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Journals / Anatomy / 2015 / Volume: 9 Issue: 3

EFFECTS OF PHYSICAL CHARACTERISTICS, EXERCISE AND SMOKING ON MORPHOMETRY OF HUMAN ACHILLES TENDON: AN ULTRASOUND STUDY

Mustafa Canbolat
Davut Özbağ
Zeynep Özdemir
Gökhan Demirtaş
Armağan Şahin Kafkas
Journal
Anatomy
Pages
—
Publication Date
2016-02-01
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The measurements presented in this study give normal variations of the tendon’s morphologic characteristics, which will be of use in clinical diagnosis.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objectives: The aim of this study was to reveal the normal morphometric values of Achilles tendon using ultrasound (US) imaging in subjects of different gender, age groups, smoking status, and physical exercise habits.
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Key Findings & Data:Methods: A total of 342 Achilles tendons were examined in the 171 volunteers (69 females, 102 males) with different age, gender, weight, height, smoking and physical exercise habits.
💡
Conclusion & Impact:The measurements presented in this study give normal variations of the tendon’s morphologic characteristics, which will be of use in clinical diagnosis.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Achilles tendon · anthropometry · exercise

Abstract

Objectives: The aim of this study was to reveal the normal morphometric values of Achilles tendon using ultrasound (US) imaging in subjects of different gender, age groups, smoking status, and physical exercise habits. Methods: A total of 342 Achilles tendons were examined in the 171 volunteers (69 females, 102 males) with different age, gender, weight, height, smoking and physical exercise habits. Achilles tendon width, length, thickness, cross-sectional area and length were measured using a commercial ultrasound machine with a 9-15 mHz linear-array transducer. Results: The average width, thickness, cross-sectional area and length of the Achilles tendon in male subjects were significantly higher than females. Tendon width, thickness, cross-sectional area and length showed no significant difference between the right and left side. With the exception of the left Achilles tendon thickness, measurements taken for non-smoking subjects were larger than smokers. Achilles tendon measurements of subjects engaged in sportive activities were significantly larger than those with sedentary lifestyle Weight and body mass index were the only anthropometric measurements in correlation with Achilles tendon size. Conclusion: Achilles tendon size varies with age, gender, physical activity and smoking habits. The measurements presented in this study give normal variations of the tendon’s morphologic characteristics, which will be of use in clinical diagnosis.

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Cite This Article

Canbolat, M., Özbağ, D., Özdemir, Z., Demirtaş, G., Kafkas, A. Ş. (2016). EFFECTS OF PHYSICAL CHARACTERISTICS, EXERCISE AND SMOKING ON MORPHOMETRY OF HUMAN ACHILLES TENDON: AN ULTRASOUND STUDY. Anatomy, Volume: 9 Issue: 3. https://ajindex.com/articles/1190266

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References (128)

  1. Schweitzer ME, Karasick D. MR imaging of disorders of the Achilles tendon. AJR Am J Roentgenol 2000;175:613–25.
  2. Koivunen-Niemelä T, Parkkola K. Anatomy of the Achilles tendon (tendo calcaneus) with respect to tendon thickness measurements.
  3. Surg Radiol Anat 1995;17:263–8.
  4. Levangie P, Norkin C. Joint structure and function: a comprehensive
  5. analysis. 5th ed. New Delhi; Jaypee Brothers; 2011. Chapter, The ankle and foot complex; p. 440–82.
  6. Maffuli N, Almekinders LC. The Achilles tendon. London: Springer-Verlag; 2007. p. 36.
  7. Apayd›n N, Ünlü S, Bozkurt M, Doral MN. Functional anatomy and biomechanical aspects of the Achilles tendon. [Article in Turkish]
  8. TOTB‹D Dergisi 2011;10:61–8.
  9. Mow VC, Huiskes R. Basic orthopaedic biomechanics and mechanobiology. Philadelphia: Lippincott Williams and Wilkins; 2005. p.
  10. Fredberg U, Bolvig L, Andersen NT, Stengaard-Pedersen K.
  11. Ultrasonography in evaluation of Achilles and patella tendon
  12. thickness. Ultraschall Med 2008;29:60–5.
  13. Nehrer S, Breitenseher M, Brodner W, Kainberger F, Fellinger
  14. EJ, Engel A, Imhof F. Clinical and sonographic evaluation of the
  15. risk of rupture in the Achilles tendon. Arch Orthop Trauma Surg;116:14–8.
  16. Järvinen TA, Järvinen TL, Kannus P, Józsa L, Järvinen M. Collagen
  17. fibres of the spontaneously ruptured human tendons display
  18. decreased thickness and crimp angle. J Orthop Res 2004;22:1303–9.
  19. Eriksen HA, Pajala A, Leppilahti J, Risteli J. Increased content of
  20. type III collagen at the rupture site of human Achilles tendon. J
  21. Orthop Res 2002;20:1352–7.
  22. Karjalainen PT, Soila K, Aronen HJ, Pihlajamäki HK, Tynninen
  23. O, Paavonen T, Tirman PF. MR imaging of overuse injuries of the
  24. Achilles tendon. AJR Am J Roentgenol 2000;175:251–60.
  25. O'Connor PJ, Grainger AJ, Morgan SR, Smith KL, Waterton JC,
  26. Nash AF. Ultrasound assessment of tendons in asymptomatic volunteers:
  27. a study of reproducibility. Eur Radiol 2004;14:1968–73.
  28. Grassi W, Filippucci E, Farina A, Cervini C. Sonographic imaging
  29. of tendons. Arthritis Rheum 2000;43:969–76.
  30. van Schie HT, de Vos RJ, de Jonge S, Bakker EM, Heijboer MP,
  31. Verhaar JA, Tol JL, Weinans H. Ultrasonographic tissue characterisation
  32. of human Achilles tendons: quantification of tendon
  33. structure through a novel non-invasive approach. Br J Sports Med;44:1153–9.
  34. Fahlström M, Alfredson H. Ultrasound and Doppler findings in the
  35. Achilles tendon among middle-aged recreational floor-ball players
  36. in direct relation to a match. Br J Sports Med 2010;44:140– 3.
  37. Mabuchi H, Tatami R, Haba T, Ueda K, Ueda R, Ito S, Karnetani
  38. T, Koizurni J, Miyamoto S, Ohta M, Takeda R, Takegoshi T,
  39. Takeshita H. Achilles tendon thickness and ischemic heart disease
  40. in familial hypercholesterolemia. Metabolism 1978;27:1672–9.
  41. Pang BS, Ying M. Sonographic measurement of achilles tendons in
  42. asymptomatic subjects: variation with age, body height, and dominance
  43. of ankle. J Ultrasound Med 2006;25:1291–6.
  44. Kallinen M, Suominen H. Ultrasonographic measurements of the
  45. Achilles tendon in elderly athletes and sedentary men. Acta Radiol;35:560–3.
  46. Muraoka T, Muramatsu T, Fukunaga T, Kanehisa H. Elastic
  47. properties of human Achilles tendon are correlated to muscle
  48. strength. J Appl Physiol (1985) 2005;99:665–9.
  49. Egwu O, Njoku CO, Ukoha UU, Eteudo AN, Elem BC. Calf muscle
  50. (triceps surae complex) thickness in an adult Nigerian population:
  51. an imaging based normographic study. Macedonian Journal of
  52. Medical Sciences 2013;6:146–52.
  53. Finni T, Kovanen V, Ronkainen PH, Pöllänen E, Bashford GR,
  54. Kaprio J, Alén M, Kujala UM, Sipilä S. Combination of hormone
  55. replacement therapy and high physical activity is associated with differences
  56. in Achilles tendon size in monozygotic female twin pairs. J
  57. Appl Physiol (1985) 2009;106:1332–7.
  58. Bohm S, Mersmann F, Marzilger R, Schroll A, Arampatzis A.
  59. Asymmetry of Achilles tendon mechanical and morphological
  60. properties between both legs. Scand J Med Sci Sports 2015;25:
  61. e124–32.
  62. Egwu OA, Ogbonna CO, Salami E, Eni OE, Besong E, Onwe CC.
  63. Normal thickness of the tendo calcaneus (TCT) in an adult
  64. Nigerian population: an imaging based normographic study. Br J
  65. Med Med Res 2014;4:2100–11.
  66. Balius R, Alomar X, Rodas G, Miguel-Pérez M, Pedret C, Dobado
  67. MC, Blasi J, Koulouris G. The soleus muscle: MRI, anatomic and
  68. histologic findings in cadavers with clinical correlation of strain
  69. injury distribution. Skeletal Radiol 2013;42:521–30.
  70. Egwu OA, Anibeze CIP, Akpuaka FC, Udoh BE. Activity related
  71. differences in the thickness of achilles tendon among four different
  72. occupational groups in nigeria: an ultrasound based study.
  73. Bangladesh J Med Sci 2012;11:103–11.
  74. Mathieson JR, Connell DG, Cooperberg PL, Lloyd-Smith DR.
  75. Sonography of the Achilles tendon and adjacent bursae. AJR Am J
  76. Roentgenol 1988;151:127–31.
  77. Civeira F, Castillo JJ, Calvo C, Ferrando J, de Pedro C, Martínez-
  78. Rodés P, Pocoví M. Achilles tendon size by high resolution sonography
  79. in healthy population. Relationship with lipid levels. Med
  80. Clin (Barc) 1998;111:41–4.
  81. Cook JL, Khan KM, Harcourt PR, Kiss ZS, Fehrmann MW,
  82. Griffiths L, Wark JD. Patellar tendon ultrasonography in asymptomatic
  83. active athletes reveals hypoechoic regions: a study of 320
  84. tendons. Victorian Institute of Sport Tendon Study Group. Clin J
  85. Sport Med 1998;8:73–7.
  86. Cook JL, Khan KM, Kiss ZS, Coleman BD, Griffiths L.
  87. Asymptomatic hypoechoic regions on patellar tendon ultrasound:
  88. A 4-year clinical and ultrasound followup of 46 tendons. Scand J
  89. Med Sci Sports 2001;11:321–7.
  90. Cook JL, Khan KM, Kiss ZS, Purdam CR, Griffiths L. Prospective
  91. imaging study of asymptomatic patellar tendinopathy in elite junior
  92. basketball players. J Ultrasound Med 2000;19:473–9.
  93. Kongsgaard M, Aagaard P, Kjaer M, Magnusson SP. Structural
  94. Achilles tendon properties in athletes subjected to different exercise
  95. modes and in Achilles tendon rupture patients. J Appl Physiol;99:1965–71.
  96. Rosager S, Aagaard P, Dyhre-Poulsen P, Neergaard K, Kjaer M,
  97. Magnusson SP. Load-displacement properties of the human triceps
  98. surae aponeurosis and tendon in runners and non-runners.
  99. Scand J Med Sci Sports 2002;12:90–8.
  100. Unal B, Bilgili MYK, Y›lmaz S, Caglayan O, Kara S. Smoking prevents
  101. the expected postprandial increase in intestinal blood flow. J
  102. Ultrasound Med 2004;23:647–53.
  103. Jacobovicz J, Tolazzi AR, Timi JR. Doppler ultrasound evaluation
  104. of facial transverse and infraorbital arteries: influence of smoking
  105. and aging process. Aesthetic Plast Surg 2007;31:526–31.
  106. Maffulli N, Ewen SW, Waterston SW, Reaper J, Barrass V.
  107. Tenocytes from ruptured and tendinopathic achilles tendons produce
  108. greater quantities of type III collagen than tenocytes from
  109. normal achilles tendons. An in vitro model of human tendon healing.
  110. Am J Sports Med 2000;28:499–505.
  111. Whittaker P, Canham PB. Demonstration of quantitative fabric
  112. analysis of tendon collagen using two-dimensional polarized light
  113. microscopy. Matrix 1991;11:56–62.
  114. Jorgensen LN, Kallehave F, Christensen E, Siana JE, Gottrup F.
  115. Less collagen production in smokers. Surgery 1998;12:450–5.
  116. Birk DE, Mayne R. Localization of collagen types I, III and V during
  117. tendon development. Changes in collagen types I and III are correlated
  118. with changes in fibril diameter. Eur J Cell Biol 1997;72: 352–61.
  119. Stenroth L, Peltonen J, Cronin NJ, Sipilä S, Finni T. Age-related
  120. differences in Achilles tendon properties and triceps surae muscle
  121. architecture in vivo. J Appl Physiol (1985) 2012;113:1537–44.
  122. Magnusson SP, Beyer N, Abrahamsen H, Aagaard P, Neergaard
  123. K, Kjaer M. Increased cross-sectional area and reduced tensile
  124. stress of the Achilles tendon in elderly compared with young
  125. women. J Gerontol A Biol Sci Med Sci 2003;58:123–7.
  126. Kinugasa R, Hodgson JA, Edgerton VR, Shin DD, Sinha S.
  127. Reduction in tendon elasticity from unloading is unrelated to its
  128. hypertrophy. J Appl Physiol (1985) 2010;109:870–7.