{"id":11584,"date":"2025-05-05T16:12:48","date_gmt":"2025-05-05T15:12:48","guid":{"rendered":"https:\/\/blogs.bmj.com\/bjsm\/?p=11584"},"modified":"2025-05-05T16:13:35","modified_gmt":"2025-05-05T15:13:35","slug":"ultrasound-as-a-predictor-of-time-loss-injury-for-the-patellar-tendon-achilles-tendon-and-plantar-fascia-in-division-i-collegiate-athletes","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bjsm\/2025\/05\/05\/ultrasound-as-a-predictor-of-time-loss-injury-for-the-patellar-tendon-achilles-tendon-and-plantar-fascia-in-division-i-collegiate-athletes\/","title":{"rendered":"Ultrasound as a predictor of time-loss injury for the patellar tendon, Achilles tendon and plantar fascia in division I collegiate athletes"},"content":{"rendered":"<p><em><strong>Authors<\/strong>: Daniel M Cushman, Derek Stokes, Leyen Vu, Blake Corcoran, <span class=\"nlm-given-names\">Michael<\/span> <span class=\"nlm-surname\">Fredericson, <span class=\"nlm-given-names\">Sarah F<\/span> Eby, <span class=\"nlm-given-names\">Masaru<\/span> Teramoto<\/span><\/em><\/p>\n<p><span style=\"font-weight: 400\">In this blog we will explain how standard B-mode ultrasound was used to identify precursors to injury in the patellar tendon, Achilles tendon, and plantar fascia in National Collegiate Athletics Association (NCAA) Division I (DI) collegiate athletes.\u00a0 Our <a href=\"https:\/\/bjsm.bmj.com\/content\/59\/4\/241.info\">study<\/a> recently published in BJSM looked at 695 student-athletes at the University of Utah, Washington State University, and Stanford University.\u00a0<\/span><\/p>\n<h3>Why is this study important?<\/h3>\n<p><span style=\"font-weight: 400\">Collegiate student-athletes are at risk of developing symptomatic patellar tendinopathy, Achilles tendinopathy, and plantar fasciopathy, which can cause time away from sport and even medical retirement.\u00a0 Prevention of these injuries has been challenging.\u00a0 While a prior history of injury and the presence of mild symptoms may help identify those at risk for time-loss injury, the association is not perfect.\u00a0 Ultrasound is a relatively inexpensive tool that can be used to assess tendon appearance; it has been shown in other studies that abnormal ultrasound appearance is associated with future symptom development.\u00a0 However, this has not been demonstrated in the collegiate population, nor has it been demonstrated to be superior to simple patient history.<\/span><\/p>\n<h3>How did the study go about this?<\/h3>\n<p><span style=\"font-weight: 400\">This study included 695 athletes from three institutions spanning 18 different sports.\u00a0 All participants completed a questionnaire asking about current and prior symptoms, as well as demographic information.\u00a0 Each subject had their patellar tendons, Achilles tendons, and plantar fasciae scanned in a standardized fashion, recorded as blinded videos.\u00a0 Later, a blinded reviewer looked at each video to identify the presence of abnormalities in these structures.\u00a0 The participants were then monitored for a year to see if they developed an overuse injury to any of the three structures.\u00a0\u00a0<\/span><\/p>\n<h3>What did the study find?<\/h3>\n<p><span style=\"font-weight: 400\">Abnormalities were seen in many structures (37% of patellar tendons, 8% of Achilles tendons, and 3% of plantar fasciae).\u00a0 Those with abnormalities were much more likely to develop injuries compared to those with abnormalities for all three structures.\u00a0 Furthermore, these abnormalities were more predictive of an impending time-loss injury than either a history of prior injury to the area, or pain in the area at the time of scanning.\u00a0 This method was not an effective screening test, however, as most subjects with abnormalities remained injury-free; only 1-in-5 to 1-in-10 of athletes with an abnormality become injured.\u00a0 Importantly, though, those who had normal pre-season ultrasound scans were almost completely uninjured at a year.<\/span><\/p>\n<h3>What are the key take-home points?<\/h3>\n<p><span style=\"font-weight: 400\">We found three main points from this study for the patellar tendons, Achilles tendons, and plantar fasciae in DI collegiate athletes:<\/span><\/p>\n<ol>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">A simple ultrasound screening test was more predictive of time-loss injury over the upcoming year than pain at the time of scanning or prior injury.\u00a0\u00a0<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Those with normal tendons\/fasciae were very unlikely to be injured over a year.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Those with abnormalities were still relatively unlikely to be injured but more at-risk than those with normal tendons\/fasciae.<\/span><\/li>\n<\/ol>\n<p><span style=\"font-weight: 400\">The findings from this study will hopefully allow for interventions for at-risk athletes, likely with a thorough functional evaluation of the athlete, identifying the cause of these structural changes.<\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-11585\" src=\"https:\/\/blogs.bmj.com\/bjsm\/files\/2025\/05\/BJSM-Infographic-Option-1-212x300.png\" alt=\"\" width=\"552\" height=\"781\" srcset=\"https:\/\/blogs.bmj.com\/bjsm\/files\/2025\/05\/BJSM-Infographic-Option-1-212x300.png 212w, https:\/\/blogs.bmj.com\/bjsm\/files\/2025\/05\/BJSM-Infographic-Option-1-768x1086.png 768w, https:\/\/blogs.bmj.com\/bjsm\/files\/2025\/05\/BJSM-Infographic-Option-1-1086x1536.png 1086w, https:\/\/blogs.bmj.com\/bjsm\/files\/2025\/05\/BJSM-Infographic-Option-1-1448x2048.png 1448w, https:\/\/blogs.bmj.com\/bjsm\/files\/2025\/05\/BJSM-Infographic-Option-1-640x905.png 640w, https:\/\/blogs.bmj.com\/bjsm\/files\/2025\/05\/BJSM-Infographic-Option-1.png 1587w\" sizes=\"auto, (max-width: 552px) 100vw, 552px\" \/><br \/>\n<br style=\"font-weight: 400\" \/><!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Authors: Daniel M Cushman, Derek Stokes, Leyen Vu, Blake Corcoran, Michael Fredericson, Sarah F Eby, Masaru Teramoto In this blog we will explain how standard B-mode ultrasound was used to identify precursors to injury in the patellar tendon, Achilles tendon, and plantar fascia in National Collegiate Athletics Association (NCAA) Division I (DI) collegiate athletes.\u00a0 Our [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bjsm\/2025\/05\/05\/ultrasound-as-a-predictor-of-time-loss-injury-for-the-patellar-tendon-achilles-tendon-and-plantar-fascia-in-division-i-collegiate-athletes\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":464,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[16397,16068,1319,2128],"class_list":["post-11584","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-achilles","tag-featured","tag-tendinopathy","tag-ultrasound"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Ultrasound as a predictor of time-loss injury for the patellar tendon, Achilles tendon and plantar fascia in division I collegiate athletes - BJSM blog - social media&#039;s leading SEM voice<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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