Comparison of Ultrasonographic and Intraoperative Findings in Achilles Tendon Rupture

The purpose of the study was to assess the value of ultrasonography in the diagnosis of Achilles tendon rupture, by comparing initial ultrasonographic scans and direct intraoperative findings, as well as to follow up the healing process in operatively and conservatively treated patients. Ultrasound...

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Veröffentlicht in:Collegium antropologicum 2007-01, Vol.31 (1), p.279
Hauptverfasser: Margetić, Petra, Miklić, Dina, Rakić-Eržek, Vera, Doko, Zoran, Ivan Lubina, Zvonimir, Brkljačić, Boris
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container_title Collegium antropologicum
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creator Margetić, Petra
Miklić, Dina
Rakić-Eržek, Vera
Doko, Zoran
Ivan Lubina, Zvonimir
Brkljačić, Boris
description The purpose of the study was to assess the value of ultrasonography in the diagnosis of Achilles tendon rupture, by comparing initial ultrasonographic scans and direct intraoperative findings, as well as to follow up the healing process in operatively and conservatively treated patients. Ultrasound examination was performed in 100 patients (91 males and 9 females, with mean age of 46 years) with clinically suspicious Achilles tendon ruptures. Ultrasonographic findings were compared with intraoperative findings. Eighty-eight patients underwent surgery and twelve patients were treated conservatively. Complete ruptures were diagnosed by ultrasound in 88 patients, and partial ruptures in 12 patients. The length of the tendon (Pearson r=0.973, p
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Ultrasound examination was performed in 100 patients (91 males and 9 females, with mean age of 46 years) with clinically suspicious Achilles tendon ruptures. Ultrasonographic findings were compared with intraoperative findings. Eighty-eight patients underwent surgery and twelve patients were treated conservatively. Complete ruptures were diagnosed by ultrasound in 88 patients, and partial ruptures in 12 patients. The length of the tendon (Pearson r=0.973, p&lt;0.001, Spearman r=0.972, p&lt;0.001) and the size of the rupture (Pearson r=0.940, p&lt;0.001, Spearman r=0.905, p&lt;0.001) measured before surgery by ultrasound and directly during surgery showed a high correlation. Out of 88 operatively treated patients, 86 had a complete rupture and two had a partial rupture. All patients were examined 3, 5, 8, and 12 weeks after injury or after surgery. In the first five weeks, there were statistically significant differences noted between these two groups. Operatively treated tendons healed more quickly, but after eight and twelve weeks this difference had disappeared. 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subjects Achilles tendon
rupture
ultrasound
title Comparison of Ultrasonographic and Intraoperative Findings in Achilles Tendon Rupture
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