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Supraspinatus ultrasound

P J Mullaney
AIM: To assess the developing competence of two trainees learning groin and shoulder ultrasound when compared to an expert practitioner. MATERIALS AND METHODS: Specific pro formas were used to record ultrasound trainee performance in each scan region and their diagnosis was compared to the opinion of the expert. The data derived were reviewed using kappa analysis and training end points were defined as a minimum 80% trainee agreement with the expert. Retrospectively, cumulative sum analysis was applied to the data to assess case-by-case performance...
February 4, 2019: Clinical Radiology
Robert S J Elliott, Yi-Jia Lim, Jennifer Coghlan, John Troupis, Simon Bell
Background: There are few studies reporting long-term rotator cuff integrity following repair. The present study reports a case series of surgically repaired supraspinatus tendons followed up with clinical outcomes and ultrasound imaging after an average of 16 years. Methods: The prospectively studied clinical outcomes at short-, medium- and long-term follow-up in 27 shoulders in 25 patients treated with arthroscopic subacromial decompression and mini-open rotator cuff repair have been reported previously...
February 2019: Shoulder & Elbow
Michał Podgórski, Marcelina Rusinek, Maciej Cichosz, Łukasz Olewnik, Michał Polguj, Piotr Grzelak
BACKGROUND AND OBJECTIVES: The aim of the study was to describe the radiological anatomy of the pseudo-suprascapular notch -a structure localized at the floor of the supraspinatus fossa, just below the true suprascapular notch. In sonographic examination, it may imitate the suprascapular notch leading to misidentification of these structures. METHODS: Ultrasound assessment of the suprascapular notch region was performed in 100 patients who underwent chest CT due to other indications...
January 2019: Regional Anesthesia and Pain Medicine
Che-Li Lin, Chi-Chang Huang, Shih-Wei Huang
BACKGROUND: Rotator cuff lesions are common causes of shoulder pain. Although patients with symptoms caused by chronic rotator cuff tendinopathy can be treated using conservative treatments, some of them may still experience refractory symptoms. Hypertonic dextrose prolotherapy (DPT) may be another treatment choice for these refractory symptoms. AIM: To evaluate the effects of an ultrasound-guided hypertonic dextrose injection for patients with chronic supraspinatus tendinopathy...
December 13, 2018: European Journal of Physical and Rehabilitation Medicine
Guido Spargoli
Background and Purpose: Tendinopathy of the supraspinatus muscle is a frequent cause of shoulder pain. Although it is a common condition, the pathophysiology is not fully understood. The purpose of this clinical commentary is to provide an overview of the pathophysiology of supraspinatus tendinopathy and discuss the conservative treatment solutions. Description: Supraspinatus tendinopathy is thought to be caused by both intrinsic, and extrinsic factors. Structural and biological changes happen when tendinopathy develops...
December 2018: International Journal of Sports Physical Therapy
Pedro Belón-Perez, Antonio Ignacio Cuesta-Vargas
OBJECTIVES: The purpose of this study was to evaluate the immediate effect of thoracic spine manipulation upon active flexion and abduction mobility of the shoulder, spine temperature, and the size of the subacromial space as measured by ultrasound in 3 positions (internal, neutral, and external rotation) of the glenohumeral joint in patients who have undergone surgery because of subacromial impingement. METHODS: Quasi-experimental, prospective, short-term effect study with consecutively sampled participants...
September 2018: Journal of Manipulative and Physiological Therapeutics
Domagoj Kretić, Tajana Turk, Tatjana Rotim, Gordan Šarić
Objectives of the study were to observe supraspinatus muscle thickness in patients with supraspinatus tendon pathology using ultrasound (US) and examining inter- and intra-rater reliability, and to compare muscle thickness with cross-sectional area (CSA) and occupation ratio measured by both US and magnetic resonance imaging (MRI). The investigation was designed as a prospective cohort study. Two groups of patients were included in the study: 43 patients with tendon rupture and 44 patients without tendon rupture as a control group...
June 2018: Acta Clinica Croatica
Emilios Pakos, Ioannis Gkiatas, Georgios Rakkas, Dimitrios Papadopoulos, Ioannis Gelalis, Marios Vekris, Anastasios Korompilias
BACKGROUND: Calcified tendinopathy of the rotator cuff is one of the most common conditions concerning the shoulder pathology. It is characterized by a reactive calcification that affects the tendons being part of the rotator cuff. The reported prevalence varies from 2.7% to 22%. Most of the patients can be treated effectively with non-operative measures such as anti-inflammatory drugs, subacromial injection of steroid, physiotherapy, extracorporeal shock wave therapy (ESWT) and needle aspiration irrigation...
2018: SICOT-J
Stephanie Tom, Yujie Zhong, Richard Cook, Sibel Zehra Aydin, Gurjit Kaeley, Lihi Eder
OBJECTIVE: To assess the performance of various sonographic elemental entheseal lesions in distinguishing between psoriatic arthritis (PsA) and controls to inform the development of a novel sonographic enthesitis score for PsA. METHODS: A total of 100 age- and sex-matched individuals (50 PsA and 50 controls) were evaluated. Eleven entheseal sites were scanned bilaterally according to a standardized protocol by 2 sonographers. Based on the Outcome Measures in Rheumatology (OMERACT) definition of sonographic enthesitis, the following lesions were assessed: structural entheseal changes (hypoechogenicity), thickening, bone erosion, enthesophytes, calcification, and Doppler signal, in addition to bursitis and bone irregularities...
October 15, 2018: Journal of Rheumatology
Vasanth Seker, Lisa Hackett, Patrick H Lam, George A C Murrell
BACKGROUND: Massive and irreparable rotator cuff tears are difficult to manage surgically. One technique is to use a synthetic polytetrafluoroethylene (PTFE) patch to bridge the tear. However, there is little information regarding the outcomes of this procedure. PURPOSE: To determine the ≥2-year outcomes of patients for whom synthetic patches were used as tendon substitutes to bridge irreparable rotator cuff defects. STUDY DESIGN: Case series; Level of evidence, 4...
November 2018: American Journal of Sports Medicine
Roberto Castricini, Francesco La Camera, Marco De Gori, Nicola Orlando, Massimo De Benedetto, Olimpio Galasso, Giorgio Gasparini
INTRODUCTION: Partial-thickness rotator cuff tears are a common cause of shoulder pain and disability. Arthroscopic repair is an effective treatment for partial articular supraspinatus tendon avulsion (PASTA) lesions, and transtendon repair and completion of the tear and repair are the surgical techniques commonly used to treat such lesions. Our aim was to retrospectively evaluate the minimum 24-month clinical and radiological results of PASTA. MATERIALS AND METHODS: Patients suffering from PASTA lesion who underwent arthroscopic repair with a minimum 24-month follow-up were included in this study...
September 29, 2018: Archives of Orthopaedic and Trauma Surgery
Clayton W Nuelle, Cristi R Cook, Aaron M Stoker, James L Cook, Seth L Sherman
Background: This study was conducted to evaluate the effects of commonly used injection medication combinations on supraspinatus tenocyte cell viability and tissue metabolism. Methods: Twenty adult dogs underwent ultrasound guided injection of the canine equivalent of the subacromial space, based on random assignment to one of four treatment groups (n=5/group): normal saline, 1.0% lidocaine/methylprednisolone, 1.0% lidocaine/triamcinolone or 0.0625% bupivacaine/triamcinolone...
2018: Iowa Orthopaedic Journal
Christian Fischer, Sascha Gross, Felix Zeifang, Gerhard Schmidmaier, Marc-André Weber, Pierre Kunz
BACKGROUND: Muscle degeneration as a consequence of rotator cuff tears is mainly assessed by magnetic resonance imaging. Contrast-enhanced ultrasound (CEUS) is a new functional imaging method to assess microvascular perfusion as a fundamental parameter of muscle tissue vitality. In this cross-sectional study, the authors evaluated supraspinatus muscle perfusion after cuff repair and analyzed its association with functional shoulder outcome and the grade of echogenicity in B-mode ultrasound indicating fatty infiltration...
September 2018: American Journal of Sports Medicine
John George, Shyan Ch'ng Li, Zulkarnain Jaafar, Mohamad Shariff A Hamid
Objective: To evaluate the efficacy of dextrose prolotherapy injection for focal supraspinatus rotator cuff tendinosis via outcomes such as functional score, range of movement, and real-time ultrasound parameters. Materials and Methods: 12 adult patients with focal supraspinatus tendinosis recruited after they had less than 30% improvement in functional (DASH) scores after one month of physiotherapy following initial presentation. Seven patients had 0.5-1.0 ml of prolotherapy injection (12...
2018: Scientifica
Vincenzo Ricci, Levent Özçakar
No abstract text is available yet for this article.
July 3, 2018: American Journal of Physical Medicine & Rehabilitation
Ebonie K Rio, Richard F Ellis, Jono M Henry, Victoria R Falconer, Zoltan S Kiss, Michael A Girdwood, Jill L Cook, Jamie E Gaida
Objective: Pain pressure thresholds (PPT) are used to study peripheral and central pain processing. In the tendon, pathological changes may exist without pain. This pilot study aimed to compare PPT between individuals with normal tendons and asymptomatic tendon pathology, and between individuals with and without a history of tendon pain. Methods: The patellar, Achilles, and supraspinatus tendons of 128 asymptomatic participants were examined with ultrasound. Global PPT average was determined using a digital algometer at the patellar tendon, quadriceps muscle, L3 spinous process, and deltoid muscle insertion...
June 22, 2018: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
Renee A McDougall, Sherman O Canapp, Debra A Canapp
Objective: To report sonographic findings for dogs with a supraspinatus tendinopathy (ST) treated with an ultrasound-guided intratendinous injection of bone marrow aspirate concentrate (BMAC) and platelet-rich plasma (PRP). Methods: Medical records for dogs diagnosed with an ST and treated with a BMAC-PRP injection were reviewed. Data collected included patient signalment, radiographic findings at the time of initial evaluation, and sonographic findings, including cross-sectional area (CSA), fiber pattern, and echogenicity...
2018: Frontiers in Veterinary Science
Brandi Cole, Patrick Lam, Lisa Hackett, George A C Murrell
Background: Subacromial corticosteroid injections are frequently performed for pain associated with supraspinatus tendinopathy. Glucose prolotherapy has been used clinically for multiple tendinopathies and is hypothesized to be an alternate injection therapy for supraspinatus tendinopathy. Methods: A prospective, randomized, double blinded clinical trial was conducted. Thirty-six patients with supraspinatus tendinopathy were randomized into two groups: 17 received an ultrasound-guided injection of glucose into the tendinopathic parts of the supraspinatus tendon and 19 received an ultrasound-guided injection of corticosteroid into the subacromial bursa...
July 2018: Shoulder & Elbow
Kwanwoo Kim, Hyun-Jung Hwang, Seul-Gi Kim, Jin-Hyuck Lee, Woong Kyo Jeong
BACKGROUND: Quantitative assessment of rotator cuff muscle activity is important in the treatment of shoulder disorders. However, the known methods for assessing rotator cuff muscle activity thus far have been inaccurate, invasive, and inconvenient. QUESTIONS/PURPOSES: (1) Does the activity of the deltoid, supraspinatus, and infraspinatus muscles measured using ultrasound shear wave elastography have a linear correlation with muscle activity assessed using generally used methods, including isokinetic dynamometry and electromyography? (2) Does the activity of the deltoid, supraspinatus, and infraspinatus muscles measured using shear wave elastography show good intraobserver and interobserver reliability? METHODS: Twelve volunteers participated in intrasession reliability experiments...
June 2018: Clinical Orthopaedics and related Research
Yoshiaki Itoigawa, Yuichiro Maruyama, Takayuki Kawasaki, Tomoki Wada, Keiichi Yoshida, Kai-Nan An, Kazuo Kaneko
PURPOSE: To determine the feasibility of shear wave elastography (SWE) with B-mode ultrasound in predicting the stiffness of the rotator cuff muscle before arthroscopic rotator cuff repair to evaluate the difficulty of the surgical procedure, as well as to compare SWE with the Goutallier stage on magnetic resonance imaging (MRI). METHODS: Thirty-eight patients with a full-thickness supraspinatus tear requiring arthroscopic rotator cuff repair participated. The Goutallier stage of fatty infiltration on MRI was measured before surgery, as was the SWE modulus of the anterior superficial, anterior deep, posterior superficial, and posterior deep (PD) regions of the supraspinatus muscle...
August 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
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