[Ultrasonography of Achilles tendon lesions--an experimental study].
OBJECTIVE
In an experimental study the accuracy of ultrasound in the detection of lesions of the achilles tendon was examined.


METHODS
60 Achilles tendons were examined post mortem macroscopically, histologically and by means of ultrascan.


RESULTS
All macroscopical changes were found in the sonograms. Especially changes of the form proved to be good diagnostic patterns for degenerative lesions of the tendon. At a distance of 2 cm proximal to the calcaneus histological changes could be detected with an accuracy of 73.3%. At 4 and 6 cm to the calcaneus we found similar results.


CONCLUSIONS
A differentiation of the histological diagnosis by means of the sonographic behaviour was not possible. As a reproducible, effective and inexpensive method ultrasound examination has proved very useful in the detection of degenerative lesions of the Achilles tendon.
Sell
S
S
Orthopädische Klinik, Eberhard-Karls-Universität Tübingen.
Balensiefen
F
F
Küsswetter
W
W
D000125:Achilles Tendon / Q000000981:diagnostic imaging / Q000293:injuries* / Q000473:pathology; D000328:Adult; D000368:Aged; D002111:Calcaneus / Q000000981:diagnostic imaging / Q000473:pathology; D002114:Calcinosis / Q000000981:diagnostic imaging / Q000473:pathology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012680:Sensitivity and Specificity; D052256:Tendinopathy / Q000000981:diagnostic imaging* / Q000209:etiology / Q000473:pathology; D013708:Tendon Injuries / Q000000981:diagnostic imaging* / Q000473:pathology; D014463:Ultrasonography