TENDONDS

Sonoanatomy

On ultrasound tendons usually display a hyperechoic fibrillar pattern.  

In transverse axis the tendon looks like “pepper and salt” –  mass of hyperechoic granules alternating with hypoechoic granules of the same size, evenly distributed. In longitudinal axes a healthy tendon looks like “spaghetti”.

When the tendon is not perpendicular to the insonation angle anisotropy can cause artifactual appearance resembling tendinosis or tendon tears. 

Transverse – Salt and pepper

Longitudinal – Spaghetti

Further you can find information about pathologies, mnemonics, videos and articles. 

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