 Myself Jaha Shudosh Kumar and my topic and my topic is ultrasonography and magnetic resonance imaging and detecting tender ocaillis tear compared to peroperative findings So the introduction that caillis tendon is the thickest tendon in the body connecting the muscle gastronomy A soleus and plantaris to the calcaneum Most ocaillis tendon rupture is promptly diagnosed But as the first exam physician may miss up the 20% of this lesion the definition of a May miss 20% of the lesion and according to the time that the definition changes for all chronic air Neglective rupture is variable. The most used time frame is 4 to 10 weeks and according to a typical chronic rupture occurred 2 to 6 centimeter above the calcaneum insertion with extensive scar tissue deposition between the retracted tendon stump Due to the blood supply into this area is poor So MRI has revolutionized the processional imaging of the musculoskeletal system and has become the most widely used technique for and is recommended over and a used technique for Why do you use technique for a variety of pathological conditions our objective? Where to correlate MRI and USC finding in tender ocaillis tear and to review which modality offer better sensitivity and specificity So these are the aims and objective basically general objective being to compare the accuracy between MRI and USC Detecting different types of tender ocaillis tears The type of study is basically a cross-sectional study and the sample size is 47 patients These are the inclusions and exclusion criteria. Basically all patients undergoing surgery for tender ocaillis tears are included and Exclusion being opened here of tender ocaillis claustrophobia critically ill patient and patient not giving consent This is a normal tender ocaillis tear with the basic normal Fibrill structure of the tendon This is the Image detecting complete tear incomplete tear and chronic ears with dense calcification These are various MR image detecting tender ocaillis torn this the second images of partial tear tender ocaillis This is a complete torn tender ocaillis and we use a quarter classification for tender ocaillis tear this there's a various type 1 to 4 and Basically, this is a partial tear complete tear gap less than 3 centimeter 3 to 6 centimeter type 3 and complete tear gap greater than 6 centimeter These are the various results. So basically 50 participants who came to the OPD's where performed this agnostic urethane test and these are the result So according to baseline characteristics as per the age majority of the respondent belong to the 20 to 40 years of age followed by the age group of 40 to 60 year Number of male and female participants were almost equal majority of the participants belong to the lower middle class maximum number of the respondent were businessmen by occupation followed by students and 85.19% of the participants reportedly had no relevant medical Consumptions medicine no relevant medicine consumptions and these are as per the clinical pressure present for absent That is tenderness of ankle ankle gap spilling of the ankle any absence or restricted moments I also the accuracy of USC compared to the board standard out of 27 parties 27 participants out of the 47 had been Detected as a complete year on USU of which five had been found as incomplete year on operation Which came out to be a sensitivity of 81 specificity of 75 negative predictive value of 81 and a positive predictive value of 81 So accuracy of MRI compared to the gold standard is 24 participants out of the 47 had been detected as complete year on MRI Of which two had been found as incomplete year on operations These are the comparison of efficacy of USC and MRI in detecting tender vocalis tear So the result was statistically in Significant drawn and inference that both the tests were found to be comparable So USC and MRI may be used interchangeably But based on the cost effectiveness maintenance operative feasibility USC is the preferred modality of the choice for detecting and catalyzing tender vocalis tears And in case of calcification detection USC was found to be more sensitive So in this regard, so in detection of calcification USC was found to be superior These are the discussion MRI the MRI the gold standard modality in detection of previous type of tender vocalis tear according to the most studies But in cost relative time consuming and most not widely Available so USC's cost effective widely available and also very efficient for detecting the lesions of the tender vocalis tear But enough study is not available to clarify which of the above two imaging modalities is accurate to detect tender vocalis tear So fine they concluded that ultrasound is the useful tool for evaluation of proximal tendon complaint However, the ultrasound is not sufficiently reliable for the diagnosis of all pathology Especially partial rupture of the dead a kind is to none. That's the definitive diagnosis must be established by MRI In our study of 47 patients all some all the thumbs up as positive It was from the sensitivity and specificity for usg for detecting complete tears of the tender vocalis with 81 point 475 percent respectively, but for the detection of calcification in chronic tender vocalis tear USC was better than MRI in both detection rate and cost positivity rate These are the conclusion according to the present study usd and MRI in detecting USC and MRI in detecting and categorizing complete and high grade tear of tender vocalis But as USC is effective and less time consuming it should be imaging modality of choice for detecting and categorizing the tender vocalis tears These are the various references what we have used for our studies