Sonoelastography in the evaluation of painful Achilles tendon in amateur athletes

Luca M. Sconfienza, Enzo Silvestri, Marco A. Cimmino

Research output: Contribution to journalArticlepeer-review


Objectives: The purpose of our paper was to evaluate by sonoelastography the Achilles tendon of asymptomatic volunteers and of patients referring for chronic overuse-associated pain, also comparing these findings with those obtained with B-mode ultrasound (US). Patients and methods: This study had local Ethics Committee approval; all patients gave their written informed consent. Twelve patients (9 men, 3 women, median age 52.5 years, range 38-64 years) referred for unilateral Achilles tendon pain associated with amateur sporting activities and 18 healthy controls (11 men, 7 women, median age 54 years, range 27-64 years) were studied. US/sonoelastography were performed with a Logos EUB8500 system (Hitachi Ltd., Tokyo, Japan) equipped with a 10-6 MHz high-resolution broadband linear array, on 12 symptomatic tendons and 36 controls. The probe was positioned at the calcaneal enthesis, retrocalcaneal bursa, myotendineus juction, and in three different areas of the tendon body. The elastogram colour range was translated to a numeric score and the differences of tendon resilience were compared by the Kruskall-Wallis test. Results: On US, symptomatic tendons showed increased tendon thickness (12/12 tendons vs. 8/36 controls, p

Original languageEnglish
Pages (from-to)373-378
Number of pages6
JournalClinical and Experimental Rheumatology
Issue number3
Publication statusPublished - 2010


  • Achilles tendon
  • Sonoelastography
  • Ultrasound

ASJC Scopus subject areas

  • Rheumatology
  • Immunology
  • Immunology and Allergy


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