Acute On Chronic Posterior Ankle Pain Refractory To Eccentrics In A Marathon Runner - Page #3
 

Other Studies:
Ultrasound:
Case Photo #1 LAX view of L. Achilles tendon (AT) with midportion hypertrophy and echogenic changes
Case Photo #2 Corresponding doppler with increased intra-fat pad signal between Achilles tendon and Kager's fat pad (KFP)
Case Photo #3 SAX view of L. AT with increased signal on doppler showing neovascularity
Case Photo #4 PT SAX image demonstrating in-plane, lateral-to-medial, 21 gauge needle approach for sub-AT/supra-KFP positioning during AT neovessel ablation procedure
Case Photo #5 Interval healing of L. AT with mild improvement in tendon hypertrophy and intrasubstance fiber echogenicity
Case Photo #6 Ablation of neovascularity and nascent vessel fat pad-tendon cross bridging

Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.


NOTE: For more information, please contact the AMSSM, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.
 

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