Achilles Tendon Repair after Tenorraphy Imaging and the Doughnut Metaphor

Gian Nicola Bisciotti, Andrea Bisciotti, Alessio Auci, Alessandro Bisciotti, Cristiano Eirale, Alessandro Corsini () and Piero Volpi
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Gian Nicola Bisciotti: Paris Saint Germain Football Club (France), Kinemove Rehabilitation Centers, 54027 Pontremoli, Italy
Andrea Bisciotti: Kinemove Rehabilitation Centers, 54027 Pontremoli, Italy
Alessio Auci: Azienda USL Toscana Nord-Ovest, 54100 Massa, Italy
Alessandro Bisciotti: IRCCS Humanitas Research Hospital, 20089 Rozzano, Italy
Cristiano Eirale: Paris Saint Germain Football Club, 78100 Saint Germain en Laye, France
Alessandro Corsini: Genoa Cricket and Football Club, 20155 Genoa, Italy
Piero Volpi: IRCCS Humanitas Research Hospital, 20089 Rozzano, Italy

IJERPH, 2023, vol. 20, issue 11, 1-10

Abstract: After Achilles tendon tenorraphy, tendon tissue undergoes a long period of biological healing. During this period, tissue turnover shows heterogeneity between its peripheral and central regions. This case report concerns the description of the tendon healing process of an athlete who underwent an Achilles tendon tenorraphy. As the reparative processes progressed, magnetic resonance imaging (MRI) showed centralization of the hyperintensity area and the tendon assumed a doughnut-like appearance. At the same time, ultrasound (US) assessment showed a progressive reorganization of the tendon fibrillar structure. Therefore, for the athlete, MRI and US assessment together represent a useful tool for the decision-making process after Achilles tendon tenorraphy.

Keywords: tendon biology; regeneration; imaging; return to play (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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