l Pham, l gaudette, m funk, k vogel, m bruneau, k silbernagel, j tam, a tenforde

Achilles tendinopathy (AT) is a prevalent running-related injury affecting up to 52% of runners over their lifetime [1]. Tendinopathy represents a failed healing response from an injury to tendon that results in pain, stiffness, loss of function and limits physical activity [2,3]. Patient reported outcome measures (PROMs) are used to understand impairments from injury and monitor healing. AT symptom severity is commonly assessed using the Victorian Institute of Sport Assessment-Achilles questionnaire (VISA-A) [4]. However, experts propose the need to develop more comprehensive models to understand tendinopathy and characterize factors beyond pain, including psychological manifestations, anxiety, depression, pain catastrophizing and kinesiophobia [3]. The University of Wisconsin Running and Recovery Index (UWRI) and Patient Reported Outcomes Measurements Information System (PROMIS-29) have each been described to measure impact of injury on runners and health features in the general population, respectively [5,6]. To date, research has not described the association of VISA-A with UWRI or sub-domains of PROMIS measures to understand interactions or unique features that may help understand overall impairments in populations with AT. We hypothesize that VISA-A will be associated with UWRI and physical function measures from PROMIS-29. We also expect measures from PROMIS-29 such as anxiety and depression will not be associated with VISA-A and may be present in a subset of this population.

Pham L, Gaudette LW, Funk MM, et al. Association of functional measures to injury severity in runners with Achilles tendinopathy. PM&R. 2025; 17(6): 726-729. doi:10.1002/pmrj.13314

Powell J, Sparling T, Yuan X

Globally, 57.7 million people lived with traumatic limb loss in 2017, with the prevalence of amputation in the United States alone expected to reach 3.6 million by 2050. Pain is a common complication after limb loss, with up to 59% of patients experiencing residual limb pain (RLP). Although RLP is often due to a structural etiology, it is difficult to treat, as the exact structure involved is frequently not apparent on history and physical exam alone. This narrative review aims to summarize the available literature on diagnostic ultrasound (US) of the residual limb and examine the utility of US in identifying specific pathology. A total of 31 peer-reviewed manuscripts published between 1989 and 2021 were included, grouped by pathology. While US presents a promising and cost-effective approach to identifying pathology within the residual limb, many gaps remain in the current knowledge, and no specific protocol for a sonographic assessment of the residual limb has ever been proposed. Future studies of diagnostic US of the residual limb should focus on replicable sonographic techniques and standardized exam protocols.

Powell, J. E., Sparling, T. L., & Yuan, X. (2022). Diagnostic Ultrasound of the Residual Limb: A Narrative Review. PM&R. https://doi.org/10.1002/pmrj.12896