Archives of Physical Medicine and Rehabilitation
Volume 90, Issue 5 , Pages 756-760 , May 2009

The Ability of Ultrasonography, Magnetic Resonance Imaging and Bone Mineral Densitometry to Predict the Strength of Human Achilles' Tendons

  • Deanna Devitt, MD

      Affiliations

    • Bone and Joint Research Laboratory, University of Ottawa, Ottawa, ON, Canada
    • Corresponding Author InformationCorrespondence to Deanna Devitt, MD, Bone and Joint Research Laboratory, 505 Smyth Rd, Rm 2503, Ottawa, ON, Canada, K1H 8M2
    • ,
  • Yoichi Koike, MD, PhD

      Affiliations

    • Bone and Joint Research Laboratory, University of Ottawa, Ottawa, ON, Canada
    • ,
  • Geoffrey P. Doherty, MD

      Affiliations

    • Division of Radiology, University of Ottawa, Ottawa, ON, Canada
    • ,
  • Nanthan Ramachandran, BEng

      Affiliations

    • Bone and Joint Research Laboratory, University of Ottawa, Ottawa, ON, Canada
    • ,
  • Laurent Dinh, MD

      Affiliations

    • Division of Nuclear Medicine, University of Ottawa, Ottawa, ON, Canada
    • ,
  • Hans K. Uhthoff, MD

      Affiliations

    • Bone and Joint Research Laboratory, University of Ottawa, Ottawa, ON, Canada
    • Division of Orthopedic Surgery, University of Ottawa, Ottawa, ON, Canada
    • ,
  • Martin Lecompte, MD

      Affiliations

    • Division of Radiology, University of Ottawa, Ottawa, ON, Canada
    • ,
  • Guy Trudel, MD

      Affiliations

    • Bone and Joint Research Laboratory, University of Ottawa, Ottawa, ON, Canada
    • Division of Physical Medicine and Rehabilitation, University of Ottawa, Ottawa, ON, Canada

References 

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  2. Koike Y, Uhthoff HK, Ramachandran N, et al. Achilles tendinopathy. Crit Rev Phys Rehabil Med. 2004;16:109–132
  3. Khan KM, Forster BB, Robinson J, et al. Are ultrasound and magnetic resonance imaging of value in assessment of Achilles tendon disorders? (A two year prospective study). Br J Sports Med. 2003;37:149–153
  4. Astrom M, Gentz C, Nilsson P, Rausing A, Sjoberg S, Westlin N. Imaging in chronic Achilles tendinopathy: a comparison of ultrasonography, magnetic resonance imaging and surgical findings in 27 histologically verified cases. Skeletal Radiol. 1996;25:615–620
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  7. Peers KH, Brys PP, Lysens RJ. Correlation between power Doppler ultrasonography and clinical severity in Achilles tendinopathy. Int Orthop. 2003;27:180–183Epub 2003 Feb 5
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  11. Neuhold A, Stiskal M, Kainberger F, Schwaighofer B. Degenerative Achilles tendon disease: assessment by magnetic resonance and ultrasonography. Eur J Radiol. 1992;14:213–220
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  13. Haims AH, Schweitzer ME, Patel RS, Hecht P, Wapner KL. MR imaging of the Achilles tendon: overlap of findings in symptomatic and asymptomatic individuals. Skeletal Radiol. 2000;29:640–645
  14. Heinonen A, Oja P, Kannus P, et al. Bone mineral density in female athletes representing sports with different loading characteristics of the skeleton. Bone. 1995;17:197–203
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  16. Ramachandran N, Koike Y, Poitras P, Backman D, Uhthoff H, Trudel G. Dual cryogenic fixation for mechanical testing of soft musculoskeletal tissues. IEEE Trans Biomed Eng. 2005;52:1792–1795
  17. Koivunen-Niemela T, Parkkola K. Anatomy of the Achilles tendon (tendo calcaneus) with respect to tendon thickness measurements. Surg Radiol Anat. 1995;17:263–268
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  19. Louis-Ugbo J, Leeson B, Hutton WC. Tensile properties of fresh human calcaneal (Achilles) tendons. Clin Anat. 2004;17:30–35
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  24. Thermann H, Frerichs O, Biewener A, Krettek C, Schandelmaier P. [Biomechanical studies of human Achilles tendon rupture] [German]. Unfallchirurg. 1995;98:570–575
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  27. Shalabi A, Kristofferson-Wilberg M, Svensson L, Aspelin P, Movin T. Eccentric training of the gastrocnemius-soleus complex in chronic Achilles tendinopathy results in decreased tendon volume and intratendinous signal as evaluated by MRI. Am J Sports Med. 2004;32:1286–1296Epub 2004 May 18
  28. Narici MV, Maganaris CN. Adaptability of elderly human muscles and tendons to increased loading. J Anat. 2006;208:433–443
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 Supported by the Workplace Safety and Insurance Board of Ontario (grant no. 1104031) and the Canadian Institutes of Health Research (grant no MOP-81395).

 No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit on the authors or on any organization with which the authors are associated.

 Reprints are not available from the author.

PII: S0003-9993(09)00081-1

doi: 10.1016/j.apmr.2008.10.031

Archives of Physical Medicine and Rehabilitation
Volume 90, Issue 5 , Pages 756-760 , May 2009

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