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Updated: Jan 25, 2026

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Ultrasound Tissue Characterization of Human Achilles Tendon by Stability Quantification of Echo Patterns
Published on: September 5, 2025
467
Quantification of Mechanical Properties in Healthy Achilles Tendon Using Continuous Shear Wave Elastography: A
Patrick Corrigan1, Jennifer A Zellers1, Phoebe Balascio1
1Department of Physical Therapy, University of Delaware, Newark, Delaware, USA.
Ultrasound in Medicine & Biology
|May 12, 2019
Summary
Continuous shear wave elastography (cSWE) reliably estimates Achilles tendon mechanical properties. This study validates cSWE, showing its potential for accurate tendon assessment.
Area of Science:
- Biomechanics
- Medical Imaging
- Musculoskeletal Research
Background:
- Accurate assessment of tendon mechanical properties is crucial for understanding injury and guiding rehabilitation.
- Continuous shear wave elastography (cSWE) is an emerging ultrasound technique for non-invasive tissue characterization.
Purpose of the Study:
- To evaluate the intra-rater reliability and construct validity of cSWE for Achilles tendon mechanical properties.
- To establish an equivalent shear modulus for cSWE comparable to Supersonic Shear Imaging.
- To explore relationships between tensile and shear mechanical properties of the Achilles tendon.
Main Methods:
- Achilles tendon mechanical properties were measured using cSWE across various time points (4-h, 2-wk follow-up) and ankle positions.
- B-mode ultrasound imaging and dynamometry were employed to determine Young's modulus in different ankle positions.
- Intra-rater reliability was assessed for cSWE measurements.
Main Results:
- cSWE demonstrated fair-to-excellent intra-rater reliability for estimating Achilles tendon mechanical properties.
- Construct validity was supported, as increased ankle dorsiflexion correlated with enhanced mechanical properties.
- Significant linear relationships were identified between the tendon's tensile and shear mechanical properties.
Conclusions:
- Continuous shear wave elastography exhibits sufficient reliability and validity for assessing Achilles tendon mechanical properties.
- cSWE offers a promising non-invasive method for quantitative analysis of tendon biomechanics.
- Findings support the use of cSWE in clinical and research settings for tendon evaluation.
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