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2019•Radiologia BrasileiraOpen access

Ultrasonographic aspects of the Achilles tendon after tenotomy for the treatment of congenital clubfoot by the Ponseti technique

Marcelo de Toledo Piza Watzl, Alair Augusto Sarmet Moreira Damas dos Santos, Armando Leão Ferreira Neto, Danilo Alves de Araujo

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Abstract

After tenotomy of the Achilles tendon, there is a separation, and the space between the tendons caused by the retraction of the proximal stump is filled in by a hematoma, characterized by echogenic debris, which evolves and becomes fibrous tissue that is easily seen on ultrasound.The phases of the tendon healing process can be divided into the inflammatory phase, in which the hematoma forms and subsequently organizes; the proliferative phase, in which there is growth and maturation of connective tissue fibers in the gap; and the remodeling phase, in which with the tendinous structure organizes into tissue similar to the original (1,4) . ULTRASONOGRAPHIC ASPECTSHere, we describe each stage of the healing of an Achilles tendon treated with the Ponseti technique for the correction of congenital clubfoot, together with the related ultrasonographic aspects:

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After tenotomy of the Achilles tendon, there is a separation, and the space between the tendons caused by the retraction of the proximal stump is filled in by a hematoma, characterized by echogenic debris, which evolves and becomes fibrous tissue that is easily seen on ultrasound.The phases of the tendon healing process can be divided into the inflammatory phase, in which the hematoma forms and subsequently organizes; the proliferative phase, in which there is growth and maturation of connective tissue fibers in the gap; and the remodeling phase, in which with the tendinous structure organizes into tissue similar to the original (1,4) . ULTRASONOGRAPHIC ASPECTSHere, we describe each stage of the healing of an Achilles tendon treated with the Ponseti technique for the correction of congenital clubfoot, together with the related ultrasonographic aspects:

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Available abstract

After tenotomy of the Achilles tendon, there is a separation, and the space between the tendons caused by the retraction of the proximal stump is filled in by a hematoma, characterized by echogenic debris, which evolves and becomes fibrous tissue that is easily seen on ultrasound.The phases of the tendon healing process can be divided into the inflammatory phase, in which the hematoma forms and subsequently organizes; the proliferative phase, in which there is growth and maturation of connective tissue fibers in the gap; and the remodeling phase, in which with the tendinous structure organizes into tissue similar to the original (1,4) . ULTRASONOGRAPHIC ASPECTSHere, we describe each stage of the healing of an Achilles tendon treated with the Ponseti technique for the correction of congenital clubfoot, together with the related ultrasonographic aspects:

Key concepts: Tenotomy, Clubfoot, Achilles tendon, Ponseti method, Medicine, Congenital talipes equinovarus, Surgery, Tendon

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Ultrasonographic aspects of the Achilles tendon after tenotomy for the treatment of congenital clubfoot by the Ponseti technique — Research Paper | ScholarLens