Treat the donut, not the hole: What UTC imaging teaches us about tendon pathology. Dr Sean Docking

Most clinicians who manage patients with tendinopathy will have encountered the situation where the clinical picture and imaging findings do not match up. Sean Docking, researcher at La Trobe University’s Sports and Exercise Medicine Research Centre in Melbourne, has been using Ultrasound Tissue Characterisation (UTC) to visualise changes associated with tendinopathy in 3D detail. In this podcast he talks to Liam West about how UTC may help us explain this discrepancy between current imaging and clinical pictures in tendinopathy. He also gives the listener an insight into the clinical relevance of UTC and the lessons that have been learnt from his research within the field. Timeline 0.45 – Current imaging modalities used in tendinopathy 3.45 – Disconnect between imaging findings and clinical picture 4.45 – Place imaging in clinical context 6.00 – Deep dive on UTC 7.55 – Tendon response to pathology 10.45 – Treat the donut, not the hole Further Reading Using UTC to measure game load on tendons in AFL - http://bit.ly/29rSr3k Pathological tendons have good amounts of normal structure - http://bit.ly/29iCfiG Revisiting the continuum model of tendon pathology - http://bit.ly/29rSDPK Further Related Podcasts Jill Cook revisits Tendon Pathology - http://bit.ly/1UR3tvL Michael Kjaer on the pathogenesis of tendinopathy and tendon healing - http://bit.ly/29pOZol