Imaging Tendon Disorders in Athletes

Kanwardeep Singh; Nastaran Hosseini; Atefe Pooyan; Firoozeh Shomal Zadeh; Majid Chalian

doi:10.1016/j.cpm.2022.07.015

Imaging Tendon Disorders in Athletes

Clin Podiatr Med Surg. 2023 Jan;40(1):223-238. doi: 10.1016/j.cpm.2022.07.015. Epub 2022 Oct 1.

Authors

Kanwardeep Singh¹, Nastaran Hosseini², Atefe Pooyan³, Firoozeh Shomal Zadeh⁴, Majid Chalian⁵

Affiliations

¹ Department of Radiology, Musculoskeletal Imaging and Intervention, University of Washington, 4245 Roosevelt Way Northeast, Box 354755, Seattle, WA 98105, USA.
² Department of Radiology, Musculoskeletal Imaging and Intervention, University of Washington, 4245 Roosevelt Way Northeast, Box 354755, Seattle, WA 98105, USA. Electronic address: https://twitter.com/Nas_Hosseini.
³ Department of Radiology, Musculoskeletal Imaging and Intervention, University of Washington, 4245 Roosevelt Way Northeast, Box 354755, Seattle, WA 98105, USA. Electronic address: https://twitter.com/AtefePooyan.
⁴ Department of Radiology, Musculoskeletal Imaging and Intervention, University of Washington, 4245 Roosevelt Way Northeast, Box 354755, Seattle, WA 98105, USA. Electronic address: https://twitter.com/FiroozehShomal.
⁵ Department of Radiology, Musculoskeletal Imaging and Intervention, University of Washington, 4245 Roosevelt Way Northeast, Box 354755, Seattle, WA 98105, USA. Electronic address: mchalian@uw.edu.

PMID: 36368845
DOI: 10.1016/j.cpm.2022.07.015

Abstract

Imaging plays a critical role in evaluating pathology affecting athletes from various fields. Tendon pathology manifests in terms of mechanical, degenerative, enthesitis, neoplastic, and overuse diseases. Tendon pathologies in athletes usually involve injuries to commonly injured tendons such as the tendons involving the ankle, elbow, rotator cuff, hip abductors, patellar tendon, and Achilles tendon. For the purposes of this article, the focus will be on the tendons involving the ankle such as the tibialis posterior and peroneal tendons. The 2 most common imaging modalities used for the evaluation of tendons are ultrasound (US) and magnetic resonance imaging (MRI). There are several emerging imaging techniques such as T2 mapping, ultra-short echo time MRI, and sonoelastography. These novel imaging techniques are all in research phase and have not been adapted to routine clinical practice.

Keywords: Athletes; Injury; MRI; Pathology; Tear; Tendon; Ultrasound.

Publication types

Review

MeSH terms

Achilles Tendon* / injuries
Ankle Joint
Athletes
Humans
Magnetic Resonance Imaging / methods
Musculoskeletal Diseases*
Tendinopathy* / diagnostic imaging
Tendinopathy* / pathology
Ultrasonography