Kory Ford, Nick Monson, Sica Glauser, Daniel M Cushman
{"title":"Serial ultrasound imaging leading up to an Achilles tendon rupture after identification of a thickened paratenon: a case report.","authors":"Kory Ford, Nick Monson, Sica Glauser, Daniel M Cushman","doi":"10.1097/PHM.0000000000002826","DOIUrl":null,"url":null,"abstract":"<p><strong>Abstract: </strong>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.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4000,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"American Journal of Physical Medicine & Rehabilitation","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/PHM.0000000000002826","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"REHABILITATION","Score":null,"Total":0}
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.
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).