TY - JOUR
T1 - Comparison of ultrasonographic and intraoperative findings in achilles tendon rupture
AU - Margetić, Petra
AU - Miklić, Dina
AU - Rakić-Eršek, Vera
AU - Doko, Zoran
AU - Lubina, Zvonimir Ivan
AU - Brkljačić, Boris
PY - 2007/3
Y1 - 2007/3
N2 - The purpose of the study was to assess the value of ultrasonography in the diagnosis of Achilles tendon rupture, by comparing initial ultrasonographic scans and direct intraoperative findings, as well as to follow up the healing process in operatively and conservatively treated patients. Ultrasound examination was performed in 100 patients (91 males and 9 females, with mean age of 46 years) with clinically suspicious Achilles tendon ruptures. Ultrasonographic findings were compared with intraoperative findings. Eighty-eight patients underwent surgery and twelve patients were treated conservatively. Complete ruptures were diagnosed by ultrasound in 88 patients, and partial ruptures in 12 patients. The length of the tendon (Pearson r=0.973, p<0.001, Spearman p=0.972, p<0.001) and the size of the rupture (Pearson r=0.940, p<0.001, Spearman p=0.905, p<0.001) measured before surgery by ultrasound and directly during surgery showed a high correlation. Out of 88 operatively treated patients, 86 had a complete rupture and two had a partial rupture. All patients were examined 3, 5, 8, and 12 weeks after injury or after surgery. In the first five weeks, there were statistically significant differences noted between these two groups. Operatively treated tendons healed more quickly, but after eight and twelve weeks this difference had disappeared. Our study showed that ultrasound is an excellent imaging method for confirming the clinical diagnosis of Achilles tendon rupture as well as for following up the process of tendon healing.
AB - The purpose of the study was to assess the value of ultrasonography in the diagnosis of Achilles tendon rupture, by comparing initial ultrasonographic scans and direct intraoperative findings, as well as to follow up the healing process in operatively and conservatively treated patients. Ultrasound examination was performed in 100 patients (91 males and 9 females, with mean age of 46 years) with clinically suspicious Achilles tendon ruptures. Ultrasonographic findings were compared with intraoperative findings. Eighty-eight patients underwent surgery and twelve patients were treated conservatively. Complete ruptures were diagnosed by ultrasound in 88 patients, and partial ruptures in 12 patients. The length of the tendon (Pearson r=0.973, p<0.001, Spearman p=0.972, p<0.001) and the size of the rupture (Pearson r=0.940, p<0.001, Spearman p=0.905, p<0.001) measured before surgery by ultrasound and directly during surgery showed a high correlation. Out of 88 operatively treated patients, 86 had a complete rupture and two had a partial rupture. All patients were examined 3, 5, 8, and 12 weeks after injury or after surgery. In the first five weeks, there were statistically significant differences noted between these two groups. Operatively treated tendons healed more quickly, but after eight and twelve weeks this difference had disappeared. Our study showed that ultrasound is an excellent imaging method for confirming the clinical diagnosis of Achilles tendon rupture as well as for following up the process of tendon healing.
KW - Achilles tendon
KW - Rupture
KW - Ultrasound
UR - http://www.scopus.com/inward/record.url?scp=34047244568&partnerID=8YFLogxK
M3 - Article
C2 - 17598414
AN - SCOPUS:34047244568
SN - 0350-6134
VL - 31
SP - 279
EP - 284
JO - Collegium Antropologicum
JF - Collegium Antropologicum
IS - 1
ER -