Injury of the Achilles tendon: diagnosis with sonography.

Kainberger, Franz; Engel, A.; Barton, Pelham; Huêbsch, P; Neuhold, A; Salomonowitz, Erich

doi:10.2214/ajr.155.5.2120931

Cited by 133 publications

(68 citation statements)

References 4 publications

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“…28 The typical internal echo structure results from the reflection of sound waves off acoustic interfaces at the boundaries of the endotendinous septa and collagen bundles. 11,15,29 The Achilles tendon lacks a synovial sheath but has a paratenon, which corresponds functionally to a synovial sheath. Achilles tendinosis is characterized sonographically by enlargement and decreased echogenicity of the tendon.…”

Section: Discussionmentioning

confidence: 99%

Distribution of sonographically detected tendon abnormalities in patients with a clinical diagnosis of chronic Achilles tendinosis

Gibbon

Cooper

Radcliffe

2000

J. Clin. Ultrasound

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Section: Discussionmentioning

confidence: 99%

Distribution of sonographically detected tendon abnormalities in patients with a clinical diagnosis of chronic Achilles tendinosis

Gibbon

Cooper

Radcliffe

2000

J. Clin. Ultrasound

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“…Ultrasonography has shown good accuracy when compared with gold standard as operative or pathological findings (Kainberger et al, 1990;Kalebo et al, 1992;Sell et al, 1997). The ultrasonographic findings include tendon thickening, edema, fibril discontinuity, calcifications, partial/total ruptures and bursitis.…”

mentioning

confidence: 99%

Eccentric exercise in treatment of Achilles tendinopathy

Nørregaard

Larsen

Bieler

et al. 2006

Scandinavian Med Sci Sports

103

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Aim: Prognosis and treatment of Achilles tendon pain (achillodynia) has been insufficiently studied. The purpose of the present study was to examine the long‐term effect of eccentric exercises compared with stretching exercises on patients with achillodynia. Methods: Patients with achillodynia for at least 3 months were randomly allocated to one of two exercise regimens. Exercise was performed daily for a 3‐month period. Symptom severity was evaluated by tendon tenderness, ultrasonography, a questionnaire on pain and other symptoms, and a global assessment of improvement. Follow‐up was performed at time points 3, 6, 9, 12 weeks and 1 year. Results: Of 53 patients with achillodynia 45 patients were randomized to either eccentric exercises or stretching exercises. Symptoms gradually improved during the 1‐year follow‐up period and were significantly better assessed by pain and symptoms after 3 weeks and all later visits. However, no significant differences could be observed between the two groups. Women and patients with symptoms from the distal part of the tendon had significantly less improvement. Conclusions: Marked improvement in symptoms and findings could be gradually observed in both groups during the 1‐year follow‐up period. To that extent this is due to effect of both regimens or the spontaneous improvement is unsettled.

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“…More recently, sonography of the Achilles tendon has been used to assess the extent of the injury. [4][5][6][7][8][9][10][11][12][13] In addition to demonstrating changes that occur with various pathologic conditions, sonography of the Achilles tendon has been used to attempt to differentiate between conditions requiring surgery and those needing only conservative therapy. Anecdotal evidence suggests that a normal appearance of the tendon on sonograms in a symptomatic patient is associated with a successful response to conservative treatment.…”

mentioning

confidence: 99%