RT Journal Article
T1 A New Test for Achilles Tendinopathy Based on Kager’s Fat Pad Clinical Assessment Predictive Values
A1 Rodríguez Sanz, David
A1 Losa Iglesias, Marta Elena
A1 Becerro De Bengoa Vallejo, Ricardo
A1 Sánchez Milá, Zacarías
A1 Dorgham, Hend Adel Abdelhalim
A1 Elerian, Ahmed Ebrahim
A1 Yu, Tian
A1 Calvo Lobo, César
A1 Velázquez Saornil, Jorge
A1 Martínez Jiménez, Eva María
AB Background This study aimed to check the diagnostic accuracy of a new test to identify Achilles tendinopathy. Study Design: Observational study. Methods: Seventy patients recruited from a private medical centre met the diagnostic criteria for unilateral Achilles tendinopathy (age, 45.1 ± 12.7 years; weight, 75.00 ± 10 kg; height, 1.75 ± 0.1 m) and were tested based on both Achilles tendons. Seventy patients with a unilateral Achilles tendinopathy ultrasound diagnosis were tested using David’s test. Results: Most (86%) subjects demonstrated Kager’s fat pad asymmetry in relation to the Achilles tendon in the complete passive dorsiflexion in the prone position (David’s sign). No healthy tendons had David’s sign. Conclusions: The presence of asymmetry in Kager’s fat pad in relation to the Achilles tendon during complete passive dorsiflexion is strongly indicative of ultrasound-diagnosed tendinopathy. David’s test demonstrated a sensitivity of 85.71% (95% CI, 77.51% to 93.91%) and a specificity of 100% (95% CI, 100% to 100%), while noting the lack of blinding of the assessors and the uncertainty of the diagnostic measures (95% CI). Asymmetry of the fat pad could potentially serve as a characteristic marker for patients with Achilles tendinopathy.
PB Multidisciplinary Digital Publishing Institute (MDPI)
SN 2077-0383
YR 2023
FD 2023-08-09
LK https://hdl.handle.net/20.500.14352/124506
UL https://hdl.handle.net/20.500.14352/124506
LA eng
NO Rodríguez-Sanz D, Losa-Iglesias ME, de Bengoa-Vallejo RB, Sánchez-Milá Z, Dorgham HAA, Elerian AE, et al. A New Test for Achilles Tendinopathy Based on Kager’s Fat Pad Clinical Assessment Predictive Values. Journal of Clinical Medicine. 2023;12(16).
DS Docta Complutense
RD 17 dic 2025