Tendoachilles tear-MRI 2013

View previous topic View next topic Go down

Tendoachilles tear-MRI 2013

Post by Admin on Sun Sep 15, 2013 5:22 am

2013 2013 2013 <div dir="ltr" style="text-align: left;" trbidi="on"><div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;"><i><span style="font-family: &quot;Arial&quot;,&quot;sans-serif&quot;; font-size: 12.0pt; line-height: 115%;">57 year old male,&nbsp; with history of slipping on the staircase, shows on MRI an apparent tendoachilles discontinuity and disruption of approximately 3 cms in the critical zone of vascularity from the calcaneum (4 cms) with paratendon edema with no retraction of the ends, suggestive of partial tear. &nbsp;<b>Case by Dr MGK Murthy, Mr Gupta and Mr Venkat</b><o:p></o:p></span></i></div><div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;"><i><span style="font-family: &quot;Arial&quot;,&quot;sans-serif&quot;; font-size: 12.0pt; line-height: 115%;"><br /></span></i></div><div class="separator" style="clear: both; text-align: center;"><a href="http://2.bp.blogspot.com/-lZvhLH8fH6w/UijiMfbhvOI/AAAAAAAAFhA/NXBjyI3aQKs/s1600/tendoachilles1.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="http://2.bp.blogspot.com/-lZvhLH8fH6w/UijiMfbhvOI/AAAAAAAAFhA/NXBjyI3aQKs/s320/tendoachilles1.jpg" width="252" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="http://3.bp.blogspot.com/-DDK2ieUMHUY/UijiJpTcVtI/AAAAAAAAFg0/QunQRWv3ciQ/s1600/Tendoachilles2.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="http://3.bp.blogspot.com/-DDK2ieUMHUY/UijiJpTcVtI/AAAAAAAAFg0/QunQRWv3ciQ/s320/Tendoachilles2.jpg" width="288" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="http://3.bp.blogspot.com/-UuHhgp-zwlw/UijiJZt_PqI/AAAAAAAAFgw/-SrGchU4AcE/s1600/Tendoachilles3.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="http://3.bp.blogspot.com/-UuHhgp-zwlw/UijiJZt_PqI/AAAAAAAAFgw/-SrGchU4AcE/s320/Tendoachilles3.jpg" width="279" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="http://4.bp.blogspot.com/-NECJj2ntTWI/UijiOIbt2NI/AAAAAAAAFhI/QPIwsaxes2Q/s1600/Tendoachilles+axial+1.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="http://4.bp.blogspot.com/-NECJj2ntTWI/UijiOIbt2NI/AAAAAAAAFhI/QPIwsaxes2Q/s320/Tendoachilles+axial+1.jpg" width="301" /></a></div><div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;"><i><span style="font-family: &quot;Arial&quot;,&quot;sans-serif&quot;; font-size: 12.0pt; line-height: 115%;"><br /></span></i></div><div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;"><span style="font-family: &quot;Arial&quot;,&quot;sans-serif&quot;; font-size: 12.0pt; line-height: 115%;"><b>Teaching points :</b><o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;"></div><ol><li><span style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 115%;">Lateral head of the gastrocnemius from the lateral femoral condyle joints the medial head fibres (from medial femoral condyle) at the junction of proximal and mid calf with soleus fibres joining them 3 to 4 cms down to form tendoachilles. &nbsp;</span><span style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 115%;">Plantaris muscle from the lateral meniscus and lateral femoral epicodyle travels between gastrocnemius and soleus and inserts 1 cm anterior and medial to the tendoachilles on calcaneum.</span></li><li><span style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 115%;">Tendoachilles tears are more in males (left&nbsp; more than right for unknown reasons) with a peak age of presentation 36 with usually no antecedent history of diseases.&nbsp;</span><span style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 115%;">However steroids / diabetes / collagen disorders / gout / hyperparathyroidism / drugs like fluoroquinolones / repeatitive&nbsp; microtrauma could predispose an individual.</span></li><li><span style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 115%;">Critical zone (2 to 6 cms from the calcaneal insertion) is the commonest location in view of muscular branches proximally and periosteal branches distally giving extravascular supply to the paratendon supply.</span></li><li><span style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 115%;">MR criteria of partial thickness tear includes heterogeneity linear streaks of altered signals of fibromatous / lipoid degeneration with AP dimension more than 7 mms. &nbsp;</span><span style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 115%;">Full thickness tears suggest complete gap with paratendon fluid and retracted ends of the tendon. Retrocalcaneal bursa should measure less than 6 x 3 x 2 mms approximate normally.</span></li></ol><br /></div><div class="blogger-post-footer">From Sumer's Radiology Site http://www.sumerdoc.blogspot.com -The Top Radiology Magazine. Teleradiology Providers at www.teleradproviders.com Mail us at sales@teleradproviders.com</div><br> 2013 2013 2013 <br><div dir="ltr" style="text-align: left;" trbidi="on"><div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;"><i><span style="font-family: &quot;Arial&quot;,&quot;sans-serif&quot;; font-size: 12.0pt; line-height: 115%;">57 year old male,&nbsp; with history of slipping on the staircase, shows on MRI an apparent tendoachilles discontinuity and disruption of approximately 3 cms in the critical zone of vascularity from the calcaneum (4 cms) with paratendon edema with no retraction of the ends, suggestive of partial tear. &nbsp;<b>Case by Dr MGK Murthy, Mr Gupta and Mr Venkat</b><o:p></o:p></span></i></div><div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;"><i><span style="font-family: &quot;Arial&quot;,&quot;sans-serif&quot;; font-size: 12.0pt; line-height: 115%;"><br /></span></i></div><div class="separator" style="clear: both; text-align: center;"><a href="http://2.bp.blogspot.com/-lZvhLH8fH6w/UijiMfbhvOI/AAAAAAAAFhA/NXBjyI3aQKs/s1600/tendoachilles1.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="http://2.bp.blogspot.com/-lZvhLH8fH6w/UijiMfbhvOI/AAAAAAAAFhA/NXBjyI3aQKs/s320/tendoachilles1.jpg" width="252" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="http://3.bp.blogspot.com/-DDK2ieUMHUY/UijiJpTcVtI/AAAAAAAAFg0/QunQRWv3ciQ/s1600/Tendoachilles2.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="http://3.bp.blogspot.com/-DDK2ieUMHUY/UijiJpTcVtI/AAAAAAAAFg0/QunQRWv3ciQ/s320/Tendoachilles2.jpg" width="288" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="http://3.bp.blogspot.com/-UuHhgp-zwlw/UijiJZt_PqI/AAAAAAAAFgw/-SrGchU4AcE/s1600/Tendoachilles3.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="http://3.bp.blogspot.com/-UuHhgp-zwlw/UijiJZt_PqI/AAAAAAAAFgw/-SrGchU4AcE/s320/Tendoachilles3.jpg" width="279" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="http://4.bp.blogspot.com/-NECJj2ntTWI/UijiOIbt2NI/AAAAAAAAFhI/QPIwsaxes2Q/s1600/Tendoachilles+axial+1.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="http://4.bp.blogspot.com/-NECJj2ntTWI/UijiOIbt2NI/AAAAAAAAFhI/QPIwsaxes2Q/s320/Tendoachilles+axial+1.jpg" width="301" /></a></div><div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;"><i><span style="font-family: &quot;Arial&quot;,&quot;sans-serif&quot;; font-size: 12.0pt; line-height: 115%;"><br /></span></i></div><div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;"><span style="font-family: &quot;Arial&quot;,&quot;sans-serif&quot;; font-size: 12.0pt; line-height: 115%;"><b>Teaching points :</b><o:p></o:p></span></div><div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;"></div><ol><li><span style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 115%;">Lateral head of the gastrocnemius from the lateral femoral condyle joints the medial head fibres (from medial femoral condyle) at the junction of proximal and mid calf with soleus fibres joining them 3 to 4 cms down to form tendoachilles. &nbsp;</span><span style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 115%;">Plantaris muscle from the lateral meniscus and lateral femoral epicodyle travels between gastrocnemius and soleus and inserts 1 cm anterior and medial to the tendoachilles on calcaneum.</span></li><li><span style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 115%;">Tendoachilles tears are more in males (left&nbsp; more than right for unknown reasons) with a peak age of presentation 36 with usually no antecedent history of diseases.&nbsp;</span><span style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 115%;">However steroids / diabetes / collagen disorders / gout / hyperparathyroidism / drugs like fluoroquinolones / repeatitive&nbsp; microtrauma could predispose an individual.</span></li><li><span style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 115%;">Critical zone (2 to 6 cms from the calcaneal insertion) is the commonest location in view of muscular branches proximally and periosteal branches distally giving extravascular supply to the paratendon supply.</span></li><li><span style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 115%;">MR criteria of partial thickness tear includes heterogeneity linear streaks of altered signals of fibromatous / lipoid degeneration with AP dimension more than 7 mms. &nbsp;</span><span style="font-family: Arial, sans-serif; font-size: 12pt; line-height: 115%;">Full thickness tears suggest complete gap with paratendon fluid and retracted ends of the tendon. Retrocalcaneal bursa should measure less than 6 x 3 x 2 mms approximate normally.</span></li></ol><br /></div><div class="blogger-post-footer">From Sumer's Radiology Site http://www.sumerdoc.blogspot.com -The Top Radiology Magazine. Teleradiology Providers at www.teleradproviders.com Mail us at sales@teleradproviders.com</div><br>2013 2013 2013 <br> <a href="http://www.matrixar.com/" title="Matrix ">المصفوفة : أجمل الخلفيات والصور</a>

Admin
Admin

Posts : 64122
Join date : 2013-02-22

View user profile http://prowebsites1.forumaroc.net

Back to top Go down

View previous topic View next topic Back to top

- Similar topics

 
Permissions in this forum:
You cannot reply to topics in this forum