Ankle / Achilles Tendon Ultrasound

The examination protocol includes the tendons of the anterior, medial and lateral compartments in search of manifestations of tendinopathy such as thickening and loss of the fibrillar pattern, tenosynovitis with thickening and fluid in the sheath (similar findings in tendons from other locations), generally intrasubstance longitudinal tears . The tibiotalar joint anteriorly may show effusion synovitis. The medial (deltoid) and lateral ligaments (anterior tibial peroneal, anterior talus peroneal, and calcaneal peroneum) are mild, partial elongation injuries, or tears. The tarsal tunnel and its posterior tibial neurovascular bundle for evaluation of compression syndromes. Joint margins and soft tissues that can participate in impingement.

The Achilles tendon, due to its anatomical characteristics and particular function, sometimes generates its own ultrasound examination. It can manifest pathology in different ways, in addition to tendinopathy similar to other tendons, including calcium, in the Achilles tendon you can find thickening of the peritendon (it does not have a synovial sheath), increased vascularity, periaquilian bursitis, alterations in the fat of the Kager, intrasubstance or complete partial tears in the middle third or at the myotendineal junction with the sural triceps.