Lower Limb Tendinopathy Tissue Changes Assessed through Ultrasound: A Narrative Review

Tendinopathy is a common disease that affects athletes, causing pain and dysfunction to the afflicted tendon. A clinical diagnose is usually combined with imaging and, among all the existing techniques, ultrasound is widely adopted. The aim of this review is to sum up the existing evidence on ultras...

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Main Authors: Eleuterio A. Sánchez Romero, Joel Pollet, Sebastián Martín Pérez, José Luis Alonso Pérez, Alberto Carlos Muñoz Fernández, Paolo Pedersini, Carlos Barragán Carballar, Jorge Hugo Villafañe
Format: Article
Language:English
Published: MDPI AG 2020-07-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1010-660X/56/8/378
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author Eleuterio A. Sánchez Romero
Joel Pollet
Sebastián Martín Pérez
José Luis Alonso Pérez
Alberto Carlos Muñoz Fernández
Paolo Pedersini
Carlos Barragán Carballar
Jorge Hugo Villafañe
author_facet Eleuterio A. Sánchez Romero
Joel Pollet
Sebastián Martín Pérez
José Luis Alonso Pérez
Alberto Carlos Muñoz Fernández
Paolo Pedersini
Carlos Barragán Carballar
Jorge Hugo Villafañe
author_sort Eleuterio A. Sánchez Romero
collection DOAJ
description Tendinopathy is a common disease that affects athletes, causing pain and dysfunction to the afflicted tendon. A clinical diagnose is usually combined with imaging and, among all the existing techniques, ultrasound is widely adopted. The aim of this review is to sum up the existing evidence on ultrasound as an imaging tool and guide for treatments in lower limbs tendinopathy. Using three different databases—PubMed, MEDLINE and CENTRAL—a literature search has been performed in May 2020 combining MeSH terms and free terms with Boolean operators. Authors independently selected studies, conducted quality assessment, and extracted results. Ultrasound imaging has a good reliability in the differentiation between healthy and abnormal tendon tissue, while there are difficulties in the identification of tendinopathy stages. The main parameters considered by ultrasound imaging are tendon thickness, hypoechogenicity of tendon structure and neovascularization of the tendon bound tissue. Ultrasound-guide is also used in many tendinopathy treatments and the available studies gave encouraging results, even if further studies are needed in this field.
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spelling doaj.art-a9cd1c99d3e347ccb87b51b8a4b2faae2023-09-02T15:17:39ZengMDPI AGMedicina1010-660X2020-07-015637837810.3390/medicina56080378Lower Limb Tendinopathy Tissue Changes Assessed through Ultrasound: A Narrative ReviewEleuterio A. Sánchez Romero0Joel Pollet1Sebastián Martín Pérez2José Luis Alonso Pérez3Alberto Carlos Muñoz Fernández4Paolo Pedersini5Carlos Barragán Carballar6Jorge Hugo Villafañe7Musculoskeletal Pain and Motor Control Research Group, Faculty of Health Sciences, Universidad Europea de Madrid, 28670 Madrid, SpainIRCCS Fondazione Don Carlo Gnocchi, 20161 Milan, ItalyDepartment of Physiotherapy, Faculty of Biomedical and Health Sciences, Universidad Europea de Madrid, Tajo, s/n, Urbanización El Bosque, 28670 Villaviciosa de Odón, Madrid, SpainMusculoskeletal Pain and Motor Control Research Group, Faculty of Health Sciences, Universidad Europea de Madrid, 28670 Madrid, SpainMusculoskeletal Pain and Motor Control Research Group, Faculty of Health Sciences, Universidad Europea de Madrid, 28670 Madrid, SpainIRCCS Fondazione Don Carlo Gnocchi, 20161 Milan, ItalyMusculoskeletal Pain and Motor Control Research Group, Faculty of Health Sciences, Universidad Europea de Madrid, 28670 Madrid, SpainIRCCS Fondazione Don Carlo Gnocchi, 20161 Milan, ItalyTendinopathy is a common disease that affects athletes, causing pain and dysfunction to the afflicted tendon. A clinical diagnose is usually combined with imaging and, among all the existing techniques, ultrasound is widely adopted. The aim of this review is to sum up the existing evidence on ultrasound as an imaging tool and guide for treatments in lower limbs tendinopathy. Using three different databases—PubMed, MEDLINE and CENTRAL—a literature search has been performed in May 2020 combining MeSH terms and free terms with Boolean operators. Authors independently selected studies, conducted quality assessment, and extracted results. Ultrasound imaging has a good reliability in the differentiation between healthy and abnormal tendon tissue, while there are difficulties in the identification of tendinopathy stages. The main parameters considered by ultrasound imaging are tendon thickness, hypoechogenicity of tendon structure and neovascularization of the tendon bound tissue. Ultrasound-guide is also used in many tendinopathy treatments and the available studies gave encouraging results, even if further studies are needed in this field.https://www.mdpi.com/1010-660X/56/8/378tendinopathyultrasonographyreliability
spellingShingle Eleuterio A. Sánchez Romero
Joel Pollet
Sebastián Martín Pérez
José Luis Alonso Pérez
Alberto Carlos Muñoz Fernández
Paolo Pedersini
Carlos Barragán Carballar
Jorge Hugo Villafañe
Lower Limb Tendinopathy Tissue Changes Assessed through Ultrasound: A Narrative Review
Medicina
tendinopathy
ultrasonography
reliability
title Lower Limb Tendinopathy Tissue Changes Assessed through Ultrasound: A Narrative Review
title_full Lower Limb Tendinopathy Tissue Changes Assessed through Ultrasound: A Narrative Review
title_fullStr Lower Limb Tendinopathy Tissue Changes Assessed through Ultrasound: A Narrative Review
title_full_unstemmed Lower Limb Tendinopathy Tissue Changes Assessed through Ultrasound: A Narrative Review
title_short Lower Limb Tendinopathy Tissue Changes Assessed through Ultrasound: A Narrative Review
title_sort lower limb tendinopathy tissue changes assessed through ultrasound a narrative review
topic tendinopathy
ultrasonography
reliability
url https://www.mdpi.com/1010-660X/56/8/378
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