Measuring Tendon Stiffness to Monitor Healing

However, because injuries often occur in the tendon’s core, it can be difficult to externally evaluate whether the injured tissue has regained its stiffness.
To that end, Yoshinori Kasashima, DVM, PhD, of the Japan Racing Association’s Equine Research Institute, in Tochigi, and colleagues tested with positive results whether an ultrasound-based technique called sonoelastography could measure tissue stiffness. Sonoelastography measures the relative stiffness of inner tissues and displays them as color. Combined with a procedure called a strain ratio (SR), Kasashima believes the results can be used to measure recovery, especially later in the healing process.
“The SR is an index that evaluates the hardness of material,” he explained. “Using a strain ratio in conjunction with the color grading system provided through sonoelastography, this method could be useful for clinical practices because it can quickly evaluate the stiffness of injured tendon
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