1 / 8

Anatomy of the Achilles Tendon and Examination Technique

Anatomy of the Achilles Tendon and Examination Technique. Competency 1- Demonstrate appropriate examination technique Megan Macdonald- 15758653. Anatomy.

giles
Download Presentation

Anatomy of the Achilles Tendon and Examination Technique

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Anatomy of the Achilles Tendon and Examination Technique Competency 1- Demonstrate appropriate examination technique Megan Macdonald- 15758653

  2. Anatomy • The Achilles tendon is formed by the two tendon heads of the gastrocnemius and soleus muscle. It is considered the strongest tendon within the human body which is located on the posterior aspect of the ankle and is approximately 10-15cm in length (Nunley, 2009). • The tendon is unique in that after the soleous portion the achilles , gastrocnemious and soleal tendon spiral and twist 90 degrees which adds to the strength of the tendon (McNally, 2014). • When in transverse, medial to the Achilles tendon the Plantaris can often be seen. Directly anterior to the achilles is the Kager fat pad. Superior to the distal achilles is the retro- achilles bursa. Inferior to the achilles in close proximity to the calcaneus is the Retro-calcaneal bursa (Jacobson, 2013).

  3. Origin • The Achilles Tendon is situated in the middle of the posterior calf. It is formed by the gastrocnemious and soleal tendons combined(Nunley, 2009). www.webmd.com

  4. Insertion • The Achilles tendons inserts on the posterior aspect of the calcaneal tuberosity (Nunley, 2009). Normal Achilles tendon in Transverse & Longitudinal http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3495576/figure/bjr-85-1157-g001/

  5. Action • The achilles tendon provides the connection from the muscles to the calcaneus allowing plantar flexion of the ankle (Maquirriain, 2011). http://uvahealth.com/services/childrens-hospital/conditions-treatments/203519

  6. Examination Technique • Patient positioning= Patient supine on the table with foot hanging of the end of the bed. Dorsiflexion of the foot aids for better visualisation of the tendon. • Equipment= Use lots of gel to allow appropriate contact. High frequency linear transducer. Typically greater than 10MHz. • Technique= Assessing the tendon in both longitudinal and Transverse beginning at the calcaneal insertion to the myotendinous junction. http://www.essr.org/html/img/pool/ankle.pdf

  7. Ultrasound Appearance • On Ultrasound the normal achilles tendon should appear uniform in thickness ,no more than 6mm in the AP dimension (Dong & Fessell, 2009) . • The tendon should consist of a uniform echogenicity with echogenic lines throughout (Bleakney, White, & Maffulli, 2007). Normal Transverse Achilles Tendon

  8. Bibliography • Nunley, J. A. (2009). The Achilles Tendon: Treatment and Rehabilitation. Ney York: Springer. • McNally, E. (2014). Practical Musculoskeletal Ultrasound 2nd edn. New York: Churchill Livingstone. • ESSR. (2013). Musculoskeletal Ultrasound Technical Guidelines VI Ankle. Retrieved 2014, from European Society of MusculoSkeletal Radiology: http://www.essr.org/html/img/pool/ankle.pdf • Dong, Q., & Fessell, D. P. (2009). Achilles Tendon Ultrasound Technique. American Journal of Roentgenology Colume 193 No 3 , 173. • ESSR. (2013). Musculoskeletal Ultrasound Technical Guidelines VI Ankle. Retrieved 2014, from European Society of MusculoSkeletal Radiology: http://www.essr.org/html/img/pool/ankle.pdf • McNally, E. (2014). Practical Musculoskeletal Ultrasound 2nd edn. New York: Churchill Livingstone. •  Bleakney, R. R., White, L. M., & Maffulli, N. (2007). Imaging of the Achilles Tendon. Springer. • Jacobson, J. A. (2013). Fundamentals of Musculoskeletal Ultrasound. Philadelphia: Elsevier Saunders. • Maquirriain, J. (2011). Achilles Tendon Rupture: Avoiding Tendon Lengthening during Surgical Repair and Rehabilitation. Yale Journal of Biology and Medicine , 289-300.

More Related