Advantage of Using of High Frequency All Digital Ultrasonography Systems with Sie Scape Panoramic Imaging in Diagnosis of Degenerative Changes of Tendon

Problemstellung: Purpose of study was to evaluate effectiveness of ultrasound examination in diagnosis of tendon changes with or without synovial membrane at the different stages of degeneration.

Methode: 3140 patients with different complaints on muscle-skeletal system pathologies aged 25-70 years were evaluated. Investigations were performed on the "SIEMENS SONOLINE ANTARES" and "SIEMENS SONOLINE ELEGRA".

Ergebnisse: 571 (15%) patients were diagnosed as having tendon degenerative lesions at the different stages. All of them were over 35 years of age. 112 (20%) of 571 patients had degenerative changes at the primary stage, entesopathy and calcification occurred in 317 (56%) patients and partial and full-thickness tears – in 142 (24%) patients.

Tendon ruptures occur at sites of tendon degeneration, which significantly weaken the tendon. The best example of this type of tendon rupture involves the rotator cuff of the shoulder. The Achilles tendon is much more disposed to rupture in a 40 year-old athletes than in a 20 year-old.

Schlussfolgerung: Ultrasound is recognized to be a very informative, accurate technique in the detection of degeneration pathology involving tendons. The advantage of real-time ultrasound imaging is a possibility to study tendons through the range of motion. Advanced multidimensional, high frequency ultrasound should be the method of first choice in the imaging assessment of tendon pathology.