ArticleDiabetology & metabolic syndrome2023
Sound touch elastography of Achilles tendons in patients with type 2 diabetes mellitus versus healthy adults.
Article in Diabetology & metabolic syndrome, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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4 citing papers in PubMed, 3 citations in OpenAlex.
- Clinical Outcomes of Injectable Porcine Collagen in Diabetic Patients with Achilles Tendinopathy: A Retrospective Study.Journal of clinical medicine · 2026Article
- Noninvasive assessment of pediatric glomerular disease: multimodal ultrasound.Quantitative imaging in medicine and surgery · 2025Article
- Ultrasonographic and elastographic evaluation of plantar fascia and Achilles tendon alterations in type 2 diabetes mellitus.Turkish journal of medical sciences · 2025Article
- Evaluation of Combining Transrectal Biplane Ultrasonography with Sound Touch Elastography in Preoperative T-Staging of Rectal Cancer.Current medical imaging · 2025Article
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9 authors at 1 institution in 1 country.
Funding
Abstract
backgroundThe studies of the effect of diabetes on the stiffness of Achilles tendon (AT) tissue remain inconclusive, we believe it is necessary to find a reliable method which can be used to detect the stiffness changes of the AT in the diabetic state. The objective of the present study was to investigate the effectiveness of sound touch elastography (STE) as a tool for detecting diabetic Achilles tendinopathy.
methodsWe conducted a retrospective review of 180 participants, consisting of 82 patients with type 2 diabetes mellitus (T2DM) and 98 healthy adults, who had undergone AT ultrasonography. Young 's modulus (E) values of the distal, middle, and proximal segments of bilateral ATs of all participants were measured using STE technique. The E values of each AT segment between the case and control group were compared.
resultsThe E values of the three segments of ATs in T2DM patients were lower than the healthy controls (P < 0.05). In both groups, the E values of the distal segments were lower than those of the middle segments, and the latter were lower than those of the proximal segments (P < 0.05). The E value of each segment of AT was inversely related to FPG, HbA1c, and diabetes duration (P < 0.05). The best cut-off points for the E values of the three segments of the AT for detecting diabetic tendinopathy were 347.44 kPa (AUC, 0.779), 441.57 kPa (AUC, 0.692), and 484.35 kPa (AUC, 0.676), respectively.
conclusionSTE can be used as a complementary diagnostic tool for the diagnosis of diabetic Achilles tendinopathy.
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