Hollenberg G M, Adams M J, Weinberg E P
Department of Radiology, University of Rochester School of Medicine and Dentistry, NY 14642, USA.
Skeletal Radiol. 2000 May;29(5):259-64. doi: 10.1007/s002560050604.
This report describes the gray-scale and color Doppler sonographic appearance of healed Achilles tendon ruptures that have been treated nonoperatively.
Eleven patients with acute Achilles tendon ruptures were studied with sonography in the acute setting and following nonoperative management of their torn tendon.
On sonographic examination, healed tendons treated nonoperatively are characterized by mild residual distortion of the normal fibrillar architecture of the tendon, anterior bulging or irregularity of the healed tendon, and a hypoechoic area about the site of rupture. Less frequent observations include mildly increased color flow and calcification at the rupture site. The previously described findings of acute tears, including hematomas, gaps at the rupture site, hyperemic torn tendon ends, and markedly distorted fibrillar architecture, were seen to have resolved in this series.
The Achilles tendon tear treated nonoperatively has a different sonographic appearance from that of a normal or acutely ruptured tendon.
本报告描述了非手术治疗的跟腱愈合性断裂的灰阶和彩色多普勒超声表现。
对11例急性跟腱断裂患者在急性发病时及对其撕裂肌腱进行非手术治疗后进行超声检查。
在超声检查中，非手术治疗的愈合肌腱的特征为肌腱正常纤维结构轻度残留变形、愈合肌腱向前膨出或不规则以及断裂部位周围的低回声区。较少见的表现包括断裂部位血流轻度增加和钙化。在本系列中，先前描述的急性撕裂的表现，包括血肿、断裂部位间隙、撕裂肌腱末端充血以及纤维结构明显变形，均已消失。
非手术治疗的跟腱撕裂在超声表现上与正常或急性断裂的肌腱不同。
