TY - JOUR
T1 - Achilles tendon pain and related pathologies
T2 - Diagnosis by ultrasonography
AU - Blankstein, A.
AU - Cohen, I.
AU - Diamant, L.
AU - Heim, M.
AU - Dudkiewicz, I.
AU - Israeli, A.
AU - Ganel, A.
AU - Chechick, A.
PY - 2001
Y1 - 2001
N2 - Background: When encountering complaints of pain in the area of the Achilles tendon, the clinician seldom reaches a correct and precise diagnosis based solely on the grounds of physical examination and standard X-rays. Objectives: To assess the usefulness of ultrasound in diagnosing pathologies of the Achilles tendon. Methods: We conducted a retrospective review of patients presenting at our orthopedic clinics. Results: Sonography was used to evaluate 41 patients with achillodynia. This modality enabled the diagnoses of 19 abnormal tendons (46%), peritendinous and other lesions; a complete rupture in two patients (5%); a partial rupture of the Achilles tendon in 3 (7%); various degrees of calcification of the tendon in 7 (17%); and peritendinous lesions discerned by the tendon's hypoechoic regions with disorganized arrangement of collagen fibrils in 4 patients (10%). Other lesions included tendonitis (3 patients, 7%), retrocalcaneal bursitis (3 patients, 7%), lipoma (1 patient, 2%), and foreign bodies (2 patients, 5%). The mean diameter of the pathological tendons was 10.4±2.7 mm, while normal tendons measured 5.2±0.8 mm (P<0.001). Conclusion: As in many other soft tissue lesions, ultrasonography is a useful tool in the evaluation of the underlying pathology in patients presenting with achillodynia.
AB - Background: When encountering complaints of pain in the area of the Achilles tendon, the clinician seldom reaches a correct and precise diagnosis based solely on the grounds of physical examination and standard X-rays. Objectives: To assess the usefulness of ultrasound in diagnosing pathologies of the Achilles tendon. Methods: We conducted a retrospective review of patients presenting at our orthopedic clinics. Results: Sonography was used to evaluate 41 patients with achillodynia. This modality enabled the diagnoses of 19 abnormal tendons (46%), peritendinous and other lesions; a complete rupture in two patients (5%); a partial rupture of the Achilles tendon in 3 (7%); various degrees of calcification of the tendon in 7 (17%); and peritendinous lesions discerned by the tendon's hypoechoic regions with disorganized arrangement of collagen fibrils in 4 patients (10%). Other lesions included tendonitis (3 patients, 7%), retrocalcaneal bursitis (3 patients, 7%), lipoma (1 patient, 2%), and foreign bodies (2 patients, 5%). The mean diameter of the pathological tendons was 10.4±2.7 mm, while normal tendons measured 5.2±0.8 mm (P<0.001). Conclusion: As in many other soft tissue lesions, ultrasonography is a useful tool in the evaluation of the underlying pathology in patients presenting with achillodynia.
KW - Achilles tear
KW - Achilles tendinitis
KW - Achilles tendinopathy
KW - Achillodynia
KW - Retrocalcaneal bursitis
KW - Sonography
KW - Tendo calcaneus
KW - Ultrasound
UR - http://www.scopus.com/inward/record.url?scp=0034823222&partnerID=8YFLogxK
M3 - ???researchoutput.researchoutputtypes.contributiontojournal.article???
AN - SCOPUS:0034823222
SN - 1565-1088
VL - 3
SP - 575
EP - 578
JO - Israel Medical Association Journal
JF - Israel Medical Association Journal
IS - 8
ER -