A standardizing method to assess tendon structural change on ultrasound

Given the complexity of the relationship among structure, dysfunction and pain in tendinopathy, there is scope to develop a standardised method to assess tendon structural change on ultrasound (US), incorporating a number of parameters and allowing for greater consistency in the diagnosis of tendinopathy. Based on the results of the systematic review and meta-analysis written by Matthews et al. (2018), future criteria for diagnosing tendinopathy using US should include measures of all three parameters (tendon thickness, echogenicity and vascularity) when assessing tendon structural change.