Classification of Tendon Matrix Change Using Ultrasound Imaging: A Systematic Review and Meta-analysis

Ultrasound imaging (US) is an accurate and reliable method used to diagnose tendinopathy. This systematic review was aimed at identifying common criteria and parameters used to diagnose tendinopathy, the methodological quality of studies and the predictive value of US. Nineteen studies met the inclusion criteria, with the Achilles, quadriceps and patella tendons being investigated. Overall, there was significant heterogeneity between the criteria used to diagnose tendinopathy utilising US. The methodological quality of included studies was "good." Additionally, meta-analysis revealed that US-identified abnormalities were predictive of future symptoms, and classification of tendinopathy using three US defined parameters indicated a higher relative risk of developing clinical tendinopathy compared with the use of two US-defined parameters. Further research into the development of a standardised US criterion that incorporates both clinical and US findings is required to allow for greater consistency in the diagnosis of tendinopathy. (C) 2018 World Federation for Ultrasound in Medicine & Biology. All rights reserved.

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Title: Classification of Tendon Matrix Change Using Ultrasound Imaging: A Systematic Review and Meta-analysis
Creators: Wesley Matthews - Bond University
Richard Ellis - Auckland University of Technology
James Furness - Bond University
Wayne Hing - Bond University
Publication Details: Ultrasound in medicine & biology, Vol.44(10), pp.2059-2080
Publisher: Elsevier
Number of pages: 22
Grant note: This research was supported by an Australian Government Research Training Program Scholarship.
Identifiers: 991013323324902368
Academic Unit: Faculty of Health
Language: English
Resource Type: Journal article

Classification of Tendon Matrix Change Using Ultrasound Imaging: A Systematic Review and Meta-analysis

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