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Tendon elastography

Yavuz Selim Karatekin, Bedri Karaismailoglu, Gokhan Kaynak, Tahir Ogut, Atilla Suleyman Dikici, Emel Ure Esmerer, Onder Aydingoz, Huseyin Botanlioglu
BACKGROUND: Achilles tendon injuries are one of the most common tendon injuries. Surgical treatment is preferred in young and active patients. Although there are studies which evaluate the repair area with magnetic resonance imaging and ultrasonography after surgical treatment, there are very few studies which analyzes the elasticity of the tendon by quantitative methods. ARFI (acoustic radiation force impulse) elastography is a simple and non-invasive method that can quantitatively measure the elasticity of the soft tissues...
March 2, 2018: Journal of Orthopaedic Surgery and Research
C R C Fontenelle, P Mannarino, F B D O Ribeiro, M A Milito, A C P Carvalho, L L Menegaldo, L F Oliveira
PURPOSE: Shear modulus (μ) is directly correlated to the tissue stiffness and can predict the tendon ultimate force to failure. With the knee extended 0° (K0), semitendinosus tendon (ST) is tensioned while patellar tendon (PT) is relaxed. At 80o , knee flexion (K80) tendons present an opposite stress pattern; however, the relation between ST and PT μ in both situations was not studied yet. METHOD: We accessed the μ of the ST and PT at 0o and 80o knee flexion by supersonic shear wave imaging (SSI) elastography from 18 healthy males...
February 7, 2018: Clinical Physiology and Functional Imaging
Li Yin, Ruigang Lu, Wen Cao, Lingling Zhang, Wenjing Li, Hong Sun, Ruijun Guo
OBJECTIVES: Two-dimensional (2D) shear wave elastography (SWE) can measure the elasticity of skeletal muscle, tendons, and ligaments. Three-dimensional (3D) SWE has been used to detect breast cancer but has not been applied to the musculoskeletal system. This study aimed to investigate whether 3D SWE could be used in skeletal muscles in vivo. METHODS: The study enrolled 20 healthy volunteers at Beijing Chaoyang Hospital from August to October 2016. Two-dimensional and 3D SWE scans were used to measure the Young modulus of the flexor carpi radialis in the relaxed state...
February 5, 2018: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
Jennifer A Zellers, Daniel H Cortes, Patrick Corrigan, Laura Pontiggia, Karin Grävare Silbernagel
Background: Recovery of tendon structure has been suggested to play a role in clinical success following Achilles tendon rupture. The purpose of this study was to identify side-to-side differences in tendon geometry and mechanical properties following Achilles tendon rupture and investigate the relationship of tendon structure with clinical outcomes. Methods: Participants within 1 year post complete rupture were included. Tendon geometry and mechanical properties were quantified using B-mode ultrasound imaging and continuous shear wave elastography (cSWE)...
July 2017: Muscles, Ligaments and Tendons Journal
Birnur Yilmaz
OBJECTIVE: To investigate the value of Acoustic Radiation Force Impulse elastography and its application in Achilles tendon elasticity of intermittent claudication due to lower extremity arterial ischaemia. METHODS: This prospective case-control study was conducted at the Department of Radiology, Faculty of Medicine, Baskent University, Istanbul, Turkey, from October 2015 to January 2016, and comprised bilateral Achilles tendons of patients with intermittent claudication and healthy individuals...
January 2018: JPMA. the Journal of the Pakistan Medical Association
Alexandre Hardy, Camille Rodaix, Claudio Vergari, Raphael Vialle
In-vivo investigation of tendon mechanical properties in healthy subjects using Shear Wave Elastography (SWE) techniques is a relatively new field of study. This work aims to evaluate the elastic properties of the patellar tendon in various knee range of flexion. Twenty healthy adult subjects were enrolled in the study. Shear wave speed (SWS) in the patellar tendon was measured in three different positions: Knee extended, knee semi-flexed (30°), and knee flexed (90°). Mean shear modulus was 50.9 +- 33.1 kPa in knee extension position, 137...
December 22, 2017: Surgical Technology International
Fabian Gilbert, Detlef Klein, Andreas Max Weng, Herbert Köstler, Benedikt Schmitz, Jonas Schmalzl, Dirk Böhm
BACKGROUND: Fatty Degeneration (FD) of the rotator cuff muscles influences functional and anatomical outcome after rotator cuff repair. The MRI based estimation of fatty degeneration is the gold standard. There is some evidence that Ultrasound elastography (EUS) can detect local differences of tissue stiffness in muscles and tendons. Shear-wave elastography (SWE) was evaluated to determine the extent to which shear wave velocity was associated with measures of fatty degeneration. MRI-spectroscopic fat measurement was used as a reference to quantify the amount of fat in the muscle belly...
December 28, 2017: BMC Musculoskeletal Disorders
Catherine Payne, Peter Watt, Mara Cercignani, Nick Webborn
OBJECTIVE: To assess the reproducibility of shear wave elastography (SWE) measures in the Achilles tendon (AT) in vivo. MATERIALS AND METHODS: Shear wave velocity (SWV) of 14 healthy volunteers [7 males, 7 females; mean age 26.5 ± 3.8 years, mean height 171.6 ± 10.9 cm, mean Victorian Institute of Sports Assessment Achilles questionnaire (VISA-A) score 99.4 ± 1.2] was measured with the foot relaxed and fixed at 90°. Data were collected over five consecutive measures and 5 consecutive days...
December 19, 2017: Skeletal Radiology
Noriaki Maeda, Yukio Urabe, Shogo Tsutsumi, Shogo Sakai, Hironori Fujishita, Toshiki Kobayashi, Makoto Asaeda, Kazuhiko Hirata, Yukio Mikami, Hiroaki Kimura
This study aimed to clarify the acute effects of static stretching (SS) and cyclic stretching (CS) on muscle stiffness and hardness of the medial gastrocnemius muscle (MG) by using ultrasonography, range of motion (ROM) of the ankle joint and ankle plantar flexor. Twenty healthy men participated in this study. Participants were randomly assigned to SS, CS and control conditions. Each session consisted of a standard 5-minute cycle warm-up, accompanied by one of the subsequent conditions in another day: (a) 2 minutes static stretching, (b) 2 minutes cyclic stretching, (c) control...
December 2017: Journal of Sports Science & Medicine
Gregor Seliger, Katharina Chaoui, Christian Kunze, Yasmina Dridi, Klaus-Vitold Jenderka, Andreas Wienke, Michael Tchirikov
AIMS: The elastic properties of circumscribed tissues (e.g., tendons, lymph nodes, prostates, brain tumors) are of considerable clinical interest. The purpose of this study was thus to compare the Intra-/Inter-observer variation and accuracy in vitro of point shear wave elastography (pSWE) with that of 2D-SWE and to assess 2D-SWE's precision with variable ROI (vROI) incircumscribed objects. MATERIAL AND METHODS: Round targets (Elasticity QA Phantom Model 049) were examined for varying degrees of stiffness (8, 14, 45, and 80 kPa) and diameters (20/10 mm)...
November 29, 2017: Medical Ultrasonography
C-H Wu
No abstract text is available yet for this article.
November 28, 2017: Scandinavian Journal of Medicine & Science in Sports
Timm Dirrichs, Valentin Quack, Matthias Gatz, Markus Tingart, Björn Rath, Marcel Betsch, Christiane K Kuhl, Simone Schrading
RATIONALE AND OBJECTIVES: We aimed to investigate the diagnostic accuracy with which shear wave elastography (SWE) can be used to monitor response to treatment of tendinopathies, and to compare it to conventional ultrasound (US)-imaging methods (B-mode US (B-US) and power Doppler US (PD-US)). MATERIALS AND METHODS: A prospective Institutional Review Board-approved longitudinal study on 35 patients with 47 symptomatic tendons (17 Achilles-, 15 patellar-, and 15 humeral-epicondylar) who underwent standardized multimodal US and standardized clinical assessment before and after 6 months of treatment (tailored stretching exercise, sport break, and local Polidocanol) was carried out...
November 16, 2017: Academic Radiology
Brooke K Coombes, Brandon Ziegenfuss, Michael David, Rohitha Badya, Wolbert van den Hoorn, François Hug, Kylie Tucker
PURPOSE: The purpose of this study was to compare regional elastic properties between anterior and posterior regions of the patellar tendon, and individual quadriceps muscles, over a range of knee flexion angles. METHODS: An isokinetic dynamometer passively positioned the non-dominant knee of 19 young, healthy participants, at 25°, 40°, 55°, 70° and 85° flexion. Shear wave velocity (SWV, an index of tissue elasticity) was measured using ultrasound shear wave elastography in a relaxed (passive) state, confirmed by electromyography...
November 17, 2017: European Journal of Applied Physiology
B Frankewycz, A Penz, J Weber, N P da Silva, F Freimoser, R Bell, M Nerlich, E M Jung, D Docheva, C G Pfeifer
PURPOSE: Rupture of the Achilles tendon results in inferior scar tissue formation. Elastography allows a feasible in vivo investigation of biomechanical properties of the Achilles tendon. The purpose of this study is to investigate the biomechanical properties of healed Achilles tendons in the long term. MATERIALS AND METHODS: Patients who suffered from Achilles tendon rupture were recruited for an elastographic evaluation. Unilateral Achilles tendon ruptures were included and scanned in the mid-substance and calcaneal insertion at least 2 years after rupture using shear wave elastography...
November 16, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
Yoshiaki Itoigawa, Yuji Takazawa, Yuichiro Maruyama, Keiichi Yoshida, Tatsuo Sakai, Koichiro Ichimura, Kazuo Kaneko
There is currently no method to quantify the quality of the harvested graft before anterior cruciate ligament (ACL) reconstruction. The purpose of this study was to explore a method for measuring stiffness of the normal tendon of the semitendinosus muscle using shear wave elastography (SWE). Our investigation comprised two steps. First, we determined orientation of the semitendinosus tendon fibers in 20 lower legs of embalmed cadavers. Second, we investigated the feasibility of quantifying stiffness of the normal semitendinosus tendon by SWE in 24 subjects (48 legs: 24 male and 24 female subjects) in vivo...
October 17, 2017: Clinical Anatomy
Rustu Turkay, Ercan Inci, Banu Aydeniz, Meltem Vural
OBJECTIVE: Our aim was to evaluate the feasibility of using shear wave elastography (SWE) to assess first extensor compartment tendons rigidity and its alterations with tenosynovitis. MATERIALS AND METHODS: We performed B-mode ultrasound and SWE to total number of 80 participants. All participants were evaluated clinically to call the diagnosis of de Quervain tenosynovitis or to rule out the diagnosis. We composed 2 groups. Group 1 included 40 healthy volunteers (33 females and 7 male participants with ages ranging from 24 to 60 years, median age was 37...
October 2017: European Journal of Radiology
Brooke Kaye Coombes, Kylie Tucker, Bill Vicenzino, Viana Vuvan, Rebecca Mellor, Luke Heales, Antoine Nordez, François Hug
PURPOSE: To compare tendon elastic and structural properties of healthy individuals with those with Achilles or patellar tendinopathy. METHODS: Sixty-seven participants (22 Achilles tendinopathy, 17 patellar tendinopathy, 28 healthy controls) were recruited between March 2015-March 2016. Shear wave velocity (SWV), an index of tissue elastic modulus, and tendon thickness were measured bilaterally at mid-tendon and insertional regions of Achilles and patellar tendons by an examiner blinded to group...
October 3, 2017: Scandinavian Journal of Medicine & Science in Sports
Guo-Yang Li, Yanping Cao
Determining the mechanical properties of soft biological tissues can be of great importance. For example, the microstructures of many soft tissues, such as those of the human Achilles tendon, have been identified as typical anisotropic materials. This paper proposes an inverse approach that uses guided wave elastography to determine the anisotropic elastic and hyperelastic parameters of thin-walled transversely isotropic biological soft tissues. This approach was developed from the theoretical solutions for the dispersion relations of guided waves, which were derived based on a constitutive model suitable for describing the deformation behavior of such tissues...
September 2017: Journal of the Acoustical Society of America
Jack D Dischler, Timothy G Baumer, Evan Finkelstein, Daniel S Siegal, Michael J Bey
BACKGROUND: Shoulder injuries are common among competitive swimmers, and the progression of shoulder pathology is not well understood. The objective of this study was to assess the extent to which years of competitive swim training were associated with physical properties of the supraspinatus muscle and tendon, shoulder strength, and self-reported assessments of shoulder pain and function. HYPOTHESIS: Increasing years of competition will be associated with declining physical properties of the supraspinatus muscle/tendon and declining self-reported assessments of pain and function...
August 1, 2017: Sports Health
Romain Domenichini, Jean-Baptiste Pialat, Andrea Podda, Sébastien Aubry
Elastography assesses the biomechanical and structural properties of tissues by measuring their stiffness. Despite promising results, elastography has not yet earned its place in the daily practice of musculoskeletal radiologists. The purpose of this article is to present and examine the data available to date on ultrasound elastography of the tendons through a review of the literature to provide musculoskeletal radiologists with an overview that may help them better understand and use elastography routinely...
December 2017: Skeletal Radiology
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