Article

OBJECTIVES: To examine (1) the validity of ultrasound imaging to measure
osteophytes and (2) the association between osteophytes and insertional Achilles
tendinopathy (IAT). DESIGN: Case-control study. SETTING: Academic medical center.
PARTICIPANTS: Persons with chronic unilateral IAT (n=20; mean age, 58.7+/-8.3y;
10 [50%] women) and age- and sex-matched controls (n=20; mean age, 57.4+/-9.8y;
10 [50%] women) participated in this case-control study (N=40). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Symptom severity was assessed using the
Foot and Ankle Ability Measure, the Victorian Institute of Sport
Assessment-Achilles questionnaire, and the numerical rating scale. Length of
osteophytes was measured bilaterally in both groups using ultrasound imaging, as
well as on the symptomatic side of the IAT group using radiography. The
intraclass correlation coefficient was used to examine the agreement between
ultrasound and radiograph measures. McNemar, Wilcoxon signed-rank, and Fisher
exact tests were used to compare the frequency and length of osteophytes between
sides and groups. Pearson correlation was used to examine the association between
osteophyte length and symptom severity. RESULTS: There was good agreement
(intraclass correlation coefficient, >/=.75) between ultrasound and radiograph
osteophyte measures. There were no statistically significant differences (P>.05)
in the frequency of osteophytes between sides or groups. Osteophytes were larger
on the symptomatic side of the IAT group than on the asymptomatic side (P=.01)
and on the left side of controls (P=.03). There was no association between
osteophyte length and symptom severity. CONCLUSIONS: Ultrasound imaging is a
valid measure of osteophyte length, which is associated with IAT. Although a
larger osteophyte indicates tendinopathy, it does not indicate more severe IAT
symptoms.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
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Langue : ANGLAIS