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Titolo:
MR evaluation of chronic achilles tendinosis - A longitudinal study of 15 patients preoperatively and two years postoperatively
Autore:
Shalabi, A; Kristoffersen-Wiberg, M; Aspelin, P; Movin, T;
Indirizzi:
Huddinge Univ Hosp, Karolinska Inst, Dept Radiol, SE-14186 Huddinge, Sweden Huddinge Univ Hosp Huddinge Sweden SE-14186 l, SE-14186 Huddinge, Sweden Huddinge Univ Hosp, Karolinska Inst, Dept Orthoped Surg, SE-14186 Huddinge, Sweden Huddinge Univ Hosp Huddinge Sweden SE-14186 g, SE-14186 Huddinge, Sweden
Titolo Testata:
ACTA RADIOLOGICA
fascicolo: 3, volume: 42, anno: 2001,
pagine: 269 - 276
SICI:
0284-1851(200105)42:3<269:MEOCAT>2.0.ZU;2-L
Fonte:
ISI
Lingua:
ENG
Soggetto:
MAGNETIC-RESONANCE; SURGICAL-TREATMENT; TENDON RUPTURES; ULTRASONOGRAPHY; ACHILLODYNIA; TENDINITIS; ULTRASOUND; ETIOLOGY; BIOPSY; TIME;
Keywords:
achilles tendon, tendinitis; athletic injuries; prospective studies; MR imaging, gadolinium;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
30
Recensione:
Indirizzi per estratti:
Indirizzo: Shalabi, A Huddinge Univ Hosp, Karolinska Inst, Dept Radiol, SE-14186 Huddinge, Sweden Huddinge Univ Hosp Huddinge Sweden SE-14186 Huddinge, Sweden
Citazione:
A. Shalabi et al., "MR evaluation of chronic achilles tendinosis - A longitudinal study of 15 patients preoperatively and two years postoperatively", ACT RADIOL, 42(3), 2001, pp. 269-276

Abstract

Purpose: To evaluate surgically treated patients with chronic Achilles tendinosis by MR. Material and Methods: Gd-contrast-enhanced (CME) T1-, precontrast T1-, PD-and T2-weighted images were obtained preoperatively and 2 years following surgical treatment on 15 middle-aged patients with severe symptoms of chronic Achilles tendinosis. MR evaluation included the depiction of intratendinous signal alterations and their volume, and also measurement of tendon diameter. A questionnaire and clinical examination evaluated the clinical outcome. Results: The most sensitive sequence to depict an intratendinous lesion was the CME T1-WI. There was marked regress of the estimated volume of the intratendinous signal alteration from a median of 1.2 cm(3) preoperatively to0.0 cm(3) postoperatively on CME T1-WI. CME T1-WI showed a regress in intratendinous signal abnormality from 13 out of 15 patients preoperatively to 4 of 15 patients 2 years postoperatively. The a.p. dimension was 9 mm at both MR occasions. The clinical outcome was excellent in 8, good in 5, fair in 1 and poor in 1 patient. Conclusion: Surgical treatment of chronic Achilles tendinosis and its healing resulted in a decrease or elimination of the intratendinous signal alteration correlating to an improved clinical outcome 2 years postoperatively.

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Documento generato il 25/11/20 alle ore 15:50:03