Application of real-time shear wave elastography to Achilles tendon hardness evaluation in older adults.

IF 1 4区医学 Q3 MEDICINE, GENERAL & INTERNAL World Journal of Clinical Cases Pub Date : 2024-09-16 DOI:10.12998/wjcc.v12.i26.5922

Xuan He,Xin Wei,Jia Hou,Wei Tan,Ping Luo

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Abstract

BACKGROUND Real-time shear wave elastography (SWE) is a non-invasive imaging technique used to measure tissue stiffness by generating and tracking shear waves in real time. This advanced ultrasound-based method provides quantitative information regarding tissue elasticity, offering valuable insights into the mechanical properties of biological tissues. However, the application of real-time SWE in the musculoskeletal system and sports medicine has not been extensively studied. AIM To explore the practical value of real-time SWE for assessing Achilles tendon hardness in older adults. METHODS A total of 60 participants were enrolled in the present study, and differences in the elastic moduli of the bilateral Achilles tendons were compared among the following categories: (1) Age: 55-60, 60-65, and 65-70-years-old; (2) Sex: Male and female; (3) Laterality: Left and right sides; (4) Tendon state: Relaxed and tense state; and (5) Tendon segment: Proximal, middle, and distal. RESULTS There were no significant differences in the elastic moduli of the bilateral Achilles tendons when comparing by age or sex (P > 0.05). There were, however, significant differences when comparing by tendon side, state, or segment (P < 0.05). CONCLUSION Real-time SWE plays a significant role compared to other examination methods in the evaluation of Achilles tendon hardness in older adults.

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将实时剪切波弹性成像技术应用于老年人跟腱硬度评估。

背景实时剪切波弹性成像（SWE）是一种无创成像技术，用于通过实时产生和跟踪剪切波来测量组织硬度。这种基于超声波的先进方法可提供有关组织弹性的定量信息，为了解生物组织的机械特性提供宝贵的信息。目的探索实时 SWE 在评估老年人跟腱硬度方面的实用价值。方法本研究共招募了 60 名参与者，并比较了以下几类人群双侧跟腱弹性模量的差异：（1）年龄：55-60 岁、60-65 岁和 65-70 岁；（2）性别：男性和女性；（3）晚期年龄：55-60 岁、60-65 岁和 65-70 岁；（4）年龄：55-60 岁、60-65 岁和 65-70 岁；（5）性别：男性和女性；（6）年龄：55-60 岁、60-65 岁和 65-70 岁；（7）年龄：55-60 岁、60-65 岁和 65-70 岁；（8）性别：男性和女性；（9）年龄：55-60 岁、60-65 岁和 65-70 岁：男性和女性；(3) 侧位：左侧和右侧；(4) 肌腱状态：(4) 肌腱状态：放松和紧张状态；以及 (5) 肌腱节段：结果双侧跟腱的弹性模量按年龄或性别比较无显著差异（P>0.05）。结论与其他检查方法相比，实时 SWE 在评估老年人跟腱硬度方面起着重要作用。

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World Journal of Clinical Cases Medicine-General Medicine

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期刊介绍： The World Journal of Clinical Cases (WJCC) is a high-quality, peer reviewed, open-access journal. The primary task of WJCC is to rapidly publish high-quality original articles, reviews, editorials, and case reports in the field of clinical cases. In order to promote productive academic communication, the peer review process for the WJCC is transparent; to this end, all published manuscripts are accompanied by the anonymized reviewers’ comments as well as the authors’ responses. The primary aims of the WJCC are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in clinical cases.