Wijesekera Nevin T, Calder James D, Lee Justin C
Department of Radiology, Chelsea and Westminster Hospital, London, United Kingdom.
Semin Musculoskelet Radiol. 2011 Feb;15(1):89-100. doi: 10.1055/s-0031-1271961. Epub 2011 Feb 17.
Achilles tendinopathy is a common overuse injury in patients engaged in athletic activities. Tendon degeneration is often accompanied by paratendinitis. Radiologists are frequently asked to use imaging techniques to evaluate patients with problems at or around the Achilles tendon. The main imaging modalities used in the assessment of Achilles tendon disorders are plain radiography, ultrasound, and magnetic resonance imaging. In recent years, ultrasound has also been used to guide minimally invasive local treatments for Achilles tendinopathy, which may prevent the need for surgery if conservative treatments have failed. In this article, we review the imaging features of Achilles tendinopathy and consider the relative strengths and weaknesses of the various imaging techniques. The role of imaging in directing patient management is also discussed, with particular focus on ultrasound-guided treatments.
跟腱病是从事体育活动的患者中常见的过度使用性损伤。肌腱退变常伴有腱周炎。放射科医生经常被要求使用成像技术来评估跟腱处或其周围有问题的患者。评估跟腱疾病时使用的主要成像方式是X线平片、超声和磁共振成像。近年来，超声也被用于指导跟腱病的微创局部治疗，如果保守治疗失败，这可能避免手术的需要。在本文中，我们回顾了跟腱病的成像特征，并考虑了各种成像技术的相对优缺点。还讨论了成像在指导患者管理中的作用，尤其侧重于超声引导下的治疗。
