Lower Limb Tendinopathy Tissue Changes Assessed through Ultrasound: A Narrative Review

Eleuterio A. Sánchez Romero, Joel Pollet, Sebastián Martín Pérez, José Luis Alonso Pérez, Alberto Carlos Muñoz Fernández, Paolo Pedersini, Carlos Barragán Carballar, Jorge Hugo Villafañe

Research output: Contribution to journalReview articlepeer-review


Tendinopathy is a common disease that affects athletes, causing pain and dysfunction to the afflicted tendon. A clinical diagnose is usually combined with imaging and, among all the existing techniques, ultrasound is widely adopted. The aim of this review is to sum up the existing evidence on ultrasound as an imaging tool and guide for treatments in lower limbs tendinopathy. Using three different databases-PubMed, MEDLINE and CENTRAL-a literature search has been performed in May 2020 combining MeSH terms and free terms with Boolean operators. Authors independently selected studies, conducted quality assessment, and extracted results. Ultrasound imaging has a good reliability in the differentiation between healthy and abnormal tendon tissue, while there are difficulties in the identification of tendinopathy stages. The main parameters considered by ultrasound imaging are tendon thickness, hypoechogenicity of tendon structure and neovascularization of the tendon bound tissue. Ultrasound-guide is also used in many tendinopathy treatments and the available studies gave encouraging results, even if further studies are needed in this field.

Original languageEnglish
JournalMedicina (Kaunas, Lithuania)
Issue number8
Publication statusPublished - Jul 28 2020


  • reliability
  • tendinopathy
  • ultrasonography

ASJC Scopus subject areas

  • Medicine(all)


Dive into the research topics of 'Lower Limb Tendinopathy Tissue Changes Assessed through Ultrasound: A Narrative Review'. Together they form a unique fingerprint.

Cite this