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What does normal tendon structure look like? : new insights into tissue characterization in the Achilles tendon

Evi Wezenbeek UGent, N Mahieu, Tine Willems UGent, Damien Van Tiggelen UGent, Martine De Muynck UGent, Dirk De Clercq UGent and Erik Witvrouw UGent (2017) SCANDINAVIAN JOURNAL OF MEDICINE & SCIENCE IN SPORTS. 27(7). p.746-753
abstract
Recently, ultrasound tissue characterization (UTC) was introduced as a reliable method for quantification of tendon structure. Despite increasing publications on the use of UTC, it is striking that there is a lack of normative data in active adolescents. Therefore, the aim of this study was to provide normative values of the Achilles tendon as quantified by UTC. Seventy physiotherapy students (26 male and 44 female students) with no history of Achilles tendon injuries were recruited. The Achilles tendons were scanned with UTC to characterize tendon structure. This study demonstrated that Achilles tendons of active, healthy adolescents contained 54.6% echo type I, 42.8% echo type II, 2.2% echo type III, and 0.3% echo type IV at midportion. The comparison between insertion and midportion of the tendon showed more echo type II at insertion (P < 0.001). Furthermore, female tendons contained significantly more echo type II, in both insertion and midportion compared with male tendons (P = 0.004 and P = 0.003, respectively). The results of this study, with respect to the MDC (minimum detectable change), highlight differences in the UTC echopattern in the normal population (sex and regional location), which are important considerations for future studies.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
Physical Therapy, Sports Therapy and Rehabilitation, Orthopedics and Sports Medicine, Biomechanics and Motor Control of Human Movement, Achilles tendon, adolescents, echo type distribution, ultrasound, ultrasound tissue characterization, IN-VIVO, TENDINOPATHY, INJURIES, PROTEOGLYCANS, PLAYERS
journal title
SCANDINAVIAN JOURNAL OF MEDICINE & SCIENCE IN SPORTS
Scand. J. Med. Sci. Sports
volume
27
issue
7
pages
746 - 753
Web of Science type
Article
Web of Science id
000402631100008
ISSN
0905-7188
DOI
10.1111/sms.12706
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
8501773
handle
http://hdl.handle.net/1854/LU-8501773
date created
2017-01-12 15:01:18
date last changed
2017-09-18 09:58:56
@article{8501773,
  abstract     = {Recently, ultrasound tissue characterization (UTC) was introduced as a reliable method for quantification of tendon structure. Despite increasing publications on the use of UTC, it is striking that there is a lack of normative data in active adolescents. Therefore, the aim of this study was to provide normative values of the Achilles tendon as quantified by UTC. Seventy physiotherapy students (26 male and 44 female students) with no history of Achilles tendon injuries were recruited. The Achilles tendons were scanned with UTC to characterize tendon structure. This study demonstrated that Achilles tendons of active, healthy adolescents contained 54.6\% echo type I, 42.8\% echo type II, 2.2\% echo type III, and 0.3\% echo type IV at midportion. The comparison between insertion and midportion of the tendon showed more echo type II at insertion (P {\textlangle} 0.001). Furthermore, female tendons contained significantly more echo type II, in both insertion and midportion compared with male tendons (P = 0.004 and P = 0.003, respectively). The results of this study, with respect to the MDC (minimum detectable change), highlight differences in the UTC echopattern in the normal population (sex and regional location), which are important considerations for future studies.},
  author       = {Wezenbeek, Evi and Mahieu, N and Willems, Tine and Van Tiggelen, Damien and De Muynck, Martine and De Clercq, Dirk and Witvrouw, Erik},
  issn         = {0905-7188},
  journal      = {SCANDINAVIAN JOURNAL OF MEDICINE \& SCIENCE IN SPORTS},
  keyword      = {Physical Therapy,Sports Therapy and Rehabilitation,Orthopedics and Sports Medicine,Biomechanics and Motor Control of Human Movement,Achilles tendon,adolescents,echo type distribution,ultrasound,ultrasound tissue characterization,IN-VIVO,TENDINOPATHY,INJURIES,PROTEOGLYCANS,PLAYERS},
  language     = {eng},
  number       = {7},
  pages        = {746--753},
  title        = {What does normal tendon structure look like? : new insights into tissue characterization in the Achilles tendon},
  url          = {http://dx.doi.org/10.1111/sms.12706},
  volume       = {27},
  year         = {2017},
}

Chicago
Wezenbeek, Evi, N Mahieu, Tine Willems, Damien Van Tiggelen, Martine De Muynck, Dirk De Clercq, and Erik Witvrouw. 2017. “What Does Normal Tendon Structure Look Like? : New Insights into Tissue Characterization in the Achilles Tendon.” Scandinavian Journal of Medicine & Science in Sports 27 (7): 746–753.
APA
Wezenbeek, E., Mahieu, N., Willems, T., Van Tiggelen, D., De Muynck, M., De Clercq, D., & Witvrouw, E. (2017). What does normal tendon structure look like? : new insights into tissue characterization in the Achilles tendon. SCANDINAVIAN JOURNAL OF MEDICINE & SCIENCE IN SPORTS, 27(7), 746–753.
Vancouver
1.
Wezenbeek E, Mahieu N, Willems T, Van Tiggelen D, De Muynck M, De Clercq D, et al. What does normal tendon structure look like? : new insights into tissue characterization in the Achilles tendon. SCANDINAVIAN JOURNAL OF MEDICINE & SCIENCE IN SPORTS. 2017;27(7):746–53.
MLA
Wezenbeek, Evi, N Mahieu, Tine Willems, et al. “What Does Normal Tendon Structure Look Like? : New Insights into Tissue Characterization in the Achilles Tendon.” SCANDINAVIAN JOURNAL OF MEDICINE & SCIENCE IN SPORTS 27.7 (2017): 746–753. Print.