keyword
https://read.qxmd.com/read/38532430/needle%C3%A2-based-gastrocnemius-lengthening-a-novel-ultrasound%C3%A2-guided-noninvasive-technique-part-ii-clinical-results
#1
JOURNAL ARTICLE
A Iborra, M Villanueva, H Fahandezh-Saddi Díaz
BACKGROUND: Isolated gastrocnemius contracture has been associated with more than 30 lower limb disorders, including plantar heel pain/plantar fasciitis, Achilles tendinosis, equinus foot, adult flatfoot, and metatarsalgia. Although many techniques are available for gastrocnemius recession, potential anesthetic, cosmetic, and wound-related complications can lead to patient dissatisfaction. Open and endoscopic recession techniques usually require epidural or general anesthesia, exsanguination of the lower extremities and stitches and can damage the sural nerve, which is not under the complete control of the surgeon at all stages of the procedure...
March 26, 2024: Journal of Orthopaedic Surgery and Research
https://read.qxmd.com/read/38526138/youth-athletes-with-sever-s-disease-exhibit-altered-achilles-tendon-ultrasound-characteristics-a-retrospective-case-control-study
#2
JOURNAL ARTICLE
Shawn L Hanlon, Kristin E Whitney, Alexandra F DeJong Lempke
OBJECTIVES: Calcaneal apophysitis (Sever's disease) is an overuse condition caused by repetitive traction stress to the calcaneal apophysis. Whether Achilles tendon morphology is altered in this young patient population remains unknown. Therefore, we aimed to identify differences in Achilles tendon morphology between youth athletes diagnosed with calcaneal apophysitis and healthy controls. METHODS: This retrospective chart review included 46 patients (n = 23 Sever's disease, 15F/8M, 12...
March 25, 2024: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://read.qxmd.com/read/38517770/efficacy-of-ultrasound-guided-galvanic-electrolysis-technique-and-physical-therapy-in-patients-with-achilles-tendinopathy-a-pilot-randomised-controlled-trial
#3
JOURNAL ARTICLE
Marco Di Gesù, Angelo Alito, Daniele Borzelli, Domenico Romeo, Fabio Bonomolo, Dario Calafiore, Alessandro de Sire
BACKGROUND: Ultrasound-guided galvanic electrolysis technique (USGET) is an innovative mini-invasive intervention with the potential to optimise outcomes in the treatment of Achille's tendinopathy (AT). OBJECTIVE: The aim of this pilot study is to evaluate the efficacy of adding USGET to conventional eccentric exercise treatment in patients with chronic AT. METHODS: Inclusion criteria were patients with unilateral non-insertional AT, pain lasting > 3 months, aged 25-60 years...
February 28, 2024: Journal of Back and Musculoskeletal Rehabilitation
https://read.qxmd.com/read/38488678/intrinsic-ankle-stiffness-is-associated-with-paradoxical-calf-muscle-movement-but-not-postural-sway-or-age
#4
JOURNAL ARTICLE
Raymond F Reynolds, Anna M Liedtke, Martin Lakie
Due to Achilles tendon compliance, passive ankle stiffness is insufficient to stabilise the body when standing. This results in 'paradoxical' muscle movement, whereby calf muscles tend to shorten during forward body sway. Natural variation in stiffness may affect this movement. This may have consequences for postural control, with compliant ankles placing greater reliance upon active neural control rather than stretch reflexes. Previous research also suggests ageing reduces ankle stiffness, possibly contributing to reduced postural stability...
March 15, 2024: Experimental Physiology
https://read.qxmd.com/read/38461743/gastrocnemius-medialis-and-achilles-tendon-properties-do-not-differ-between-children-with-unilateral-or-bilateral-spastic-cerebral-palsy
#5
JOURNAL ARTICLE
Andreas Habersack, Martin Svehlik, Bernhard Guggenberger, Markus Tilp, Annika Kruse
Spastic cerebral palsy (SCP) is a common neurodevelopmental disorder in children, which can be categorized into unilateral and bilateral subtypes. Most studies examining the muscle-tendon properties of the lower extremities in individuals with SCP do not distinguish between subtypes. However, spastic muscle morphology is an important determinant for its function. Therefore, differences in muscle-tendon pathology might lead to different treatment strategies. The aim of this retrospective study was to investigate the muscle-tendon properties between children with unilateral SCP and those with bilateral SCP...
March 7, 2024: Journal of Biomechanics
https://read.qxmd.com/read/38443140/power-doppler-signal-at-the-enthesis-and-bone-erosions-are-the-most-discriminative-omeract-ultrasound-lesions-for-spa-results-from-the-deus-defining-enthesitis-on-ultrasound-in-spondyloarthritis-multicentre-study
#6
JOURNAL ARTICLE
Andrea Di Matteo, Gianluca Smerilli, Stefano Di Donato, An Ran Liu, Andrea Becciolini, Federica Camarda, Tomas Cazenave, Edoardo Cipolletta, Davide Corradini, Juan José de Agustín, Giulia Maria Destro Castaniti, Eleonora Di Donato, Luca Di Geso, Emine Duran, Bayram Farisogullari, Marco Fornaro, Francesca Francioso, Pamela Giorgis, Amelia Granel, Cristina Hernández-Díaz, Rudolf Horvath, Jana Hurnakova, Diogo Jesus, Omer Karadag, Ling Li, Josefina Marin, María Victoria Martire, Xabier Michelena, Erica Moscioni, Laura Muntean, Matteo Piga, Marcos Rosemffet, João Rovisco, Didem Sahin, Fausto Salaffi, Liliana Saraiva, Crescenzio Scioscia, Maria-Magdalena Tamas, Shun Tanimura, Aliki Venetsanopoulou, Lucio Ventura-Rios, Orlando Villota, Catalina Villota-Eraso, Paraskevi V Voulgari, Gentiana Vukatana, Johana Zacariaz Hereter, Helena Marzo-Ortega, Walter Grassi, Emilio Filippucci
OBJECTIVES: To assess, in spondyloarthritis (SpA), the discriminative value of the Outcome Measures in Rheumatology (OMERACT) ultrasound lesions of enthesitis and their associations with clinical features in this population. METHODS: In this multicentre study involving 20 rheumatology centres, clinical and ultrasound examinations of the lower limb large entheses were performed in 413 patients with SpA (axial SpA and psoriatic arthritis) and 282 disease controls (osteoarthritis and fibromyalgia)...
March 5, 2024: Annals of the Rheumatic Diseases
https://read.qxmd.com/read/38420222/heel-pain-management-in-haglund-s-deformity-targeting-sural-nerve-branches-under-ultrasound-guidance-case-report
#7
Sasmit Dipak Lotliker, Sidharth Verma, Akhil Bhalla, Maitri Shah, Sanjog Mekewar, Aanchal Sharma
INTRODUCTION: Haglund's deformity is an abnormality of the bone and soft tissue of the foot, also known as retrocalcaneal exostosis, Mulholland deformity, and "pump bump". The etiology is not well known. Probable causes include a tight Achilles tendon, a high arch of the foot, and hereditary. The clinical features consist of pain at the posterior aspect of the heel which is predominantly present when the patient begins to walk after a period of rest or inactivity. CASE REPORT: We report a case of a 60-year-old teacher with left heel pain for 3 years, unable to stand or walk for more than 15 min due to pain...
February 2024: Journal of Orthopaedic Case Reports
https://read.qxmd.com/read/38406567/current-treatment-concepts-for-achilles-tendon-rupture
#8
REVIEW
Chen-Chie Wang, Pei-Yu Chen, Kai-Chiang Yang, Chung-Li Wang, Ing-Ho Chen
Achilles tendon rupture is a common and primary cause of lower limb tendon injury suffered during sports-related activities. The causes of Achilles tendon rupture include the calf muscle and tendon overuse, poor tendon quality, and various medical conditions. Historically, acute Achilles tendon rupture was treated conservatively. However, historical techniques are now associated with an increased risk of rerupture. To address this problem, open repair has been proposed. Open repair is associated with a reduced risk of rerupture; however, it is also closely associated with wound complications, like wound infection, whose treatment is time-consuming and costly...
2024: Tzu chi medical journal
https://read.qxmd.com/read/38371156/an-early-functional-unsupervised-rehabilitation-protocol-allows-safe-return-to-function-after-achilles-tendon-repair
#9
JOURNAL ARTICLE
Leonidas Mitrogiannis, George Mitrogiannis, Kalliopi Melaki, Athanasios Karamitros, Apostolos Karantanas, Odysseas Paxinos
PURPOSE: Acute Achilles tendon tears in young active individuals are often treated surgically with prolonged rehabilitation, with the leg initially immobilized in plantar flexion in serial non-weight bearing casts and gradually progressing to full weight bearing. This study aimed to evaluate the safety of an early functional unsupervised rehabilitation protocol. METHODS: The medical records of 25 patients treated with open repair were available for follow-up. In 10 patients, an early functional unsupervised rehabilitation protocol was used with a removable cast, active range of motion exercises of the ankle from the first postoperative day, and full weight bearing in a walking boot with the foot plantigrade after the second week...
January 2024: Curēus
https://read.qxmd.com/read/38365861/comparative-analysis-of-patellar-tendon-achilles-tendon-and-plantar-fascia-structure-in-indoor-and-outdoor-football-players-a-novel-cross-sectional-pilot-study
#10
JOURNAL ARTICLE
Carlos Romero-Morales, Álvaro Berzosa-Rojo, Daniel Di Luca-Calabrese, Sergio Vázquez-González, Vanesa Abuín-Porras, Gonzalo Jaén-Crespo, Fernando García-Sanz, Helios Pareja-Galeano
Different sport modalities were associate with tendon adaptation or even tendon disturbances, such as volleyball, soccer or basketball. Purpose: the aim of the present study was to determine de difference between indoor and outdoor football players on patellar tendon (PT), Achilles tendon (AT), plantar fascia (FP) and Hoffa's fat pad thickness assessed with ultrasound imaging (USI). A cross-sectional study was developed with a total sample of 30 soccer players divided in two groups: outdoor group (n = 15) and indoor group (n = 15)...
February 16, 2024: Scientific Reports
https://read.qxmd.com/read/38343876/change-in-achilles-tendon-length-after-walking-on-treadmill-with-gradient
#11
JOURNAL ARTICLE
Takaki Yoshida, Yoshitsugu Tanino, Tetsuya Nakao, Wataru Yamazaki, Toshiaki Suzuki
OBJECTIVES: Improving ankle joint contracture is important because stiffness in ankle dorsiflexion can lead to pain, especially when weight-bearing during walking, which tends to concentrate on the forefoot. We hypothesized that the contraction of the gastrocnemius muscle in ankle dorsiflexion would increase the Achilles tendon length and improve the dorsiflexion range of motion. We evaluated the effects of walking with and without a gradient on Achilles tendon length. METHODS: This study included 23 men who underwent ultrasound imaging to measure the Achilles tendon length while they stood on an inclined table adjusted according to the dorsiflexion angle...
2024: Progress in rehabilitation medicine
https://read.qxmd.com/read/38342790/the-relationship-among-probable-sarcopenia-osteoporosis-and-supraspinatus-tendon-tears-in-postmenopausal-women-the-sarcosp-study
#12
JOURNAL ARTICLE
Murat Kara, Özgür Kara, Mahmut Esad Durmuş, Pelin Analay, Fatıma Edibe Şener, Beyza Nur Çıtır, Gizem Olgu Korkmaz, Zeliha Ünlü, Tülay Tiftik, Eda Gürçay, Cevriye Mülkoğlu, Berkay Yalçınkaya, Fatih Bağcıer, Mahmud Fazıl Aksakal, Kübra Erdoğan, Ahmet Sertçelik, Banu Çakır, Bayram Kaymak, Levent Özçakar
We aimed to investigate the relationship among probable sarcopenia, osteoporosis (OP) and supraspinatus tendon (SSP) tears in postmenopausal women. Postmenopausal women screened/followed for OP were recruited. Demographic data, comorbidities, exercise/smoking status, and handgrip strength values were recorded. Probable sarcopenia was diagnosed as handgrip strength values < 20 kg. Achilles and SSP thicknesses were measured using ultrasound. Among 1443 postmenopausal women, 268 (18.6%) subjects had SSP tears...
February 12, 2024: Calcified Tissue International
https://read.qxmd.com/read/38332846/immediate-and-short-term-effects-of-in-shoe-heel-lift-orthoses-on-clinical-and-biomechanical-outcomes-in-patients-with-insertional-achilles-tendinopathy
#13
JOURNAL ARTICLE
Nabeel Hamdan Alghamdi, Ryan T Pohlig, Kayla D Seymore, Jaclyn Megan Sions, Jeremy R Crenshaw, Karin Grävare Silbernagel
BACKGROUND: Physical therapists frequently employ heel lifts as an intervention to reduce Achilles tendon pain and restore function. PURPOSE: To determine the short-term effect of heel lifts on clinical and gait outcomes in participants with insertional Achilles tendinopathy (IAT). STUDY DESIGN: Case series; Level of evidence, 4. METHODS: Participants with IAT underwent eligibility screening and completed assessments at baseline and 2 weeks later...
February 2024: Orthopaedic Journal of Sports Medicine
https://read.qxmd.com/read/38306444/delayed-diagnosis-of-complete-achilles-tendon-rupture-in-a-teenage-athlete-a-case-report-of-nonoperative-treatment
#14
JOURNAL ARTICLE
Phoebe E Schwartz, Michael H Schwartz, Andrew G Georgiadis
CASE: A 19-year-old female athlete experienced calf pain during sport. A complete Achilles tendon rupture was diagnosed 4 weeks after injury. Ultrasound revealed discontinuity of the Achilles tendon with 2.0 cm of diastasis, persisting in plantarflexion. Plantarflexion immobilization was initiated, and progressive dorsiflexion was used until 10 weeks from injury. At 1 year from injury, ankle magnetic resonance imaging revealed a contiguous tendon, the patient was pain-free, and had returned to high-level athletics with equivalent sport performance relative to her preoperative status...
January 1, 2024: JBJS Case Connector
https://read.qxmd.com/read/38305275/the-use-of-shear-wave-ultrasound-elastography-in-the-diagnosis-and-monitoring-of-musculoskeletal-injuries
#15
REVIEW
Urša Horvat, Žiga Kozinc
Ultrasound elastography is a valuable method employed to evaluate tissue stiffness, with shear-wave elastography (SWE) recently gaining significance in various settings. This literature review aims to explore the potential of SWE as a diagnostic and monitoring tool for musculoskeletal injuries. In total, 15 studies were found and included in the review. The outcomes of these studies demonstrate the effectiveness of SWE in detecting stiffness changes in individuals diagnosed with Achilles tendinopathy, Achilles tendon rupture, rotator cuff rupture, tendinosis of the long head of the biceps tendon, injury of the supraspinatus muscle, medial tibial stress syndrome, and patellar tendinopathy...
2024: Critical Reviews in Biomedical Engineering
https://read.qxmd.com/read/38296758/ultrasound-guided-injection-of-the-achilles-paratenon-a-cadaveric-investigation
#16
JOURNAL ARTICLE
Vincenzo Ricci, Kamal Mezian, Ke-Vin Chang, Giorgio Tamborrini, Jakub Jačisko, Ondřej Naňka, Levent Özçakar
BACKGROUND: Injections around the Achilles tendon (AT) are commonly performed in clinical practice to manage non-insertional Achilles tendinopathy, but the presence/distribution of the injectate with relation to its sheath has not been assessed specifically. Accordingly, the aim of this cadaveric investigation was to demonstrate the feasibility of Achilles paratenon injection under ultrasound guidance - by confirming the exact needle positioning as well as the dye distribution inside the paratenon lumen...
January 20, 2024: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://read.qxmd.com/read/38296509/alt-in-combination-with-triple-rolled-tfl-for-reconstruction-of-a-complex-tendoachilles-defect-technical-details-and-rehabilitation-regime
#17
JOURNAL ARTICLE
Zahra Ahmed, Hannah Cook, Meera Anadkat, Lydia Ioannidi, Helen Marmery, Dariush Nikkhah
A fit man in his 60s presented with an infected Achilles tendon (AT) following two failed repairs for a traumatic rupture. Initial debridement of necrotic tissue resulted in a large soft tissue defect requiring robust coverage. Following aggressive wound management, an anterolateral thigh flap was elevated with tensor fasciae latae (TFL) which was triple-rolled to provide soft tissue coverage and tendon reconstruction.The flap remained healthy and was monitored with a flow coupler device. Initially, the foot was placed in plantarflexion before gradually increasing the angle to neutral and a thermoplastic splint was used to offload pressure on the flap...
January 31, 2024: BMJ Case Reports
https://read.qxmd.com/read/38160500/an-automated-method-for-tendon-image-segmentation-on-ultrasound-using-grey-level-co-occurrence-matrix-features-and-hidden-gaussian-markov-random-fields
#18
JOURNAL ARTICLE
Isabelle Scott, David Connell, Derek Moulton, Sarah Waters, Ana Namburete, Anurag Arnab, Peter Malliaras
BACKGROUND: Despite knowledge of qualitative changes that occur on ultrasound in tendinopathy, there is currently no objective and reliable means to quantify the severity or prognosis of tendinopathy on ultrasound. OBJECTIVE: The primary objective of this study is to produce a quantitative and automated means of inferring potential structural changes in tendinopathy by developing and implementing an algorithm which performs a texture based segmentation of tendon ultrasound (US) images...
December 20, 2023: Computers in Biology and Medicine
https://read.qxmd.com/read/38140763/measuring-ultrasonographic-thickness-of-the-achilles-tendon-insertion-is-less-reliable-than-the-midportion-in-healthy-tendons-and-patients-with-tendinopathy
#19
JOURNAL ARTICLE
Tjerk S O Sleeswijk Visser, Stefano L Brul, Seth O'Neill, Eline M van Es, Denise Eygendaal, Robert-Jan de Vos
INTRODUCTION: Ultrasound is the preferred imaging method in the diagnostic process of Achilles tendinopathy (AT). Ultrasound tissue characterization (UTC) is a frequently used, standardized and valid method to assess tendon geometry in AT patients. It is unknown whether UTC is reliable for measuring Achilles tendon thickness. The aim of the study was to assess intra- and inter-rater reliability of Achilles tendon thickness measurements using UTC in both asymptomatic individuals and patients with AT, and to evaluate if the reliability of thickness measurements differs between the midportion and insertional area...
December 22, 2023: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://read.qxmd.com/read/38138284/clinical-and-ultrasonographic-characteristics-of-the-achilles-tendon-in-hemodialysis-patients
#20
JOURNAL ARTICLE
Samar Tharwat, Marwa Saleh, Rabab Elrefaey, Mona Kamal Nassar, Mohammed Kamal Nassar
Background and Objectives : The early recognition of tendon alterations in chronic hemodialysis (HD) patients, an awareness of the factors that influence the condition, and active intervention have considerable clinical relevance. The aim of this study was to investigate the musculoskeletal ultrasound (MSUS) features of the Achilles tendon in chronic HD patients and determine the factors associated with tendon abnormalities. Materials and Methods : This study was conducted on 46 HD patients and 24 sex- and age-matched controls...
December 15, 2023: Medicina
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