الفهرس 
Anatomy of the Achilles Tendon
Muscle originsOnly 14 pages are availabe for public view
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Abstract
The Achilles tendon is the thickest and strongest
tendon in the human body. It is the major plantar flexor of
the foot and contributes to the maintenance of the upright
position. However, it is the most frequent site of injury in
the foot because, it’s located superficially.
The trauma of Achilles tendon can sometimes leads
to chronicity due to the delayed diagnosis. It becomes
difficult to pin point the underlying cause when multiple
factors are responsible. The earliest diagnosis can be
picked up by high frequency ultrasound examination and
grading can further be done by MRI evaluation. The
correct management can be undertaken as per the final
assessment by MRI.
MRI is an excellent technique for those cases where
the diagnosis is uncertain; it is the most suitable for
assessment of bone and soft tissue for persistent pain
following injury. However, it’s most common limitation is
that it is expensive, not widely available, in addition to its
contraindications.MR imaging can provide important information about the
pathologic state of the Achilles tendon, and these imaging
findings can provide useful information for patient
treatment.
Achilles tendon injuries are common and increasing
in frequency due to their association with aging and
activity. Many of Achilles tendon pathologies share
common pathways and frequently coexist at the time of
patient presentation. Diagnosis is mainly clinical,
nevertheless MRI is valuable for evaluating patients who
do not respond to conservative measures and provides
precious information for surgical intervention.
In our study we aimed to assess the feasibility and
accuracy of using Magnetic Resonance Imaging (MRI) in
the diagnosis of Achilles tendon disorders.30 patients with
painful Achilles tendons were examined by MRI. That
revealed variable pathological changes including
thickening, disrupted pattern, focalhypo-intensity and
bursitis.
We concluded that MRI is an important diagnostic
tool in the evaluation of Achilles tendon lesions. Such
astendinopathy and full thickness tear. However it’s more
sensitive for partial thickness tear.