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Updated: Sep 24, 2025

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Author Spotlight: Exploring the Complexities of Achilles Tendon Injuries — Research and Future Directions
Published on: October 27, 2023
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The Achilles Tendon: Imaging Diagnoses and Image-Guided Interventions-AJR Expert Panel Narrative Review
Bill Pass1, Philip Robinson1,2, Alice Ha3
1Department of Radiology, Leeds Teaching Hospitals, Musculoskeletal Centre, Chapel Allerton Hospital, Leeds LS7 4SA, UK.
AJR. American Journal of Roentgenology
|May 4, 2022
Summary
This review details imaging techniques like ultrasound and MRI for diagnosing Achilles tendon injuries in athletes. It also covers image-guided treatments, noting limited evidence for their effectiveness.
Area of Science:
- Radiology
- Sports Medicine
- Musculoskeletal Imaging
Background:
- Achilles tendon injuries are common in athletes due to overuse and trauma.
- Accurate diagnosis is crucial for effective management of Achilles tendon pathology.
- Professional athletes have a high incidence of these injuries.
Purpose of the Study:
- To review imaging modalities for Achilles tendon assessment.
- To discuss advantages and technical aspects of ultrasound and MRI.
- To summarize common diagnoses, imaging findings, and image-guided interventions.
Main Methods:
- Narrative review of imaging modalities (ultrasound, MRI) for Achilles tendon pathology.
- Description of common diagnoses and key imaging findings.
- Review of image-guided interventions and supporting evidence.
Main Results:
- Ultrasound and MRI are key for assessing Achilles tendon injuries.
- Common pathologies include overuse and traumatic injuries.
- Limited evidence supports the efficacy of interventions like prolotherapy and corticosteroid injections.
Conclusions:
- Imaging plays a vital role in diagnosing Achilles tendon injuries.
- Evidence for image-guided interventions is currently limited.
- Consensus statements provide guidance on imaging and interventions for Achilles tendon pathology.

