Clinical History 57 year old male with chronic Achilles pain.
Ultrasound of the Month – Case 101
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Ultrasound of the Month – Case 101
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Ultrasound of the Month – Case 101
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Ultrasound of the Month – Case 101
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Diagnosis: Tendinosis and Chronic Partial Tear of the Achilles Tendon Discussion Achilles tendinopathy is a relatively common condition in both athletes and non-athletes, manifesting as activity-related pain in the Achilles tendon. On imaging, tendinopathy manifests as tendon thickening with abnormal architecture, and can progress to partial tears or full-thickness rupture. Both MRI and ultrasound are accurate modalities for assessing tendinosis and tears of the Achilles tendon. Ultrasound has the advantage of being able to apply Doppler interrogation, which identifies hyperemia related to the tendon, which is one sign of active inflammation. Another advantage of ultrasound over MRI is that ultrasound can be used for guiding percutaneous treatment. PRP (Platelet-rich plasma) injection while performing tenotomy or needling at the site of abnormality is a potential treatment option for chronic recalcitrant tendinopathy of any tendon, including that of the Achilles tendon.
Ultrasound of the Month – Case 101
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