Table 2.
The scoring system used to evaluate and compare the ultrasound images in the present report.
| Score | Echogenicity | Fiber pattern/alignment | Size of ligament |
|---|---|---|---|
| 0 | Anechoic area (central core lesion) | Lacking of parallel pattern acute injury (hemorrhage), 0–25% FA | Enlarged width and thickness |
| 1 | Lesion site starting to fill with presence of hypo-echoic areas, and moderate diffuse decrease in echogenicity | Lacking of nice parallel pattern, 0–25% FA | Enlarged width and thickness |
| 2 | Lesion site gradually filling with presence of multiple areas with decreased echogenicity | Increased parallel pattern, 25–50% FA | Enlarged width and thickness |
| 3 | Demarcation between injured and uninjured tendon less distinct, hypo-echoic areas are remaining | Increased parallel pattern, 25–50% FA | Mild enlarged width and thickness |
| 4 | Hardly any demarcation between injured and healthy tissue, faint signs of hypo-echoic areas | Close to total fiber alignment, 75–100% FA | Almost no enlarged width and thickness |
| 5 | Echogenicity (almost) identical to contralateral ligament | Close to total fiber alignment, 75–100% FA | No enlarged width and thickness |
Different parameters, such as echogenicity, fiber pattern/alignment (FA) grading, and size (width and thickness) of the ligament, were considered and compared to the contralateral limb.