Prognostic Value of Achilles Tendon Doppler Sonography in Asymptomatic Runners

Abstract

PDU detection of intratendinous microvessels in the Achilles tendons of healthy runners seems to be a prognostically relevant factor concerning the manifestation of symptomatic MPT. This finding lays the foundation for an early identification of a predisposition to MPT as well as prophylactic intervention in as yet asymptomatic runners.

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

“…In relation to the participant characteristics, all but 1 of the 17 included studies were carried out within sporting populations. Specifically, five involved volleyball,35 38 39 41 44 two involved basketball,16 36 three involved soccer players,14 42 45 one involved fencing,12 one involved badminton,46 one involved ballet dancers,10 two involved running15 43 and one involved various sporting populations 37. The remaining study16 was performed on participants from the general population referred to a sports medicine centre.…”

The prevalence and clinical significance of sonographic tendon abnormalities in asymptomatic ballet dancers: a 24-month longitudinal study

“…Hirschmuller et al 23 examined the achilles tendons in 634 asymptomatic runners, and found that only neovascularity was a risk factor for symptom development.…”

Tendinopathy: Is Imaging Telling Us the Entire Story?

“…Abnormal imaging has been reported in various tendons in as many as 59% of asymptomatic individuals. 8,14,34,37,41,48,52 This reflects the complex nature, and our limited understanding, of tendon pain. Tendon pain is not solely driven by local tissue changes, yet there is likely to be an interaction between the local tissue and the peripheral and central nervous system.…”