Semin Musculoskelet Radiol 2023; 27(03): 308-313
DOI: 10.1055/s-0043-1764389
Review Article

Presurgical Perspectives and Post-treatment Evaluation of Achilles Tendon Injuries

Meghan A. Moriarty
1   Musculoskeletal Radiology, Department of Radiology, Northwell Health Huntington Hospital, Huntington, New York
,
William B. Morrison
2   General and Musculoskeletal Radiology, Department of Radiology, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania
› Author Affiliations

Abstract

The Achilles is a commonly injured tendon, prone to degeneration and tear. Achilles tendon treatment ranges from conservative management to injections, tenotomy, open versus percutaneous tendon repair, graft reconstruction, and flexor hallucis longus transfer. Interpreting postoperative imaging of the Achilles tendon is a difficult task for many providers. This article clarifies these issues by presenting the imaging findings following standard treatments and depicts expected appearance versus recurrent tear and other complications.



Publication History

Article published online:
25 May 2023

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  • References

  • 1 Chianca V, Zappia M, Oliva F, Luca B, Maffulli N. Post-operative MRI and US appearance of the Achilles tendons. J Ultrasound 2020; 23 (03) 387-395
  • 2 Fujikawa A, Kyoto Y, Kawaguchi M, Naoi Y, Ukegawa Y. Achilles tendon after percutaneous surgical repair: serial MRI observation of uncomplicated healing. AJR Am J Roentgenol 2007; 189 (05) 1169-1174
  • 3 Wirth SH, Andronic O, Aregger F, Jungwirth-Weinberger A, Jentzsch T, Hecker A. Flexor hallucis longus hypertrophy secondary to Achilles tendon tendinopathy: an MRI-based case-control study. Eur J Orthop Surg Traumatol 2021; 31 (07) 1387-1393
  • 4 LiMarzi GM, Scherer KF, Richardson ML. et al. CT and MR imaging of the postoperative ankle and foot. Radiographics 2016; 36 (06) 1828-1848
  • 5 Szaro P, Nilsson-Helander K, Carmont M. MRI of the Achilles tendon—a comprehensive pictorial review. Part one. Eur J Radiol Open 2021; 8: 100342
  • 6 Szaro P, Nilsson-Helander K, Carmont M. MRI of the Achilles tendon—a comprehensive pictorial review. Part two. Eur J Radiol Open 2021; 8: 100343
  • 7 Tam KF, Lui TH. MR imaging of the Achilles tendon after surgical repair. Open Orthop J 2017; 11: 697-703
  • 8 Gitto S, Draghi AG, Bortolotto C, Draghi F. Sonography of the Achilles tendon after complete rupture repair: what the radiologist should know. J Ultrasound Med 2016; 35 (12) 2529-2536
  • 9 Hahn F, Meyer P, Maiwald C, Zanetti M, Vienne P. Treatment of chronic Achilles tendinopathy and ruptures with flexor hallucis tendon transfer: clinical outcome and MRI findings. Foot Ankle Int 2008; 29 (08) 794-802
  • 10 Vega J, Vilá J, Batista J, Malagelada F, Dalmau-Pastor M. Endoscopic flexor hallucis longus transfer for chronic noninsertional Achilles tendon rupture. Foot Ankle Int 2018; 39 (12) 1464-1472
  • 11 Pass B, Robinson P, Ha A, Levine B, Yablon CM, Rowbotham E. The Achilles tendon: imaging diagnoses and image-guided interventions—AJR Expert Panel Narrative Review. AJR Am J Roentgenol 2022; 219 (03) 355-368
  • 12 Dong Q, Fessell DP. Achilles tendon ultrasound technique. AJR Am J Roentgenol 2009; 193 (03) W173
  • 13 Park SH, Lee HS, Young KW, Seo SG. Treatment of acute Achilles tendon rupture. Clin Orthop Surg 2020; 12 (01) 1-8
  • 14 Lee KS, Wilson JJ, Rabago DP, Baer GS, Jacobson JA, Borrero CG. Musculoskeletal applications of platelet-rich plasma: fad or future?. AJR Am J Roentgenol 2011; 196 (03) 628-636