Iranian Journal of Radiology

Published by: Kowsar

Achilles Tendon Thickness and Stiffness Evaluation with Shear-Wave Elastography in Hemodialysis Patients

Azad Hekimoglu 1 , * , Aynur Turan 1 , Begum Demirler Simsir 1 , Hasan Ali Durmaz 1 , Mehmet Deniz Ayli 2 and Baki Hekimoglu 1
Authors Information
1 Department of Radiology, Diskapi Yildirim Beyazit Training and Research Hospital, Ankara, Turkey
2 Department of Nephrology, Diskapi Yildirim Beyazit Training and Research Hospital, Ankara, Turkey
Article information
  • Iranian Journal of Radiology: 16 (3); e66274
  • Published Online: May 4, 2019
  • Article Type: Research Article
  • Received: January 14, 2018
  • Revised: March 13, 2019
  • Accepted: March 19, 2019
  • DOI: 10.5812/iranjradiol.66274

To Cite: Hekimoglu A, Turan A, Demirler Simsir B, Durmaz H A, Ayli M D, et al. Achilles Tendon Thickness and Stiffness Evaluation with Shear-Wave Elastography in Hemodialysis Patients, Iran J Radiol. Online ahead of Print ; 16(3):e66274. doi: 10.5812/iranjradiol.66274.

Copyright © 2019, Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
2. Objectives
3. Patients and Methods
4. Results
5. Discussion
  • 1. Ilan DI, Tejwani N, Keschner M, Leibman M. Quadriceps tendon rupture. J Am Acad Orthop Surg. 2003;11(3):192-200. [PubMed: 12828449].
  • 2. Kazimoglu C, Yagdi S, Karapinar H, Sener M. [Bilateral quadriceps tendon rupture and coexistent femoral neck fracture in a patient with chronic renal failure]. Acta Orthop Traumatol Turc. 2007;41:393-6. Turkish.
  • 3. Bardin T. Musculoskeletal manifestations of chronic renal failure. Curr Opin Rheumatol. 2003;15(1):48-54. doi: 10.1097/00002281-200301000-00009. [PubMed: 12496510].
  • 4. Garra BS. Elastography: Current status, future prospects, and making it work for you. Ultrasound Q. 2011;27(3):177-86. doi: 10.1097/RUQ.0b013e31822a2138. [PubMed: 21873855].
  • 5. Alam F, Naito K, Horiguchi J, Fukuda H, Tachikake T, Ito K. Accuracy of sonographic elastography in the differential diagnosis of enlarged cervical lymph nodes: comparison with conventional B-mode sonography. AJR Am J Roentgenol. 2008;191(2):604-10. doi: 10.2214/AJR.07.3401. [PubMed: 18647939].
  • 6. Ghajarzadeh M, Sodagari F, Shakiba M. Diagnostic accuracy of sonoelastography in detecting malignant thyroid nodules: A systematic review and meta-analysis. AJR Am J Roentgenol. 2014;202(4):W379-89. doi: 10.2214/AJR.12.9785. [PubMed: 24660737].
  • 7. Sandulescu L, Rogoveanu I, Gheonea IA, Cazacu S, Saftoiu A. Real-time elastography applications in liver pathology between expectations and results. J Gastrointestin Liver Dis. 2013;22(2):221-7. [PubMed: 23799224].
  • 8. Botar Jid C, Vasilescu D, Damian L, Dumitriu D, Ciurea A, Dudea SM. Musculoskeletal sonoelastography. Pictorial essay. Med Ultrason. 2012;14(3):239-45. [PubMed: 22957331].
  • 9. Grajo JR, Barr RG. Strain elastography for prediction of breast cancer tumor grades. J Ultrasound Med. 2014;33(1):129-34. doi: 10.7863/ultra.33.1.129. [PubMed: 24371107].
  • 10. De Zordo T, Chhem R, Smekal V, Feuchtner G, Reindl M, Fink C, et al. Real-time sonoelastography: Findings in patients with symptomatic achilles tendons and comparison to healthy volunteers. Ultraschall Med. 2010;31(4):394-400. doi: 10.1055/s-0028-1109809. [PubMed: 19946833].
  • 11. Arda K, Ciledag N, Aktas E, Aribas BK, Kose K. Quantitative assessment of normal soft-tissue elasticity using shear-wave ultrasound elastography. AJR Am J Roentgenol. 2011;197(3):532-6. doi: 10.2214/AJR.10.5449. [PubMed: 21862792].
  • 12. Palle L, Reddy MB, Reddy KJ, Kumari MV. Technical note: Real-time sonoelastography evaluation of Achilles tendon. Indian J Radiol Imaging. 2011;21(4):267-9. doi: 10.4103/0971-3026.90685. [PubMed: 22223937]. [PubMed Central: PMC3249940].
  • 13. Kaplan PA, Matamoros A, Anderson JC. Sonography of the musculoskeletal system. Am J Roentgenol. 1990;155(2):237-45. doi: 10.2214/ajr.155.2.2115246. [PubMed: 2115246].
  • 14. Shiota E, Tsuchiya K, Yamaoka K, Kawano O. Spontaneous major tendon ruptures in patients receiving long-term hemodialysis. Clin Orthop Relat Res. 2002;(394):236-42. doi: 10.1097/00003086-200201000-00028. [PubMed: 11795739].
  • 15. O'Brien M. The anatomy of the Achilles tendon. Foot Ankle Clin. 2005;10(2):225-38. doi: 10.1016/j.fcl.2005.01.011. [PubMed: 15922915].
  • 16. Dillehay GL, Deschler T, Rogers LF, Neiman HL, Hendrix RW. The ultrasonographic characterization of tendons. Invest Radiol. 1984;19(4):338-41. doi: 10.1097/00004424-198407000-00020. [PubMed: 6384128].
  • 17. Kurer MH, Baillod RA, Madgwick JC. Musculoskeletal manifestations of amyloidosis. A review of 83 patients on haemodialysis for at least 10 years. J Bone Joint Surg Brit. 1991;73-B(2):271-6. doi: 10.1302/0301-620x.73b2.2005153.
  • 18. Thaunat M, Gaudin P, Naret C, Beaufils P, Thaunat O. Role of secondary hyperparathyroidism in spontaneous rupture of the quadriceps tendon complicating chronic renal failure. Rheumatology (Oxford). 2006;45(2):234-5. doi: 10.1093/rheumatology/kei022. [PubMed: 16332956].
  • 19. Shah M, Jooma N. Simultaneous bilateral quadriceps tendon rupture while playing basketball. Br J Sports Med. 2002;36(2):152-3. discussion 153. doi: 10.1136/bjsm.36.2.152. [PubMed: 11916903]. [PubMed Central: PMC1724489].
  • 20. Lotem M, Robson MD, Rosenfeld JB. Spontaneous rupture of the quadriceps tendon in patients on chronic haemodialysis. Ann Rheum Dis. 1974;33(5):428-9. doi: 10.1136/ard.33.5.428. [PubMed: 4424440]. [PubMed Central: PMC1006299].
  • 21. Aubry S, Risson JR, Kastler A, Barbier-Brion B, Siliman G, Runge M, et al. Biomechanical properties of the calcaneal tendon in vivo assessed by transient shear wave elastography. Skeletal Radiol. 2013;42(8):1143-50. doi: 10.1007/s00256-013-1649-9. [PubMed: 23708047].
  • 22. Klauser AS, Faschingbauer R, Jaschke WR. Is sonoelastography of value in assessing tendons? Semin Musculoskelet Radiol. 2010;14(3):323-33. doi: 10.1055/s-0030-1254521. [PubMed: 20539957].
  • 23. Sharma P, Maffulli N. Biology of tendon injury: Healing, modeling and remodeling. J Musculoskelet Neuronal Interact. 2006;6(2):181-90. [PubMed: 16849830].
  • 24. Dudea SM, Botar-Jid C. Ultrasound elastography in thyroid disease. Med Ultrason. 2015;17(1):74-96. doi: 10.11152/mu.2013.2066.171.smd. [PubMed: 25745661].
  • 25. Klauser AS, Miyamoto H, Bellmann-Weiler R, Feuchtner GM, Wick MC, Jaschke WR. Sonoelastography: Musculoskeletal applications. Radiology. 2014;272(3):622-33. doi: 10.1148/radiol.14121765. [PubMed: 25153273].
  • 26. Aubry S, Nueffer JP, Tanter M, Becce F, Vidal C, Michel F. Viscoelasticity in Achilles tendonopathy: Quantitative assessment by using real-time shear-wave elastography. Radiology. 2015;274(3):821-9. doi: 10.1148/radiol.14140434. [PubMed: 25329764].
  • 27. Turan A, Teber MA, Yakut ZI, Unlu HA, Hekimoglu B. Sonoelastographic assessment of the age-related changes of the Achilles tendon. Med Ultrason. 2015;17(1):58-61. doi: 10.11152/mu.2013.2066.171.ayt. [PubMed: 25745659].
  • 28. Teber MA, Ogur T, Bozkurt A, Er B, Turan A, Gulbay M, et al. Real-time sonoelastography of the quadriceps tendon in patients undergoing chronic hemodialysis. J Ultrasound Med. 2015;34(4):671-7. doi: 10.7863/ultra.34.4.671. [PubMed: 25792583].
  • 29. Hussein DA, El-Azizi NO, Abdel Meged AH, Al-Hoseiny SA, Hamada AM, Sabry MH. Ultrasonographic tendon alteration in relation to parathyroid dysfunction in chronic hemodialysis patients. Clin Med Insights Arthritis Musculoskelet Disord. 2015;8:9-14. doi: 10.4137/CMAMD.S20887. [PubMed: 25674023]. [PubMed Central: PMC4315125].
  • 30. Turan A, Tufan A, Mercan R, Teber MA, Tezcan ME, Bitik B, et al. Real-time sonoelastography of Achilles tendon in patients with ankylosing spondylitis. Skeletal Radiol. 2013;42(8):1113-8. doi: 10.1007/s00256-013-1637-0. [PubMed: 23685710].
  • 31. Kerimoglu U, Hayran M, Ergen FB, Kirkpantur A, Turgan C. Sonographic evaluation of entheseal sites of the lower extremity in patients undergoing hemodialysis. J Clin Ultrasound. 2007;35(8):417-23. doi: 10.1002/jcu.20411. [PubMed: 17663458].

Featured Image:

Creative Commons License Except where otherwise noted, this work is licensed under Creative Commons Attribution Non Commercial 4.0 International License .

Search Relations:



Create Citiation Alert
via Google Reader

Readers' Comments