© 2000 the British Journal of Sports Medicine
Use of imaging data for predicting clinical outcome
1 School of Human Kinetics, University of British Columbia, Vancouver V6T 1Z1, Canada
2 >UKK Institute, FIN-33501 Tampere, Finland
Firstly, unfortunately the word "partial" has been omitted from the conclusion (abstract). The conclusion currently reads "There appears to be an association between microtear formation and Achilles tendon rupture". The distinction needs to be made, as the paper's Take home message concludes with the words "There may be a role for ultrasound in identifying athletes at high risk of tendon rupture", and in this case it appears that the authors mean complete tendon rupture. It is important that this ambiguity is clarified.
Secondly, although it is well accepted that in many cases tendinosis precedes "spontaneous" tendon rupture,2 it does not necessarily follow that sonographic abnormality will lead to (complete) tendon rupture. The tissue based pathologies found by Kannus and Jozsa may be more subtle than
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