2024年12月5日 · Ultrasound is considered the first-line imaging investigation as it is highly sensitive (>97%) and specific (>94%) for both partial thickness and full thickness tears 13. Plain radiographs may show soft tissue swelling and obliteration of …

2022年5月4日 · Both ultrasound and MRI are highly accurate imaging modalities for evaluating the Achilles tendon for both tendinopathy and tear. Ultrasound is particularly useful to help differentiate partial- and full-thickness tears because of the ability to image dynamically during ankle plantar flexion and dorsiflexion, thereby better defining the tendon ...

Expedient use of point-of-care ultrasound supported the diagnosis of an Achilles tear with findings of a tendinous defect, fibrous stranding, and surrounding anechoic fluid, suggestive of localized hemorrhage. The patient was splinted in plantar flexion and had prompt orthopedic referral with MRI that verified Achilles tear.

2018年9月3日 · Ultrasound. Ultrasound is helpful if obvious findings present and to distinguish between partial vs complete tears, however only around 50% sensitive for detecting only partial tears (Kayser 2005) Normal Achilles tendon . In the image below, you can visualize the intact tendon in between the two white crosses.

There is a complete tear of Achilles tendon approximately 6 cm away from the insertion site. The gap between the two edges of the tendon is 5 cm with a neutral position of the foot ( without plantar / dorsiflexion ). The torn ends of the tendon show thickening. The distal tendon near the insertion shows a normal echopattern.

2024年4月17日 · Short-axis imaging of acutely ruptured Achilles tendon. Short-axis sonographic imaging of a ruptured Achilles tendon acquired from proximal to distal can demonstrate the tendon rupture site as well as any concurrent injuries such as muscle, MTJ and plantaris tendon tears, paratenon of crural fascia tears or sural nerve irritation.

Sonography is an efficient and accurate way to assess the Achilles tendon. Advantages of sonographic evaluation include cost, widely available equipment, ease of contralateral comparison, and the ability to image during joint motion. The ultrasound technique for imaging the Achilles tendon is as follows:

The ultrasound video clip shows a longitudinal view of the AT during a dynamic exam. While the patient’s foot is gently passively dorsi/plantar flexed, the video demonstrates first a normal Achilles tendon (from the unaffected extremity) without disruption (highlighted by a …

Sonography is an efficient and accurate way to assess the Achilles tendon. Advantages of sonographic evaluation include cost, widely available equipment, ease of contralat-eral comparison, and the ability to image during joint motion. Position: The patient is prone with the foot hanging over the edge of the table.

Ultrasound with xray should be the first line evaluation of the achilles before MRI is considered. Ultrasound has high sensitivity and specificity in accuracy for evaluation of Achilles tendinitis/tendinosis as well as tears and other conditions that cause heel pain.