Kainberger F, Nehrer S, Breitenseher M, Seidl G, Baldt M, Rand T, Imhof H
Universitätsklinik fäur Radiodiagnostik, Abteilung fäur Osteologie, Wien.
Ultraschall Med. 1996 Oct;17(5):212-7. doi: 10.1055/s-2007-1003184.
To correlate sonographic findings and clinical disorders of the Achilles tendon, considering newer aspects of their etiology and pathogenesis.
In a retrospective cross-sectional study the sonographic findings in 52 patients with tendonitis, heel swelling, or suspected rupture were analysed and correlated with the final diagnosis. Tendon lesions due to lipid storage diseases or rheumatic diseases were analysed on the basis of reports in the literature.
Ultrasound abnormalities were found in 41 of the 52 symptomatic patients (40 degenerative changes of the tendon and/or the peritendinous tissue, 1 inflammatory rheumatologic process, 1 metabolic disorder, 8 ruptures, 2 congenital or developmental abnormalities). Ultrasound signs were not specific for each of the diagnoses but typical combinations of distinctive signs together with clinical findings led to the correct diagnoses.
Patients with suspected lesions of the Achilles tendon should undergo an ultrasound investigation both to promote the exact diagnosis and to define the extent of the disease.
结合跟腱病因和发病机制的新观点，关联跟腱的超声检查结果与临床病症。
在一项回顾性横断面研究中，分析了52例患有肌腱炎、足跟肿胀或疑似跟腱断裂患者的超声检查结果，并与最终诊断结果进行关联。基于文献报道，对脂质贮积病或风湿性疾病所致的肌腱病变进行了分析。
52例有症状的患者中，41例存在超声异常（40例肌腱和/或肌腱周围组织退行性改变、1例炎性风湿性病变、1例代谢紊乱、8例跟腱断裂、2例先天性或发育异常）。超声征象并非对每种诊断都具有特异性，但独特征象与临床发现的典型组合可得出正确诊断。
疑似跟腱病变的患者应接受超声检查，以促进准确诊断并明确疾病范围。
