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Keywords:
Interventional non-vascular, Musculoskeletal system, Professional issues, MR, Ultrasound, Localisation, Puncture, Athletic injuries, Inflammation, Trauma
Authors:
A. La Marra, S. Mariani, F. Arrigoni, L. M. Gregori, L. Zugaro, A. Barile, C. Masciocchi; L'Aquila/IT
DOI:
10.1594/ecr2015/B-0075
Methods and materials
In the last four years we evaluated 70 athletes with degenerative tendinosis of Achilles tendon and 50 athletes with degenerative tendinosis of patellar tendon.
For the first time we evaluated the patient through diagnostic testing (MRI and US guided).
The protocol employed sagittal FSE T2sequences (TE = 125ms; TR = 3100) and PD-axial turbo multi-echo sequences (TME; TE = 28 ms ; TR = 2930).
A qualitative method was employed to evaluate the signal intensity of the tendons.
A quantitative evaluation of the thickness was performed on the sagittal images both at the normal and at the most enlarged portions.
The tendons are typically documented by low signal intensity on T1 and T2 sequences; tendinosis shows signal intensity increase and tendon thickening.
All the patients underwent clinical and functional examinations.
Pain was evaluated with the Visual Analogic Scale (VAS),
to quantify pain intensity on a scale ranging from 0 (no pain) to 10 (severe pain).
The functionality was evaluated with VISA-A for Achilles’ tendon and VISA-P for patellar tendon (Victoria Institute of Sport Assessment).
The patients with tendinopathy did 3 PRP US-guided injections,one every 21 days.
The PRP was produced by the Transfusion service at our hospital,
following illustration of the procedure and signing of an informed consent by the patient.