Question:

With regard to imaging of the tibialis posterior tendon which of the following statements is correct?
1. The best resolution and visualisation of the tendon at ultrasound is obtained with a low frequency (5-7MHz) curvilinear probe.
2. The best resolution and visualisation of the tendon at ultrasound is obtained using a low frequency (5-7MHz) linear array probe.
3. The best resolution and visualisation of the tendon at ultrasound is obtained with a low frequency (5-7MHz) linear array probe.
4. The best resolution and visualisation of the tendon at ultrasound is obtained using a high frequency (10-15MHz) linear array probe.
5. The best resolution and visualisation of the tendon at ultrasound is obtained using a high frequency (10-15MHz) curvilinear probe.





Answer:

The correct answer for the question "With regard to imaging of the tibialis posterior tendon which of the following statements is correct?" is:

4. The best resolution and visualisation of the tendon at ultrasound is obtained using a high frequency (10-15MHz) linear array probe.



Explanation
The best resolution and visualisation of the tendon at ultrasound is obtained using a high frequency (10-15MHz) linear array probe.



From the manuscript:
Calcific tendonitis of the tibialis posterior tendon at the navicular attachment
Radiology Case. 2011 June; 5(6):25-30


This article belongs to the MSK section.




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From the manuscript

Calcific tendonitis of the tibialis posterior tendon at the navicular attachment

Free full text article: Calcific tendonitis of the tibialis posterior tendon at the navicular attachment

Abstract
Calcific tendinosis (tendonosis/tendonitis) is a condition which results from the deposition of calcium hydroxyapatite crystals in any tendon of the body. Calcific tendonitis usually presents with pain, which can be exacerbated by prolonged use of the affected tendon. We report a case of calcific tendinosis in the posterior tibialis tendon at the navicular insertion. The pathology is rare in the foot, and extremely rare in the tibialis posterior tendon, indeed there are only 2 reported in the published literature. This case report highlights the need to consider calcific tendinosis in the foot despite its rarity. If this diagnosis is considered early, appropriate investigations can then be requested and unnecessary biopsies, use of antibiotics and surgery can be avoided. We also discuss possible causes of calcific tendinosis in the tibialis posterior tendon, the role of imaging modalities and review treatment methods.






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Keyword search:

1. Calcific Tendonosis

2. Tendonitis

3. Tendinosis

4. Posterior Navicular Tendon

5. navicular attachment

6. navicular insertion

7. calcium hydroxyapatite

8. navicular tuberosity

9. tibialis posterior tendon


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