scholarly journals Differential strain patterns of the human Achilles tendon determined in vivo with freehand three-dimensional ultrasound imaging

2012 ◽  
Vol 216 (4) ◽  
pp. 594-600 ◽  
Author(s):  
D. J. Farris ◽  
G. Trewartha ◽  
M. P. McGuigan ◽  
G. A. Lichtwark
2003 ◽  
Vol 95 (2) ◽  
pp. 829-837 ◽  
Author(s):  
Taija Finni ◽  
John A. Hodgson ◽  
Alex M. Lai ◽  
V. Reggie Edgerton ◽  
Shantanu Sinha

The distribution of strain along the soleus aponeurosis tendon was examined during voluntary contractions in vivo. Eight subjects performed cyclic isometric contractions (20 and 40% of maximal voluntary contraction). Displacement and strain in the apparent Achilles tendon and in the aponeurosis were calculated from cine phase-contrast magnetic resonance images acquired with a field of view of 32 cm. The apparent Achilles tendon lengthened 2.8 and 4.7% in 20 and 40% maximal voluntary contraction, respectively. The midregion of the aponeurosis, below the gastrocnemius insertion, lengthened 1.2 and 2.2%, but the distal aponeurosis shortened 2.1 and 2.5%, respectively. There was considerable variation in the three-dimensional anatomy of the aponeurosis and muscle-tendon junction. We suggest that the nonuniformity in aponeurosis strain within an individual was due to the presence of active and passive motor units along the length of the muscle, causing variable force along the measurement site. Force transmission along intrasoleus connective tissue may also be a significant source of nonuniform strain in the aponeurosis.


2012 ◽  
Vol 38 (10) ◽  
pp. 1833-1838 ◽  
Author(s):  
Kazutoshi Kumagai ◽  
Hideyuki Koike ◽  
Ryo Nagaoka ◽  
Shingo Sakai ◽  
Kazuto Kobayashi ◽  
...  

2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
Yang Qiao ◽  
Hong-Yue Tao ◽  
Kui Ma ◽  
Zi-Ying Wu ◽  
Jian-Xun Qu ◽  
...  

Objective. To compareT2⁎value of healthy and diseased Achilles tendons (AT) with a recently introduced three-dimensional ultrashort echo time (3D-UTE) sequence and analyze the correlation betweenT2⁎value and clinical scores.Methods. Ten patients with symptomatic Achilles tendon and ten healthy volunteers were investigated with 3D-UTE sequence on a 3T magnetic resonance (MR) scanner.T2⁎values of four regions in Achilles tendons were calculated. The clinical outcomes of patients were evaluated according to the American Orthopaedic Foot and Ankle Society (AOFAS) score and Achilles Tendon Rupture Score (ATRS). An independent samplet-test was used to compare the differences ofT2⁎value and clinical scores between two groups. The Pearson correlation coefficient between clinical scores andT2⁎values was assessed.Results. TheT2⁎values of Achilles tendon were statistically significantly different between patients and volunteers. The Pearson correlation coefficients betweenT2⁎and AOFAS or ATRS scores of patients werer=-0.733andr=-0.634, respectively.Conclusion. The variability ofT2⁎in healthy and pathologic AT can be quantified by UTE-T2⁎.T2⁎may be a promising marker to detect and diagnose AT tendinopathy. UTE-T2⁎could give a precise guidance to clinical outcome.


2017 ◽  
Vol 33 (4) ◽  
pp. 300-304 ◽  
Author(s):  
Steven J. Obst ◽  
Lee Barber ◽  
Ashton Miller ◽  
Rod S. Barrett

This study investigated reliability of freehand three-dimensional ultrasound (3DUS) measurement of in vivo human Achilles tendon (AT) moment arm. Sixteen healthy adults were scanned on 2 separate occasions by a single investigator. 3DUS scans were performed over the free AT, medial malleolus, and lateral malleolus with the ankle passively positioned in maximal dorsiflexion, mid dorsiflexion, neutral, mid plantar flexion and maximal plantar flexion. 3D reconstructions of the AT, medial malleolus, and lateral malleolus were created from manual segmentation of the ultrasound images and used to geometrically determine the AT moment arm using both a straight (straight ATMA) and curved (curved ATMA) tendon line-of-action. Both methods were reliable within- and between-session (intra-class correlation coefficients > 0.92; coefficient of variation < 2.5 %) and revealed that AT moment arm increased by ∼ 7 mm from maximal dorsiflexion (∼ 41mm) to maximal plantar flexion (∼ 48 mm). Failing to account for tendon curvature led to a small overestimation (< 2 mm) of AT moment arm that was most pronounced in ankle plantar flexion, but was less than the minimal detectable change of the method and could be disregarded.


Author(s):  
Guillermo Azumendi

Abstract Three-dimensional ultrasound is advantageous in studying normal embryonic and fetal development, as well as providing information for families at risk for specific congenital anomalies by confirming normality. The introduction of highfrequency transvaginal transducers has resulted in remarkable progress in ultrasonographic visualization of early embryos and fetuses. Three-dimensional ultrasound imaging in vivo compliments pathologic and histologic evaluation of the developing embryo, giving rise to a new term: 3D sonoembryology.


2014 ◽  
Vol 136 (2) ◽  
Author(s):  
Corinne N. Riggin ◽  
Joseph J. Sarver ◽  
Benjamin R. Freedman ◽  
Stephen J. Thomas ◽  
Louis J. Soslowsky

Achilles tendon ruptures are traumatic injuries, and techniques for assessing repair outcomes rely on patient-based measures of pain and function, which do not directly assess tendon healing. Consequently, there is a need for a quantitative, in vivo measure of tendon properties. Therefore, the purpose of this study was to validate ultrasound imaging for evaluating collagen organization in tendons. In this study, we compared our novel, high-frequency ultrasound (HFUS) imaging and analysis method to a standard measure of collagen organization, crossed polarizer (CP) imaging. Eighteen mouse Achilles tendons were harvested and placed into a testing fixture where HFUS and CP imaging could be performed simultaneously in a controlled loading environment. Two experiments were conducted: (1) effect of loading on collagen alignment and (2) effect of an excisional injury on collagen alignment. As expected, it was found that both the HFUS and CP methods could reliably detect an increase in alignment with increasing load, as well as a decrease in alignment with injury. This HFUS method demonstrates that structural measures of collagen organization in tendon can be determined through ultrasound imaging. This experiment also provides a mechanistic evaluation of tissue structure that could potentially be used to develop a targeted approach to aid in rehabilitation or monitor return to activity after tendon injury.


2021 ◽  
Vol 2021 ◽  
pp. 1-12
Author(s):  
Ruoli Wang ◽  
Shiyang Yan ◽  
Marius Schlippe ◽  
Olga Tarassova ◽  
Gaia Valentina Pennati ◽  
...  

The in vivo characterization of the passive mechanical properties of the human triceps surae musculotendinous unit is important for gaining a deeper understanding of the interactive responses of the tendon and muscle tissues to loading during passive stretching. This study sought to quantify a comprehensive set of passive muscle-tendon properties such as slack length, stiffness, and the stress-strain relationship using a combination of ultrasound imaging and a three-dimensional motion capture system in healthy adults. By measuring tendon length, the cross-section areas of the Achilles tendon subcompartments (i.e., medial gastrocnemius and soleus aspects), and the ankle torque simultaneously, the mechanical properties of each individual compartment can be specifically identified. We found that the medial gastrocnemius (GM) and soleus (SOL) aspects of the Achilles tendon have similar mechanical properties in terms of slack angle (GM: − 10.96 ° ± 3.48 ° ; SOL: − 8.50 ° ± 4.03 ° ), moment arm at 0° of ankle angle (GM: 30.35 ± 6.42  mm; SOL: 31.39 ± 6.42  mm), and stiffness (GM: 23.18 ± 13.46  Nmm-1; SOL: 31.57 ± 13.26  Nmm-1). However, maximal tendon stress in the GM was significantly less than that in SOL (GM: 2.96 ± 1.50  MPa; SOL: 4.90 ± 1.88  MPa, p = 0.024 ), largely due to the higher passive force observed in the soleus compartment (GM: 99.89 ± 39.50  N; SOL: 174.59 ± 79.54  N, p = 0.020 ). Moreover, the tendon contributed to more than half of the total muscle-tendon unit lengthening during the passive stretch. This unequal passive stress between the medial gastrocnemius and the soleus tendon might contribute to the asymmetrical loading and deformation of the Achilles tendon during motion reported in the literature. Such information is relevant to understanding the Achilles tendon function and loading profile in pathological populations in the future.


2014 ◽  
Vol 116 (4) ◽  
pp. 376-384 ◽  
Author(s):  
Steven J. Obst ◽  
Jean-Baptiste Renault ◽  
Richard Newsham-West ◽  
Rod S. Barrett

Freehand three-dimensional ultrasound (3DUS) was used to investigate longitudinal and biaxial transverse deformation and rotation of the free Achilles tendon in vivo during a voluntary submaximal isometric muscle contraction. Participants ( n = 8) were scanned at rest and during a 70% maximal voluntary isometric contraction (MVIC) of the plantarflexors. Ultrasound images were manually digitized to render a 3D reconstruction of the free Achilles tendon for the computation of tendon length, volume, cross-sectional area (CSA), mediolateral diameter (MLD), anteroposterior diameter (APD), and transverse rotation. Tendon longitudinal and transverse (CSA, APD, and MLD) deformation and strain at 70% MVIC were calculated relative to the resting condition. There was a significant main effect of contraction on tendon length and mean CSA, MLD, and APD ( P < 0.05), but no effect on tendon volume ( P = 0.70). Group mean transverse strains for CSA, MLD, and APD averaged over the length of the tendon were −5.5%, −8.7% and 8.7%, respectively. Peak CSA, MLD, and APD transverse strains all occurred between 40% and 60% of tendon length. Transverse rotation of the free tendon was negligible at rest but increased under load, becoming externally rotated relative to the calcaneal insertion. The relationship between longitudinal and transverse strains of the free Achilles tendon during muscle-induced elongation may be indicative of interfascicle reorganization. The finding that transverse rotation and strain peaked in midportion of the free Achilles tendon may have important implications for tendon injury mechanisms and estimation of tendon stress in vivo.


2012 ◽  
Vol 19 (6) ◽  
pp. 732-739 ◽  
Author(s):  
John R. Eisenbrey ◽  
Anush Sridharan ◽  
Priscilla Machado ◽  
Hongjia Zhao ◽  
Valgerdur G. Halldorsdottir ◽  
...  

Author(s):  
D. Reis ◽  
B. Vian ◽  
J. C. Roland

Wall morphogenesis in higher plants is a problem still open to controversy. Until now the possibility of a transmembrane control and the involvement of microtubules were mostly envisaged. Self-assembly processes have been observed in the case of walls of Chlamydomonas and bacteria. Spontaneous gelling interactions between xanthan and galactomannan from Ceratonia have been analyzed very recently. The present work provides indications that some processes of spontaneous aggregation could occur in higher plants during the formation and expansion of cell wall.Observations were performed on hypocotyl of mung bean (Phaseolus aureus) for which growth characteristics and wall composition have been previously defined.In situ, the walls of actively growing cells (primary walls) show an ordered three-dimensional organization (fig. 1). The wall is typically polylamellate with multifibrillar layers alternately transverse and longitudinal. Between these layers intermediate strata exist in which the orientation of microfibrils progressively rotates. Thus a progressive change in the morphogenetic activity occurs.


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