Calcaneal CT is a useful tool for identifying Achilles tendon disorders: a pilot study

Abstract Background In various Achilles tendon disorders, little attention is paid to the bone environment at the tendon insertion sites. The aim of the present study was to assess the calcaneal bone structure in Achilles tendon disorders using computed tomography (CT). Methods This study included 3...

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Main Authors: Krzysztof Ficek, Jolanta Filipek, Joanna Ficek, Małgorzata Muzalewska, Filip Humpa
Format: Article
Language:English
Published: BMC 2017-09-01
Series:Journal of Orthopaedic Surgery and Research
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13018-017-0638-4
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author Krzysztof Ficek
Jolanta Filipek
Joanna Ficek
Małgorzata Muzalewska
Filip Humpa
author_facet Krzysztof Ficek
Jolanta Filipek
Joanna Ficek
Małgorzata Muzalewska
Filip Humpa
author_sort Krzysztof Ficek
collection DOAJ
description Abstract Background In various Achilles tendon disorders, little attention is paid to the bone environment at the tendon insertion sites. The aim of the present study was to assess the calcaneal bone structure in Achilles tendon disorders using computed tomography (CT). Methods This study included 31 male patients diagnosed with various Achilles disorders, including episodes of tendon rupture (TR), conservatively treated tendinopathy (TP), and critical-stage Achilles TP treated with endoscopic surgery (TS). CT scans of both feet were conducted to assess the calcaneal bone structure in the TP and TS groups, which comprised 23 patients. Bone measurements were calculated, including the bone volume-to-total volume ratio (BV/TV), cross-sectional area (CSA), product moment of area (Ipm), and polar section modulus (Zpol). Results The results demonstrated increased BV/TV, CSA, Ipm, and Zpol values in patients who underwent tendinoscopy and in patients with insertional TP. Conclusions CT images are useful for evaluating calcaneal trabecular structural alterations in patients with Achilles pathology and correlate with the TP type.
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spelling doaj.art-3463306954ed4b6685c275655b38f5522022-12-22T03:18:57ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2017-09-011211810.1186/s13018-017-0638-4Calcaneal CT is a useful tool for identifying Achilles tendon disorders: a pilot studyKrzysztof Ficek0Jolanta Filipek1Joanna Ficek2Małgorzata Muzalewska3Filip Humpa4The Jerzy Kukuczka Academy of Physical EducationGalen-OrthopaedicsGalen-OrthopaedicsFaculty of Mechanical Engineering, Silesian University of TechnologyThe Jerzy Kukuczka Academy of Physical EducationAbstract Background In various Achilles tendon disorders, little attention is paid to the bone environment at the tendon insertion sites. The aim of the present study was to assess the calcaneal bone structure in Achilles tendon disorders using computed tomography (CT). Methods This study included 31 male patients diagnosed with various Achilles disorders, including episodes of tendon rupture (TR), conservatively treated tendinopathy (TP), and critical-stage Achilles TP treated with endoscopic surgery (TS). CT scans of both feet were conducted to assess the calcaneal bone structure in the TP and TS groups, which comprised 23 patients. Bone measurements were calculated, including the bone volume-to-total volume ratio (BV/TV), cross-sectional area (CSA), product moment of area (Ipm), and polar section modulus (Zpol). Results The results demonstrated increased BV/TV, CSA, Ipm, and Zpol values in patients who underwent tendinoscopy and in patients with insertional TP. Conclusions CT images are useful for evaluating calcaneal trabecular structural alterations in patients with Achilles pathology and correlate with the TP type.http://link.springer.com/article/10.1186/s13018-017-0638-4CalcaneusAchilles tendonComputed tomography
spellingShingle Krzysztof Ficek
Jolanta Filipek
Joanna Ficek
Małgorzata Muzalewska
Filip Humpa
Calcaneal CT is a useful tool for identifying Achilles tendon disorders: a pilot study
Journal of Orthopaedic Surgery and Research
Calcaneus
Achilles tendon
Computed tomography
title Calcaneal CT is a useful tool for identifying Achilles tendon disorders: a pilot study
title_full Calcaneal CT is a useful tool for identifying Achilles tendon disorders: a pilot study
title_fullStr Calcaneal CT is a useful tool for identifying Achilles tendon disorders: a pilot study
title_full_unstemmed Calcaneal CT is a useful tool for identifying Achilles tendon disorders: a pilot study
title_short Calcaneal CT is a useful tool for identifying Achilles tendon disorders: a pilot study
title_sort calcaneal ct is a useful tool for identifying achilles tendon disorders a pilot study
topic Calcaneus
Achilles tendon
Computed tomography
url http://link.springer.com/article/10.1186/s13018-017-0638-4
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AT małgorzatamuzalewska calcanealctisausefultoolforidentifyingachillestendondisordersapilotstudy
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