ArticleOrthopaedic surgery2023
Is a Preoperative MRI Scan Necessary for Acute Achilles Tendon Rupture?
Article in Orthopaedic surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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6 citing papers in PubMed, 5 citations in OpenAlex.
- Diagnostic performance of dual-energy Rho/Z CT and cinematic rendering in Achilles tendon rupture: a prospective multi-reader study.Skeletal radiology · 2026Article
- Morphology-based classification program of Achilles tendon ruptures using magnetic resonance imaging: a mapping study.BMC musculoskeletal disorders · 2026Observational
- MRI-Based Classification of Achilles Tendon Ruptures: Reliability and Predictors of Tear Location.Orthopaedic journal of sports medicine · 2026Article
- Percutaneous Achilles Repair With High-Strength Suture Tape Augmentation: A Technical Note.Arthroscopy techniques · 2025Article
- Acute Achilles tendon rupture: how well can artificial intelligence chatbots answer patient inquiries?Frontiers in digital health · 2025Article
- PROPOSAL FOR A REHABILITATION PROTOCOL AFTER CALCANEAL TENDON RECONSTRUCTION: FROM THE IMMEDIATE POST-OPERATIVE PERIOD TO RETURN TO SPORTS PRACTICE.Acta ortopedica brasileira · 2025Article
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10 authors at 1 institution in 1 country.
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Abstract
backgroundDifferent treatment methods have been developed for acute Achilles tendon rupture (ATR), including conservative treatment, minimally invasive or transdermal surgery, and open surgery, and there is no consensus about which method is superior. It is important to clarify the presence of Achilles tendon (AT) degeneration, the rupture site, and the rupture shape before surgery to determine whether minimally invasive or open surgery should be selected, thereby reducing the re-rupture rate following acute ATR. The aim of this study was to investigate the diagnostic value of MRI in identifying the presence of AT degeneration, the rupture site, and the rupture shape for acute closed ATR.
methodsFrom January 2016 to December 2019, patients with acute closed ATR who had undergone repair surgery were retrospectively enrolled. All patients received MRI examination, and the distance between the insertion site and broken end and the rupture shape (types I, II, and III) were independently determined by two observers. Then, the stump of the AT was exposed during the operation. The rupture site and rupture shape were recorded and compared and analyzed with the MRI results. Consistency analyses (using Cohen's kappa coefficient or intraclass correlation coefficient-ICC) and calculation of diagnostic performance indexes were, respectively, conducted to evaluate the diagnostic value of the MRI.
resultsThis study included 47 consecutive patients with acute ATR, with an average age of 38.4 years. Among them, 40 were male, and seven were female. The intraoperative exploration demonstrated a total of 34 (72.3%), 10 (21.3%), and three (6.4%) patients with type I, II, and III ruptures, respectively. The average distance between the insertion site and the proximal broken end measured intraoperatively was 4.07 ± 1.57 cm. High or excellent consistencies were found for ATR classifications (kappa: 0.739-0.770, p < 0.001) and rupture sites (ICC: 0.962-0.979, p < 0.001) between two observers and between observers 1 and 2 and intraoperative findings. Tendinopathy was identified in 22 patients by MRI and confirmed during surgery.
conclusionsMRI scanning of acute closed ATR can help determine whether there is degeneration of the AT, as well as the location and shape of the rupture, which can guide the selection of the optimal operation method for orthopedic surgeons. Therefore, it is necessary to take preoperative MRI scans for patients with acute Achilles tendon ruptures.
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