Document Detail


An anatomical and radiological study of the fascia cruris and paratenon of the Achilles tendon.
MedLine Citation:
PMID:  21783082     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
BACKGROUND: The Achillon jig permits the placement of sutures deep to the fascia cruris and the paratenon through the substance of the ruptured tendon, permitting a safe minimally invasive repair. Our experience has suggested that these two layers may not be as clearly delineated as first thought or may merge at an, as yet, undefined level.
METHODS: We performed an anatomical and radiological (US and MRI) study of the layers of tissue superficial to the Achilles tendon in cadaveric specimens.
RESULTS: The mean distance for the confluence of the fascia cruris and paratenon from the postero-superior calcaneal tubercle (PSCT) was found to be 37.3mm (range 17-58mm). Ultrasound examination was found to be less distinct than MRI scanning.
CONCLUSIONS: We recommend careful identification of the fascia cruris and paratenon and insertion of the central branches of the jig adjacent to the tendon substance when using this method for repair.
Authors:
M R Carmont; A M Highland; J R Rochester; E M Paling; M B Davies
Publication Detail:
Type:  Journal Article     Date:  2010-07-06
Journal Detail:
Title:  Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons     Volume:  17     ISSN:  1460-9584     ISO Abbreviation:  Foot Ankle Surg     Publication Date:  2011 Sep 
Date Detail:
Created Date:  2011-07-25     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9609647     Medline TA:  Foot Ankle Surg     Country:  France    
Other Details:
Languages:  eng     Pagination:  186-92     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.
Affiliation:
The Sheffield Foot & Ankle Unit, Sheffield University, Sheffield, UK.
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