Paavola M, Paakkala T, Kannus P, Järvinen M
Department of Surgery, Tampere University Hospital, Finland.
Acta Radiol. 1998 Nov;39(6):612-9. doi: 10.3109/02841859809175485.
To assess the value of US in the diagnosis of various Achilles tendon disorders.
Pre-operative US was compared with surgical findings in 79 patients with an Achilles tendon complaint.
US was highly reliable for verifying a complete Achilles tendon rupture, only one false-negative US examination was found in the 26 surgically verified cases. For diagnosing retrocalcanear bursitis, US was accurate: 6 out of the 8 cases of bursitis were found and there were no false-positive cases. There were also no false-positive US findings in patients with peritendinitis/tendinitis, but 7 false-negative US cases among the 40 surgically verified peritendinitis/tendinitis patients indicated that a negative US finding in a clinically suspected case of peritendinitis/tendinitis is unreliable. US also seemed to be inadequate for differentiating partial tendon rupture from a focal tendon degeneration. Nevertheless, the occurrence and location of such a lesion could be adequately determined by US.
US can reliably be used for locating the Achilles tendon abnormality, estimating its severity, and determining most of the conditions requiring surgical intervention. However, US is not completely reliable for diagnosing peritendinitis and tendinitis, and it cannot be used to differentiate partial tendon ruptures from focal degenerative lesions.
评估超声在诊断各种跟腱疾病中的价值。
对79例有跟腱问题的患者术前超声检查结果与手术所见进行比较。
超声在证实跟腱完全断裂方面高度可靠，在26例经手术证实的病例中仅发现1例假阴性超声检查结果。对于诊断跟腱后囊炎，超声检查准确：8例囊炎病例中发现6例，无假阳性病例。在患有腱周/肌腱炎的患者中超声检查也无假阳性结果，但在40例经手术证实的腱周/肌腱炎患者中有7例假阴性超声病例，这表明临床怀疑腱周/肌腱炎病例中超声检查阴性结果不可靠。超声似乎也不足以区分部分肌腱断裂和局灶性肌腱退变。然而，超声能够充分确定此类病变的发生情况和位置。
超声可可靠地用于定位跟腱异常、评估其严重程度，并确定大多数需要手术干预的情况。然而，超声在诊断腱周和肌腱炎方面并不完全可靠，且不能用于区分部分肌腱断裂和局灶性退行性病变。
