Barile A, Bruno F, Mariani S, Arrigoni F, Brunese L, Zappia M, Splendiani A, Di Cesare E, Masciocchi C
Department of Biotechnologies and Applied Clinical Sciences, S. Salvatore Hospital Coppito, University of L'Aquila, Via L. Natali, 67100, L'Aquila, Italy.
Department of Medicine and Health Sciences, University of Molise, Campobasso, Italy.
Musculoskelet Surg. 2017 Mar;101(Suppl 1):51-61. doi: 10.1007/s12306-017-0456-1. Epub 2017 Feb 14.
The follow-up of an operated tendon is primarily clinical, although clinical examination may not be sufficient in the presence of certain complications. The imaging techniques are of great value not only in the diagnosis of tendon pathologies, but also as an adjunct to clinical evaluation. This is particularly true in the follow-up of patients submitted to surgical tendon reconstruction, by monitoring morphological effects of different interventions and evaluating tendon healing processes. Interpretation of imaging findings requires knowledge of the imaging appearance of the operated tendon during the healing phase, to distinguish between normal postsurgical changes and real pathology, as well as knowledge of surgical technique, postoperative course (including type of prescribed therapy) and possible postoperative complications. The most important imaging modalities to examine the Achilles tendon are ultrasound and magnetic resonance imaging. This article gives a review of some of the most common treatment strategies for Achilles tendon pathology, expected postoperative imaging findings and postoperative complications.
尽管在某些并发症存在时临床检查可能并不充分，但对手术修复后的肌腱进行随访主要依靠临床检查。成像技术不仅在肌腱病变的诊断中具有重要价值，而且作为临床评估的辅助手段也很有价值。这在接受肌腱手术重建患者的随访中尤为如此，通过监测不同干预措施的形态学效果以及评估肌腱愈合过程。解读成像结果需要了解愈合阶段手术肌腱的成像表现，以区分正常的术后变化和真正的病变，还需要了解手术技术、术后病程（包括规定治疗的类型）以及可能的术后并发症。检查跟腱最重要的成像方式是超声和磁共振成像。本文综述了跟腱病变的一些最常见治疗策略、预期的术后成像结果以及术后并发症。
