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The American Journal of Sports Medicine 25:164-171 (1997)
© 1997 SAGE Publications

Magnetic Resonance Imaging During Healing of Surgically Repaired Achilles Tendon Ruptures

Pertti T. Karjalainen, MD

Department of Radiology, Helsinki University Central Hospital

Hannu J. Aronen, MD

Department of Radiology, Helsinki University Central Hospital

Harri K. Pihlajamäki, MD

Department of Orthopaedics and Traumatology, Helsinki University Central Hospital

Kalevi Soila, MD

Department of Diagnostic Radiology, Mount Sinai Medical Center, Miami Beach, Florida

Timo Paavonen, MD

Department of Pathology, University of Helsinki, Helsinki, Finland

Ole M. Bostman, MD

Department of Orthopaedics and Traumatology

Twenty consecutive patients with 21 surgically re paired Achilles tendon ruptures were imaged with a 0.1-T magnet at 3 and 6 weeks, and at 3 and 6 months after surgery. Clinical follow-up examinations and func tional tests were performed at the time of scanning. An intratendinous area of high-intensity signal was ob served in 19 of the 21 surgically repaired Achilles tendons at 3 months after surgery on proton density- and T2-weighted images. The three patients with the largest lesions had clinically poor outcomes at 3 months, whereas those with smaller intratendinous le sions had normal recoveries. Furthermore, patients with an abnormal walk at 3 months (N = 5) had sta tistically larger intratendinous lesions than patients who could walk normally. In all patients the cross- sectional area of the rejoined Achilles tendon showed the largest increase after cast removal (between 6 weeks and 3 months after surgery). In all cases the largest tendon area was measured at 3 months after surgery. Magnetic resonance imaging provides a pre cise valuable tool to evaluate the postsurgical internal structure of the surgically repaired Achilles tendon.




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