Achilles tendon cross-sectional area at 12 weeks post-rupture relates to 1-year heel-rise height

作者: Jennifer A. Zellers , Ryan T. Pohlig , Daniel H. Cortes , Karin Grävare Silbernagel

DOI: 10.1007/S00167-019-05608-X

关键词:

摘要: Achilles tendon rupture leads to long-term plantar flexor deficits, but some patients recover functional performance better than others. Early indicators of healing could be helpful in establishing patient prognosis and making individualized decisions regarding rehabilitation progression. The purpose this study was investigate relationships between early morphology mechanical properties heel-rise jumping function individuals after rupture. Individuals were assessed at 4, 8, 12, 24, 52 weeks post-injury. Tendon cross-sectional area, length, measured using ultrasound. Heel-rise jump tests performed 24 52 weeks. Correlation regression analysis used identify structural variables the first 12 weeks outcomes 52 weeks, determine whether addition characteristics 24 weeks strengthened Functional with  3 cm elongation a Mann–Whitney U test. Twenty-two participants [mean (SD) age = 40 (11) years, 17 male] included. area strongest predictor height (R2 = 0.280, p = 0.014) work symmetry (R2 = 0.316, p = 0.008) Jumping not significantly related any measures 12 weeks. Performance all tasks positively on same task (r = 0.456–0.708, p  reduced (p < 0.05). excessive testing Once an individual is able perform function-based testing, may inform prognosis. Ultrasound-based structure recovery seem relate later testing. Clinically, assessing has potential as biomarker predict risk negative outcome. II.

参考文章(47)
T. Schepull, J. Kvist, P. Aspenberg, Early E-modulus of healing Achilles tendons correlates with late function: similar results with or without surgery. Scandinavian Journal of Medicine & Science in Sports. ,vol. 22, pp. 18- 23 ,(2012) , 10.1111/J.1600-0838.2010.01154.X
Stephen M. Suydam, Elizabeth M. Soulas, Dawn M. Elliott, Karin Gravare Silbernagel, Thomas S. Buchanan, Daniel H. Cortes, Viscoelastic properties of healthy achilles tendon are independent of isometric plantar flexion strength and cross‐sectional area Journal of Orthopaedic Research. ,vol. 33, pp. 926- 931 ,(2015) , 10.1002/JOR.22878
N. Olsson, J. Karlsson, B. I. Eriksson, A. Brorsson, M. Lundberg, K. G. Silbernagel, Ability to perform a single heel-rise is significantly related to patient-reported outcome after Achilles tendon rupture. Scandinavian Journal of Medicine & Science in Sports. ,vol. 24, pp. 152- 158 ,(2014) , 10.1111/J.1600-0838.2012.01497.X
Daniel H. Cortes, Stephen M. Suydam, Karin Grävare Silbernagel, Thomas S. Buchanan, Dawn M. Elliott, Continuous Shear Wave Elastography: A New Method to Measure Viscoelastic Properties of Tendons in Vivo. Ultrasound in Medicine and Biology. ,vol. 41, pp. 1518- 1529 ,(2015) , 10.1016/J.ULTRASMEDBIO.2015.02.001
Claudio Rosso, Patrick Vavken, Caroline Polzer, Daniel M. Buckland, Ueli Studler, Lukas Weisskopf, Marc Lottenbach, Andreas Marc Müller, Victor Valderrabano, Long-term outcomes of muscle volume and Achilles tendon length after Achilles tendon ruptures Knee Surgery, Sports Traumatology, Arthroscopy. ,vol. 21, pp. 1369- 1377 ,(2013) , 10.1007/S00167-013-2407-1
Eric D. Ryan, Joseph G. Rosenberg, Michael J. Scharville, Eric J. Sobolewski, Brennan J. Thompson, Gilbert E. King, Test-retest reliability and the minimal detectable change for achilles tendon length: a panoramic ultrasound assessment Ultrasound in Medicine and Biology. ,vol. 39, pp. 2488- 2491 ,(2013) , 10.1016/J.ULTRASMEDBIO.2013.06.013
Karin Grävare Silbernagel, Alexander Gustavsson, Roland Thomeé, Jon Karlsson, Evaluation of lower leg function in patients with Achilles tendinopathy Knee Surgery, Sports Traumatology, Arthroscopy. ,vol. 14, pp. 1207- 1217 ,(2006) , 10.1007/S00167-006-0150-6
Karin Grävare Silbernagel, Robert Steele, Kurt Manal, Deficits in Heel-Rise Height and Achilles Tendon Elongation Occur in Patients Recovering From an Achilles Tendon Rupture American Journal of Sports Medicine. ,vol. 40, pp. 1564- 1571 ,(2012) , 10.1177/0363546512447926
Alexandra Soroceanu, Feroze Sidhwa, Shahram Aarabi, Annette Kaufman, Mark Glazebrook, Surgical Versus Nonsurgical Treatment of Acute Achilles Tendon Rupture: A Meta-Analysis of Randomized Trials Journal of Bone and Joint Surgery, American Volume. ,vol. 94, pp. 2136- 2143 ,(2012) , 10.2106/JBJS.K.00917
Ann Ganestam, Thomas Kallemose, Anders Troelsen, Kristoffer Weisskirchner Barfod, Increasing incidence of acute Achilles tendon rupture and a noticeable decline in surgical treatment from 1994 to 2013. A nationwide registry study of 33,160 patients. Knee Surgery, Sports Traumatology, Arthroscopy. ,vol. 24, pp. 3730- 3737 ,(2016) , 10.1007/S00167-015-3544-5