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Recent research has indicated that while the test is an accurate detector of achilles rupture, it is unable to distinguish between partial tear (tear of the gastrocnemius or soleal portion only) and a complete tear of both portions. [4] Complete tear of achilles tendon in ultrasound with Simmonds' test
Once diagnosis is made, ultrasound imaging is an effective way to monitor the healing progress of the tendon over time. An ultrasound is recommended over MRI and MRI is generally not needed. [11] [14] Both MRI and ultrasound are effective tools and have their strengths and limitations. However, when it comes to an Achilles tendon tear, an ...
Rehabilitation for an MPFL repair usually involves physical therapy, with the initial recovery time being 4–7 months. [6] During the immediate post-operation phase, the knee is protected at all times. Patients do not bear weight on the knee for the first two weeks after surgery, with no range of motion.
Treatment may be by surgery or casting with the toes somewhat pointed down. [29] [26] Relatively rapid return to weight bearing (within 4 weeks) appears acceptable. [29] [30] The risk of re-rupture is about 25% with casting. [26] If appropriate treatment does not occur within 4 weeks of the injury outcomes suffer. [31]
The sign is an imaging finding using a 3.5–7.5 MHz ultrasound probe in the fourth and fifth intercostal spaces in the anterior clavicular line using the M-Mode of the machine. This finding is seen in the M-mode tracing as pleura and lung being indistinguishable as linear hyperechogenic lines and is fairly reliable for diagnosis of a pneumothorax.
The gastrocnemius muscle is prone to spasms, which are painful, involuntary contractions of the muscle that may last several minutes. [5] A severe ankle dorsiflexion force may result in a Medial Gastrocnemius Strain (MGS) injury of the muscle, commonly referred to as a "torn" or "strained" calf muscle, which is acutely painful and disabling. [6]
Coblation surgery has recently been proposed as an alternative surgical approach for the treatment of recalcitrant plantar fasciitis. [30] Gastrocnemius recession is a surgical procedure that involves lengthening the gastrocnemius muscle to reduce tension in the Achilles tendon and plantar fascia. This technique improves the ankle's range of ...
Ultrasound can ablate tumors or other tissue non-invasively. [4] This is accomplished using a technique known as high intensity focused ultrasound (HIFU), also called focused ultrasound surgery. This procedure uses generally lower frequencies than medical diagnostic ultrasound (250–2000 kHz), but significantly higher time-averaged intensities.