Juana Kosiol1, Alexander Keiler2, Alexander Loizides3, Hannes Gruber3, Benjamin Henninger3, Andreas Bölderl1, Leonhard Gruber3. 1. Department of Orthopaedics and Traumatology, Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria. 2. Department of Orthopaedics and Traumatology, Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria. alexander.keiler@i-med.ac.at. 3. Department of Radiology, Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.
Abstract
INTRODUCTION: There is no uniform consensus on the gold standard therapy for acute Achilles tendon rupture. The aim of this pilot study was to compare operative and conservative treatment regarding imaging findings and clinical outcome. MATERIALS AND METHODS: Surgically or conservatively treated patients with acute Achilles tendon rupture were retrospectively evaluated. Differences in tendon length and diameter with and without load were analysed using kinematic MRI, tendon perfusion, structural alterations, movement and scar tissue by means of grey-scale and contrast-enhanced ultrasound (CEUS). Intra- and interobserver agreement were recorded. RESULTS: No significant difference was detected regarding clinical outcome, B mode ultrasonography, contrast-enhanced sonography or MRI findings, although alterations in MRI-based measurements of tendon elasticity were found for both groups. Considerable elongation and thickening of the injured tendon were detected in both groups. CONCLUSION: Both, conservative and surgical treatment showed comparable outcomes in our preliminary results and may suggest non-inferiority of a conservative approach.
INTRODUCTION: There is no uniform consensus on the gold standard therapy for acute Achilles tendon rupture. The aim of this pilot study was to compare operative and conservative treatment regarding imaging findings and clinical outcome. MATERIALS AND METHODS: Surgically or conservatively treated patients with acute Achilles tendon rupture were retrospectively evaluated. Differences in tendon length and diameter with and without load were analysed using kinematic MRI, tendon perfusion, structural alterations, movement and scar tissue by means of grey-scale and contrast-enhanced ultrasound (CEUS). Intra- and interobserver agreement were recorded. RESULTS: No significant difference was detected regarding clinical outcome, B mode ultrasonography, contrast-enhanced sonography or MRI findings, although alterations in MRI-based measurements of tendon elasticity were found for both groups. Considerable elongation and thickening of the injured tendon were detected in both groups. CONCLUSION: Both, conservative and surgical treatment showed comparable outcomes in our preliminary results and may suggest non-inferiority of a conservative approach.
Authors: Michael D VanPelt; Matthew R Landrum; Matthew Igbinigie; Vibhor Wadhwa; Avneesh Chhabra Journal: J Foot Ankle Surg Date: 2017-01-06 Impact factor: 1.286
Authors: Katarina Nilsson-Helander; Roland Thomeé; Karin Grävare Silbernagel; Karin Grävare-Silbernagel; Pia Thomeé; Eva Faxén; Bengt I Eriksson; Jon Karlsson Journal: Am J Sports Med Date: 2006-12-07 Impact factor: 6.202
Authors: Yassine Ochen; Reinier B Beks; Mark van Heijl; Falco Hietbrink; Luke P H Leenen; Detlef van der Velde; Marilyn Heng; Olivier van der Meijden; Rolf H H Groenwold; R Marijn Houwert Journal: BMJ Date: 2019-01-07