PMID- 21783082
OWN - NLM
STAT- MEDLINE
DCOM- 20111213
LR  - 20161125
IS  - 1460-9584 (Electronic)
IS  - 1268-7731 (Linking)
VI  - 17
IP  - 3
DP  - 2011 Sep
TI  - An anatomical and radiological study of the fascia cruris and paratenon of the 
      Achilles tendon.
PG  - 186-92
LID - 10.1016/j.fas.2010.06.003 [doi]
AB  - BACKGROUND: The Achillon jig permits the placement of sutures deep to the fascia 
      cruris and the paratenon through the substance of the ruptured tendon, permitting 
      a safe minimally invasive repair. Our experience has suggested that these two 
      layers may not be as clearly delineated as first thought or may merge at an, as 
      yet, undefined level. METHODS: We performed an anatomical and radiological (US 
      and MRI) study of the layers of tissue superficial to the Achilles tendon in 
      cadaveric specimens. RESULTS: The mean distance for the confluence of the fascia 
      cruris and paratenon from the postero-superior calcaneal tubercle (PSCT) was 
      found to be 37.3mm (range 17-58mm). Ultrasound examination was found to be less 
      distinct than MRI scanning. CONCLUSIONS: We recommend careful identification of 
      the fascia cruris and paratenon and insertion of the central branches of the jig 
      adjacent to the tendon substance when using this method for repair.
CI  - Copyright (c) 2010 European Foot and Ankle Society. Published by Elsevier Ltd. All 
      rights reserved.
FAU - Carmont, M R
AU  - Carmont MR
AD  - The Sheffield Foot & Ankle Unit, Sheffield University, Sheffield, UK. 
      mark.davies@sth.nhs.uk
FAU - Highland, A M
AU  - Highland AM
FAU - Rochester, J R
AU  - Rochester JR
FAU - Paling, E M
AU  - Paling EM
FAU - Davies, M B
AU  - Davies MB
LA  - eng
PT  - Journal Article
DEP - 20100706
PL  - France
TA  - Foot Ankle Surg
JT  - Foot and ankle surgery : official journal of the European Society of Foot and 
      Ankle Surgeons
JID - 9609647
SB  - IM
MH  - Achilles Tendon/*anatomy & histology/*diagnostic imaging
MH  - Cadaver
MH  - Fascia
MH  - Humans
MH  - *Magnetic Resonance Imaging
MH  - Ultrasonography
EDAT- 2011/07/26 06:00
MHDA- 2011/12/14 06:00
CRDT- 2011/07/26 06:00
PHST- 2010/04/26 00:00 [received]
PHST- 2010/06/07 00:00 [revised]
PHST- 2010/06/10 00:00 [accepted]
PHST- 2011/07/26 06:00 [entrez]
PHST- 2011/07/26 06:00 [pubmed]
PHST- 2011/12/14 06:00 [medline]
AID - S1268-7731(10)00078-0 [pii]
AID - 10.1016/j.fas.2010.06.003 [doi]
PST - ppublish
SO  - Foot Ankle Surg. 2011 Sep;17(3):186-92. doi: 10.1016/j.fas.2010.06.003. Epub 2010 
      Jul 6.