Weidermann Frances, Hirschmüller Anja, Tamborrini Giorgio
ALTIUS Swiss Sportmed Center, Rheinfelden, Schweiz.
Universitätsklinikum Freiburg, Departement Chirurgie, Klinik für Orthopädie und Unfallchirurgie, Freiburg, Deutschland.
Praxis (Bern 1994). 2023;112(4):271-282. doi: 10.1024/1661-8157/a004032.
CME Sonography 108: Achilles Tendon Ultrasound: Sonoanatomy and Pathologies The Achilles tendon is the thickest tendon in the human body. Due to its superficial location and the high prevalence of its pathologies, the Achilles tendon is one of the most frequently sonographed tendons. As a cost-effective and quickly available diagnostic tool, sonography has become indispensable as an examination method for "achillodynia", which occurs in both athletes and non-athletes alike. With modern, high-resolution ultrasound devices, the ultrastructure of the Achilles tendon can be shown in such detail that the term "sonohistology" was formed. Using Doppler sonography and elastography, tendon characteristics which no other modality is capable to show can be visualized. Ultrasound has also been established in the guidance of therapeutic interventions for Achilles tendon disorders. In this article, the sonopathology of the most common Achilles tendon disorders - degenerative and traumatic - are addressed.
继续医学教育超声检查108：跟腱超声检查：超声解剖与病理 跟腱是人体最粗大的肌腱。因其表浅的位置以及疾病的高发生率，跟腱是超声检查最频繁的肌腱之一。作为一种经济高效且可快速获得的诊断工具，超声检查已成为“跟腱痛”检查方法中不可或缺的手段，跟腱痛在运动员和非运动员中均有发生。借助现代高分辨率超声设备，跟腱的超微结构能够被详细显示，以至于形成了“超声组织学”这一术语。使用多普勒超声和弹性成像技术，可以显示出其他检查方式无法呈现的肌腱特征。超声检查在跟腱疾病治疗干预的引导方面也已得到应用。在本文中，将探讨最常见的跟腱疾病——退行性和创伤性疾病——的超声病理。
