Serial ultrasound imaging leading up to an Achilles tendon rupture after identification of a thickened paratenon: a case report.

IF 2.4 4区 医学 Q1 REHABILITATION
Kory Ford, Nick Monson, Sica Glauser, Daniel M Cushman
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引用次数: 0

Abstract

Abstract: A 22 year-old lacrosse student-athlete had participated in a research study examining the Achilles tendons of asymptomatic athletes, with normal appearance of his Achilles tendons bilaterally 7 months prior to injury. Around 4 weeks prior to injury, the patient started to report achy pain in the affected Achilles tendon, exacerbated by ankle dorsiflexion and plantarflexion, in the context of using new cleats during conditioning. He underwent repeat ultrasound assessment, identifying a normal appearing Achilles tendon, though with new hypoechogenic paratenon thickening approximately 1-4 cm proximal to the calcaneus. He ultimately suffered a non-contact complete Achilles tendon rupture. This case is the second known example of an Achilles tendon rupture with prior asymptomatic advanced imaging, and additionally calls into question the role of the Achilles paratenon in Achilles tendon pathology and rupture.

连续超声成像导致跟腱断裂后增厚的副腱:一个病例报告。
摘要:一名22岁的曲棍球学生运动员参加了一项无症状运动员跟腱检查的研究,他的跟腱在受伤前7个月双侧外观正常。在受伤前4周左右,患者开始报告受影响的跟腱疼痛,在使用新夹板进行训练的情况下,脚踝背屈和跖屈加重了疼痛。他接受了重复超声检查,发现跟腱外观正常,但在跟骨近端约1-4厘米处出现了新的低回声副腱增厚。他最终遭受了非接触性完全性跟腱断裂。该病例是已知的第二例跟腱断裂且既往无症状高级影像学检查的病例,同时也对跟腱副腱在跟腱病理和断裂中的作用提出了质疑。
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来源期刊
CiteScore
4.60
自引率
6.70%
发文量
423
审稿时长
1 months
期刊介绍: American Journal of Physical Medicine & Rehabilitation focuses on the practice, research and educational aspects of physical medicine and rehabilitation. Monthly issues keep physiatrists up-to-date on the optimal functional restoration of patients with disabilities, physical treatment of neuromuscular impairments, the development of new rehabilitative technologies, and the use of electrodiagnostic studies. The Journal publishes cutting-edge basic and clinical research, clinical case reports and in-depth topical reviews of interest to rehabilitation professionals. Topics include prevention, diagnosis, treatment, and rehabilitation of musculoskeletal conditions, brain injury, spinal cord injury, cardiopulmonary disease, trauma, acute and chronic pain, amputation, prosthetics and orthotics, mobility, gait, and pediatrics as well as areas related to education and administration. Other important areas of interest include cancer rehabilitation, aging, and exercise. The Journal has recently published a series of articles on the topic of outcomes research. This well-established journal is the official scholarly publication of the Association of Academic Physiatrists (AAP).
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