Cargando…
A New Test for Achilles Tendinopathy Based on Kager’s Fat Pad Clinical Assessment Predictive Values
Background This study aimed to check the diagnostic accuracy of a new test to identify Achilles tendinopathy. Study Design: Observational study. Methods: Seventy patients recruited from a private medical centre met the diagnostic criteria for unilateral Achilles tendinopathy (age, 45.1 ± 12.7 years;...
Autores principales: | , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10455944/ https://www.ncbi.nlm.nih.gov/pubmed/37629225 http://dx.doi.org/10.3390/jcm12165183 |
_version_ | 1785096575802933248 |
---|---|
author | Rodríguez-Sanz, David Losa-Iglesias, Marta Elena de Bengoa-Vallejo, Ricardo Becerro Sánchez-Milá, Zacarías Dorgham, Hend Adel Abdelhalim Elerian, Ahmed Ebrahim Yu, Tian Calvo-Lobo, César Velázquez-Saornil, Jorge Martínez Jimene, Eva María |
author_facet | Rodríguez-Sanz, David Losa-Iglesias, Marta Elena de Bengoa-Vallejo, Ricardo Becerro Sánchez-Milá, Zacarías Dorgham, Hend Adel Abdelhalim Elerian, Ahmed Ebrahim Yu, Tian Calvo-Lobo, César Velázquez-Saornil, Jorge Martínez Jimene, Eva María |
author_sort | Rodríguez-Sanz, David |
collection | PubMed |
description | Background This study aimed to check the diagnostic accuracy of a new test to identify Achilles tendinopathy. Study Design: Observational study. Methods: Seventy patients recruited from a private medical centre met the diagnostic criteria for unilateral Achilles tendinopathy (age, 45.1 ± 12.7 years; weight, 75.00 ± 10 kg; height, 1.75 ± 0.1 m) and were tested based on both Achilles tendons. Seventy patients with a unilateral Achilles tendinopathy ultrasound diagnosis were tested using David’s test. Results: Most (86%) subjects demonstrated Kager’s fat pad asymmetry in relation to the Achilles tendon in the complete passive dorsiflexion in the prone position (David’s sign). No healthy tendons had David’s sign. Conclusions: The presence of asymmetry in Kager’s fat pad in relation to the Achilles tendon during complete passive dorsiflexion is strongly indicative of ultrasound-diagnosed tendinopathy. David’s test demonstrated a sensitivity of 85.71% (95% CI, 77.51% to 93.91%) and a specificity of 100% (95% CI, 100% to 100%), while noting the lack of blinding of the assessors and the uncertainty of the diagnostic measures (95% CI). Asymmetry of the fat pad could potentially serve as a characteristic marker for patients with Achilles tendinopathy. |
format | Online Article Text |
id | pubmed-10455944 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-104559442023-08-26 A New Test for Achilles Tendinopathy Based on Kager’s Fat Pad Clinical Assessment Predictive Values Rodríguez-Sanz, David Losa-Iglesias, Marta Elena de Bengoa-Vallejo, Ricardo Becerro Sánchez-Milá, Zacarías Dorgham, Hend Adel Abdelhalim Elerian, Ahmed Ebrahim Yu, Tian Calvo-Lobo, César Velázquez-Saornil, Jorge Martínez Jimene, Eva María J Clin Med Article Background This study aimed to check the diagnostic accuracy of a new test to identify Achilles tendinopathy. Study Design: Observational study. Methods: Seventy patients recruited from a private medical centre met the diagnostic criteria for unilateral Achilles tendinopathy (age, 45.1 ± 12.7 years; weight, 75.00 ± 10 kg; height, 1.75 ± 0.1 m) and were tested based on both Achilles tendons. Seventy patients with a unilateral Achilles tendinopathy ultrasound diagnosis were tested using David’s test. Results: Most (86%) subjects demonstrated Kager’s fat pad asymmetry in relation to the Achilles tendon in the complete passive dorsiflexion in the prone position (David’s sign). No healthy tendons had David’s sign. Conclusions: The presence of asymmetry in Kager’s fat pad in relation to the Achilles tendon during complete passive dorsiflexion is strongly indicative of ultrasound-diagnosed tendinopathy. David’s test demonstrated a sensitivity of 85.71% (95% CI, 77.51% to 93.91%) and a specificity of 100% (95% CI, 100% to 100%), while noting the lack of blinding of the assessors and the uncertainty of the diagnostic measures (95% CI). Asymmetry of the fat pad could potentially serve as a characteristic marker for patients with Achilles tendinopathy. MDPI 2023-08-09 /pmc/articles/PMC10455944/ /pubmed/37629225 http://dx.doi.org/10.3390/jcm12165183 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Rodríguez-Sanz, David Losa-Iglesias, Marta Elena de Bengoa-Vallejo, Ricardo Becerro Sánchez-Milá, Zacarías Dorgham, Hend Adel Abdelhalim Elerian, Ahmed Ebrahim Yu, Tian Calvo-Lobo, César Velázquez-Saornil, Jorge Martínez Jimene, Eva María A New Test for Achilles Tendinopathy Based on Kager’s Fat Pad Clinical Assessment Predictive Values |
title | A New Test for Achilles Tendinopathy Based on Kager’s Fat Pad Clinical Assessment Predictive Values |
title_full | A New Test for Achilles Tendinopathy Based on Kager’s Fat Pad Clinical Assessment Predictive Values |
title_fullStr | A New Test for Achilles Tendinopathy Based on Kager’s Fat Pad Clinical Assessment Predictive Values |
title_full_unstemmed | A New Test for Achilles Tendinopathy Based on Kager’s Fat Pad Clinical Assessment Predictive Values |
title_short | A New Test for Achilles Tendinopathy Based on Kager’s Fat Pad Clinical Assessment Predictive Values |
title_sort | new test for achilles tendinopathy based on kager’s fat pad clinical assessment predictive values |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10455944/ https://www.ncbi.nlm.nih.gov/pubmed/37629225 http://dx.doi.org/10.3390/jcm12165183 |
work_keys_str_mv | AT rodriguezsanzdavid anewtestforachillestendinopathybasedonkagersfatpadclinicalassessmentpredictivevalues AT losaiglesiasmartaelena anewtestforachillestendinopathybasedonkagersfatpadclinicalassessmentpredictivevalues AT debengoavallejoricardobecerro anewtestforachillestendinopathybasedonkagersfatpadclinicalassessmentpredictivevalues AT sanchezmilazacarias anewtestforachillestendinopathybasedonkagersfatpadclinicalassessmentpredictivevalues AT dorghamhendadelabdelhalim anewtestforachillestendinopathybasedonkagersfatpadclinicalassessmentpredictivevalues AT elerianahmedebrahim anewtestforachillestendinopathybasedonkagersfatpadclinicalassessmentpredictivevalues AT yutian anewtestforachillestendinopathybasedonkagersfatpadclinicalassessmentpredictivevalues AT calvolobocesar anewtestforachillestendinopathybasedonkagersfatpadclinicalassessmentpredictivevalues AT velazquezsaorniljorge anewtestforachillestendinopathybasedonkagersfatpadclinicalassessmentpredictivevalues AT martinezjimeneevamaria anewtestforachillestendinopathybasedonkagersfatpadclinicalassessmentpredictivevalues AT rodriguezsanzdavid newtestforachillestendinopathybasedonkagersfatpadclinicalassessmentpredictivevalues AT losaiglesiasmartaelena newtestforachillestendinopathybasedonkagersfatpadclinicalassessmentpredictivevalues AT debengoavallejoricardobecerro newtestforachillestendinopathybasedonkagersfatpadclinicalassessmentpredictivevalues AT sanchezmilazacarias newtestforachillestendinopathybasedonkagersfatpadclinicalassessmentpredictivevalues AT dorghamhendadelabdelhalim newtestforachillestendinopathybasedonkagersfatpadclinicalassessmentpredictivevalues AT elerianahmedebrahim newtestforachillestendinopathybasedonkagersfatpadclinicalassessmentpredictivevalues AT yutian newtestforachillestendinopathybasedonkagersfatpadclinicalassessmentpredictivevalues AT calvolobocesar newtestforachillestendinopathybasedonkagersfatpadclinicalassessmentpredictivevalues AT velazquezsaorniljorge newtestforachillestendinopathybasedonkagersfatpadclinicalassessmentpredictivevalues AT martinezjimeneevamaria newtestforachillestendinopathybasedonkagersfatpadclinicalassessmentpredictivevalues |