all). A total of 96 (78.7%) embryo transfers (ET) resulted in a live birth. In 8.2% (n=10) of cases, single embryo transfer (SET) and in 91.8% (n=112) of cases, double embryo transfer (DET) was performed. The number of embryos transferred was statistically significantly higher among cases that resulted in live births compared to cases without live births (p = 0.002). Significant difference was not found in terms of the recipient age (p = 0.392), male age (p = 0.108), endometrial thickness (p = 0.478), and the number of attempt (p = 0.777) between cases resulted in live birth or not. The only parameter that affects the live birth rates in ODC is the number of transferred embryos.

show abstract

Diagnosing Achilles Tendon Rupture with Ultrasound in Patients Treated Surgically: A Systematic Review and Meta-Analysis

Cited by 16 publications

References 20 publications

SONO case series: point-of-care ultrasound for Achilles tendon injury

SONO case series: point-of-care ultrasound for Achilles tendon injury

Poly (trimethylene carbonate)/doxycycline hydrochloride films in the treatment of Achilles tendon defect in rats

Kager’s sign; an underestimated radiographic feature in detecting acute Achilles tendon rupture: A report on two cases

Contact Info

Product

Resources

About