MRI of the Achilles tendon - a comprehensive pictorial review. Part two.

Eur J Radiol Open

Department of Orthopedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden.

Published: March 2021

The most common disorder affecting the Achilles tendon is midportion tendinopathy. A focal fluid signal indicates microtears, which may progress to partial and complete rupture. Assessment of Achilles tendon healing should be based on tendon morphology and tension rather than structural signal. After nonoperative management or surgical repair of the Achilles tendon, areas of fluid signal is pathologic because it indicates re-rupture. A higher signal in the postoperative Achilles tendon is a common finding and is present for a prolonged period following surgical intervention and needs to be interpreted alongside the clinical appearance.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8039832PMC
http://dx.doi.org/10.1016/j.ejro.2021.100343DOI Listing

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