1. Can sonography predict the outcome in patients with Achillodynia?
- Author
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J P Wiley, Robert C. Bray, P D Elliott, M Verhoef, D A Wiseman, and J M Archambault
- Subjects
medicine.medical_specialty ,Achilles tendon ,medicine.diagnostic_test ,business.industry ,Achillodynia ,Ultrasound ,Retrospective cohort study ,Physical examination ,musculoskeletal system ,Tendon ,Surgery ,medicine.anatomical_structure ,medicine ,Radiology, Nuclear Medicine and imaging ,business ,Grading (education) ,Survival analysis - Abstract
Purpose We evaluated whether the grade assigned to the Achilles tendon's appearance on sonograms can be used to predict the outcome of achillodynia. Methods A retrospective evaluation was done of a case series of patients with Achilles tendon pain seen at a sports medicine clinic. The study consisted of chart reviews, telephone follow-up interviews, and grading of ultrasound images of the tendon obtained during the initial visit. The grading scheme was as follows: grade 1, normal tendon; grade 2, enlarged tendon; and grade 3, tendon containing a hypoechoic area, regardless of size. The time needed to recover from symptoms was compared between grades using survival analysis. Results The group consisted of 33 patients, with a mean age of 35.8 years and a mean follow-up time of 24.3 months. There was a statistically significant difference in the time to full recovery between grades (p = 0.02). Patients with grade 1 tendons had a prompter resolution of symptoms than did patients with grade 2 or 3 tendons. Conclusions This retrospective study of the outcome of achillodynia demonstrates the possible use of tendon sonography as a prognostic tool to supplement physical examination. © 1998 John Wiley & Sons, Inc. J Clin Ultrasound 26:335–339, 1998.
- Published
- 1998
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