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Journal of Orthopaedic Surgery and Research

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Open Access 01-12-2017 | Research article

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

Authors: Krzysztof Ficek, Jolanta Filipek, Joanna Ficek, Małgorzata Muzalewska, Filip Humpa

Published in: Journal of Orthopaedic Surgery and Research | Issue 1/2017

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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Title: Calcaneal CT is a useful tool for identifying Achilles tendon disorders: a pilot study
Authors: Krzysztof Ficek
Jolanta Filipek
Joanna Ficek
Małgorzata Muzalewska
Filip Humpa
Publication date: 01-12-2017
Publisher: BioMed Central
Published in: Journal of Orthopaedic Surgery and Research / Issue 1/2017
Electronic ISSN: 1749-799X
DOI: https://doi.org/10.1186/s13018-017-0638-4

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

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

Abstract

Background

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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