Archambault J M, Wiley J P, Bray R C, Verhoef M, Wiseman D A, Elliott P D
Human Performance Lab, University of Calgary, Alberta, Canada.
J Clin Ultrasound. 1998 Sep;26(7):335-9. doi: 10.1002/(sici)1097-0096(199809)26:7<335::aid-jcu1>3.0.co;2-a.
We evaluated whether the grade assigned to the Achilles tendon's appearance on sonograms can be used to predict the outcome of achillodynia.
A retrospective evaluation was done of a case series of patients with Achilles tendon pain seen at a sports medicine clinic. The study consisted of chart reviews, telephone follow-up interviews, and grading of ultrasound images of the tendon obtained during the initial visit. The grading scheme was as follows: grade 1, normal tendon; grade 2, enlarged tendon; and grade 3, tendon containing a hypoechoic area, regardless of size. The time needed to recover from symptoms was compared between grades using survival analysis.
The group consisted of 33 patients, with a mean age of 35.8 years and a mean follow-up time of 24.3 months. There was a statistically significant difference in the time to full recovery between grades (p = 0.02). Patients with grade 1 tendons had a prompter resolution of symptoms than did patients with grade 2 or 3 tendons.
This retrospective study of the outcome of achillodynia demonstrates the possible use of tendon sonography as a prognostic tool to supplement physical examination.
我们评估了超声检查中跟腱外观的分级是否可用于预测跟腱痛的预后。
对一家运动医学诊所中一系列跟腱疼痛患者进行回顾性评估。该研究包括病历审查、电话随访访谈以及对初次就诊时获取的肌腱超声图像进行分级。分级方案如下：1级，肌腱正常；2级，肌腱增粗；3级，肌腱内有低回声区，大小不限。使用生存分析比较各等级之间症状恢复所需的时间。
该组包括33例患者，平均年龄35.8岁，平均随访时间24.3个月。各等级之间完全恢复的时间存在统计学显著差异（p = 0.02）。1级肌腱患者的症状比2级或3级肌腱患者缓解得更快。
这项关于跟腱痛预后的回顾性研究表明，肌腱超声检查有可能作为一种预后工具来辅助体格检查。
