Document Detail


Ultrasound of the Achilles tendon after surgical repair: morphology and function.
MedLine Citation:
PMID:  7788228     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Ultrasound is a well established method for the examination of the Achilles tendon. The objective of the study was to provide answers to the following questions: What ultrasonographic structural changes are long lasting after surgical repair? How important is ultrasound with regards to the functional evaluation of late results? 60 patients were examined at an average 11 years (2-19) after surgical repair of Achilles tendon rupture. In only four patients sonographic morphology of the tendon was according to the non-injured side. A variety of distinct basic alterations in ultrasound morphology was found: a hypoechogenic ribbon ventrally to the dorsal paratenon (n = 40), spots of hypoechogenic areas in the tendon (n = 18), dishomogeneous hyperechogenicity with preservation (n = 12) or dissolving (n = 22) of its fibrillar components along the longitudinal axis. In most of the cases the paratenon was thickened or could not be differentiated. In the dynamic ultrasound examination gliding mechanism of the achilles tendon was limited in 41 patients. Extensive functional subjective and objective parameters of all patients were evaluated in an Achilles tendon score. The results were rated as excellent (n = 18), good (n = 29), satisfactory (n = 12) and poor (n = 1). There was no statistical correlation between ultrasound morphology and clinical outcome. Therefore, it was concluded that ultrasound examination is able to reveal long-lasting alterations in echogenicity of the tendon but is only of limited value with regards to evaluation of the functional results after surgical repair.
Authors:
S Rupp; S Tempelhof; E Fritsch
Related Documents :
24705418 - Cost-effectiveness of cranberries vs antibiotics to prevent urinary tract infections in...
15132928 - Percutaneous versus open tendo achillis repair.
7204438 - Surgical and non-surgical treatment of achilles tendon rupture. a prospective randomize...
9796768 - Conservative versus surgical treatment of mallet finger: a pooled quantitative literatu...
19882098 - Coronary stenting with the sirolimus-eluting stent in patients with restenosis after in...
12186458 - Predictive value of serum prolactin levels measured immediately after transsphenoidal s...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The British journal of radiology     Volume:  68     ISSN:  0007-1285     ISO Abbreviation:  Br J Radiol     Publication Date:  1995 May 
Date Detail:
Created Date:  1995-07-27     Completed Date:  1995-07-27     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0373125     Medline TA:  Br J Radiol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  454-8     Citation Subset:  AIM; IM    
Affiliation:
Orthopaedic University Hospital, Homburg/Saar, Germany.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Achilles Tendon / injuries,  physiopathology,  surgery,  ultrasonography*
Adult
Female
Follow-Up Studies
Humans
Male
Middle Aged
Postoperative Period
Rupture
Treatment Outcome
Comments/Corrections
Comment In:
Br J Radiol. 1995 Dec;68(816):1372-3   [PMID:  8777604 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Mammographic features of invasive lobular and invasive ductal carcinoma of the breast: a comparative...
Next Document:  Prediction of gall stone composition by ultrasound: implications for non-surgical therapy.