Abstract
The posterior compartment of the ankle contains the strongest tendon in the body namely the Achilles tendon. Being an extrasynovial tendon, the Achilles is covered in a fatty areolar tissue that allows for a gliding motion thus reducing friction. However, the chronic overuse of the tendon by athletes in recent years has led to an increase in the incidence of Achilles tendon injuries. The aim of this paper is to determine the role and extent of ultrasound as a diagnostic tool in differentiating the two main categories of Achilles tendon injuries: Achilles tendinopathy and Achilles tendon tears. Furthermore, this paper also highlights the recent advancement of ultrasound as a guide in the percutaneous repair of tendon tears. Ultrasound is a non-invasive method that can help to clearly distinguish between complete and partial thickness tears, evaluate for any changes in tendon thickness and identify the presence of any fluid collections or hematoma.
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