In Achilles tendinopathy, the neovascularization, detected by contrast-enhanced ultrasound (CEUS), is abundant but not related to symptoms

Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA
Armanda De MarchiGiuseppe Massazza

Abstract

Mid-portion Achilles tendinopathy is characterized by a proliferation of small vessels, called neovascularization, which can be demonstrated by power Doppler sonography (PD). Neovascularization can be correlated with diagnosis and consequent therapies focused on vascular supply. Published data regarding the relationship between neovascularisation and symptoms, such as pain and disability, are contradictory. The hypothesis that contrast-enhanced ultrasound (CEUS) could detect with more sensibility than PD the new vessel ingrowth in human degenerated Achilles tendons and therefore the correlation of neovascularization with pain and disability, was evaluated. Thirty consecutive patients of recalcitrant Achilles tendinopathy were studied with ultrasound greyscale (US), PD, CEUS and magnetic resonance imaging. Neovascularization was recorded as percentage on the whole extension of examined area. The vascularization time was recorded as venous and arterial type. Imaging data were classified both concurrently with the examination and in a secondary blinded assessment; any difference in the subjective assessment was discussed and a consensus view formed. Pain and disability were assessed by Western Ontario McMaster Universities Arthrit...Continue Reading

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Citations

Mar 29, 2019·Diabetic Medicine : a Journal of the British Diabetic Association·N E HillS Chew
Aug 14, 2020·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Christian FischerJulian Doll
Jun 20, 2020·Medicine and Science in Sports and Exercise·Ole Kristian BergJan Hoff
Jan 25, 2020·Annals of Anatomy = Anatomischer Anzeiger : Official Organ of the Anatomische Gesellschaft·Kamil WinnickiKrzysztof A Tomaszewski
Mar 31, 2021·Pediatric Radiology·Aikaterini NtouliaSusan J Back
Oct 26, 2021·PeerJ·Wesley MatthewsWayne A Hing

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