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Tendon Repair, Ankle
Corrie M. Yablon, MDJulia R. Crim, MD
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KEY FACTS

  • Terminology

    • Imaging

      TERMINOLOGY

      • Definitions

        • Tendon repair: tendon defect debrided, tendon ends reanastomosed
          • Graft reconstruction may be used for large defects
        • Tendon transfer: rerouting of intact tendon in order for it to replace and take on function of another torn or denervated tendon
        • Tendon lengthening: Z-shaped partial cut of tendon

      IMAGING

      • General Features

        • Radiographic Findings

          • Fluoroscopic Findings

            • CT Findings

              • MR Findings

                • Ultrasonographic Findings

                  • Imaging Recommendations

                    CLINICAL ISSUES

                    • Presentation

                      • Complications of Repair

                        DIAGNOSTIC CHECKLIST

                        • Consider

                          • Image Interpretation Pearls

                            Selected References

                            1. Clanton T et al: Minimally invasive Achilles repair techniques. Orthop Clin North Am. 51(3):391-402, 2020
                            2. Patel MS et al: Minimally invasive treatments of acute Achilles tendon ruptures. Foot Ankle Clin. 24(3):399-424, 2019
                            3. Johnson JE et al: Outcomes of the Bridle procedure for the treatment of foot drop. Foot Ankle Int. 36(11):1287-96, 2015
                            4. Lui TH: Retrocalcaneal pain after the repair of acute Achilles tendon rupture. Foot Ankle Spec. 6(4):323-7, 2013
                            5. Cohen M: US imaging in operated tendons. J Ultrasound. 15(1):69-75, 2012
                            6. Heckman DS et al: Tendon disorders of the foot and ankle, part 2: achilles tendon disorders. Am J Sports Med. 37(6):1223-34, 2009
                            7. Reddy SS et al: Surgical treatment for chronic disease and disorders of the achilles tendon. J Am Acad Orthop Surg. 17(1):3-14, 2009
                            8. DiPaola M et al: Tendon transfers and realignment osteotomies for treatment of stage II posterior tibial tendon dysfunction. Foot Ankle Clin. 12(2):273-85, vi, 2007
                            9. Myerson MS et al: Treatment of stage II posterior tibial tendon deficiency with flexor digitorum longus tendon transfer and calcaneal osteotomy. Foot Ankle Int. 25(7):445-50, 2004
                            Related Anatomy
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                            Related Differential Diagnoses
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                            References
                            Tables

                            Tables

                            KEY FACTS

                            • Terminology

                              • Imaging

                                TERMINOLOGY

                                • Definitions

                                  • Tendon repair: tendon defect debrided, tendon ends reanastomosed
                                    • Graft reconstruction may be used for large defects
                                  • Tendon transfer: rerouting of intact tendon in order for it to replace and take on function of another torn or denervated tendon
                                  • Tendon lengthening: Z-shaped partial cut of tendon

                                IMAGING

                                • General Features

                                  • Radiographic Findings

                                    • Fluoroscopic Findings

                                      • CT Findings

                                        • MR Findings

                                          • Ultrasonographic Findings

                                            • Imaging Recommendations

                                              CLINICAL ISSUES

                                              • Presentation

                                                • Complications of Repair

                                                  DIAGNOSTIC CHECKLIST

                                                  • Consider

                                                    • Image Interpretation Pearls

                                                      Selected References

                                                      1. Clanton T et al: Minimally invasive Achilles repair techniques. Orthop Clin North Am. 51(3):391-402, 2020
                                                      2. Patel MS et al: Minimally invasive treatments of acute Achilles tendon ruptures. Foot Ankle Clin. 24(3):399-424, 2019
                                                      3. Johnson JE et al: Outcomes of the Bridle procedure for the treatment of foot drop. Foot Ankle Int. 36(11):1287-96, 2015
                                                      4. Lui TH: Retrocalcaneal pain after the repair of acute Achilles tendon rupture. Foot Ankle Spec. 6(4):323-7, 2013
                                                      5. Cohen M: US imaging in operated tendons. J Ultrasound. 15(1):69-75, 2012
                                                      6. Heckman DS et al: Tendon disorders of the foot and ankle, part 2: achilles tendon disorders. Am J Sports Med. 37(6):1223-34, 2009
                                                      7. Reddy SS et al: Surgical treatment for chronic disease and disorders of the achilles tendon. J Am Acad Orthop Surg. 17(1):3-14, 2009
                                                      8. DiPaola M et al: Tendon transfers and realignment osteotomies for treatment of stage II posterior tibial tendon dysfunction. Foot Ankle Clin. 12(2):273-85, vi, 2007
                                                      9. Myerson MS et al: Treatment of stage II posterior tibial tendon deficiency with flexor digitorum longus tendon transfer and calcaneal osteotomy. Foot Ankle Int. 25(7):445-50, 2004