Variation and correlation of ultrasound measurements in non-insertional achilles tendinopathy
YANG Yiming1 WANG Baojian2 ZHANG Wei3 ZHANG Xiaoliang4 CHANG Qing4 CHEN Yuefeng2 PAN Xuyue5 MA Yufeng2
1.Graduate School, Beijing University of Chinese Medicine, Beijing 100029, China;
2.Department of Muscle Injury(Pain), the Third Affiliated Hospital Beijing University of Chinese Medicine, Beijing 100029, China;
3.Department of Minimally Invasive Joint Surgery, the Third Affiliated Hospital of Beijing University of Chinese Medicine, Beijing 100029, China;
4.Department of Ultrasound, the Third Affiliated Hospital of Beijing University of Chinese Medicine, Beijing 100029, China;
5.Department of Foot and Ankle, the Third Affiliated Hospital of Beijing University of Chinese Medicine, Beijing 100029, China
Abstract：Objective To investigate the changes and correlation of ultrasound measurements of achilles tendon lesions in patients with non-insertional achilles tendinopathy. Methods A total of 55 patients with non-insertional achilles tendinopathy (NIAT) was NIAT group and 20 healthy adults was lualthy group of achilles tendon in the Third Affiliated Hospital of Beijing University of Chinese Medicine from November 2020 to August 2022 were collected. Musculobone ultrasound (MSK-US) and color Doppler flow imaging (CDFI) were used to measure the thickness and cross-sectional area of the achilles tendon and the thickness of the Kager fat pad in front of the achilles tendon, and the deepening saceffusion of the achilles tendon and the blood flow signals in the achilles tendon were explored, and the changes in the measured values of the Achilles tendon between the two groups were compared. Combined with visual analogue scale (VAS) and American Collgege of Foot and Ankle Surgery (AOFAS) scale, Pearson correlation analysis was used to explore the correlation of ultrasonic performance achilles tendon with VAS and AOFAS scores. Results The achilles tendon thickness, cross-sectional area, Kager fat pad thicknessin NIAT group were higher than those in healthy group, and the detection rate of deep bursae effusion and blood flow signal in NIAT group was higher than that in healthy group, with statistical significance (P＜0.05). Achilles tendon thickness and achilles tendon blood flow detection rate were positively correlated with VAS score (r=0.249, 0.334, P＜0.05), and blood flow signal was negatively correlated with AOFAS score (r=-0.309, P＜0.05). Conclusion Patients with non-insertional achilles tendinopathy may develop lesions of achilles tendon and peri-tendon tissues. The thickness of achilles tendon and the detection rate of blood flow signal in achilles tendon are important indicators to evaluate the condition of achilles tendinopathy. MSK-US and CDFI play an important role in the evaluation of achilles tendinopathy.
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