Imaging Evaluation of Nonacute Shoulder Pain

Tuite, Michael J.; Small, Kirstin M.

doi:10.2214/ajr.17.18085

Cited by 30 publications

(18 citation statements)

References 77 publications

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“…In patients with non-acute shoulder pain, US of the musculoskeletal system is preferred due to higher cost-effectiveness compared to magnetic resonance (MR) (18). US elastography is being used increasingly in recent times to evaluate the mechanical properties (elasticity) of tissues (1011).…”

Section: Discussionmentioning

confidence: 99%

Shear-Wave and Strain Ultrasound Elastography of the Supraspinatus and Infraspinatus Tendons in Patients with Idiopathic Adhesive Capsulitis of the Shoulder: A Prospective Case-Control Study

et al. 2019

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Objective To compare the elasticity of the supraspinatus tendon (SST) and infraspinatus tendon (IST) in patients with idiopathic adhesive capsulitis of the shoulder (ACS) with those in the control groups and to evaluate the relationship between age and tendon elasticity. Materials and Methods The Institutional Review Board approved this prospective, case-control study, which was conducted between November 2017 and March 2018, and informed consent was obtained from all participants. Control groups comprised healthy individuals or those with asymptomatic contralateral shoulders. Twenty-five shoulders in 20 participants in the ACS group (14 women; 53.5 ± 7.9 years) and 24 shoulders in 18 participants in the control group (6 women; 52.6 ± 10.5 years) were included. Elastography was performed in the oblique coronal plane at the neutral shoulder position. Mean/maximum/minimum velocity and stiffness from the shear-wave ultrasound elastography (SWE) and strain ratio (subcutaneous fat/target-tendon) from the strain ultrasound elastography (SE) of the SST and IST were evaluated. Statistical analyses were performed using the Mann-Whitney U test, receiver operating characteristic (ROC) curve, and Spearman correlation. Results Both velocity and stiffness in SWE were higher, and the strain ratio in SE was lower in participants with symptomatic shoulders than in those with normal shoulders ( p < 0.001). SST- and IST-mean velocity, mean stiffness, and strain ratios showed excellent area under the ROC curve (> 0.970). The elastic modulus was little correlated with age (ρ = −0.340–0.239). Conclusion SWE and SE indicated that SST and IST were stiffer in patients with ACS than in those with normal shoulders regardless of aging.

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Section: Discussionmentioning

confidence: 99%

Shear-Wave and Strain Ultrasound Elastography of the Supraspinatus and Infraspinatus Tendons in Patients with Idiopathic Adhesive Capsulitis of the Shoulder: A Prospective Case-Control Study

et al. 2019

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“…RC tendon tears occur in more than half of the population over the age of 60. Shoulder pain is one of the most common musculoskeletal complaints, and shoulder impingement syndrome is the most commonly diagnosed shoulder disease [7][8][9][10][11]. The etiology of RC tears is multifactorial [7][8][9][10][11].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the relationship between subacromial space volume and rotator cuff injury by Magnetic Resonance Imaging with SPACE technique

Bulut

Sakçı

2021

J CLIN MED KAZ

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To investigate the relationship between the degree of tearing in the rotator cuff tendons and the subacromial region volume using the proton-density weighted Sampling Perfection with Application optimized Contrasts using different flip angle Evolution technique and the contribution of this technique to shoulder magnetic resonance imaging.Material and methods: A total of 125 patients who underwent shoulder magnetic resonance imaging for shoulder pain between January 2016 and December 2016 were included in this single-center, retrospective study. Rotator cuff tendon injury grading was performed using coronal plane 2D short tau inversion recovery T2-weighted sequences (grades 1-4). Subacromial region volume was calculated from PD-weighted 3D SPACE sequence images in sagittal oblique plane. The relationship between rotator cuff tears and subacromial region volumes was evaluated using Pearson's correlation analysis. The measurements were made at different times by two independent radiologists.Results: There was a strong negative correlation between the grade of RC tendon tear and subacromial volume (p<0.05; r: -0.83).Discussion and conclusion: Shoulder magnetic resonance imaging with high-contrast resolution can be obtained by the Sampling Perfection with Application optimized Contrasts using different flip angle Evolution technique. The degree of rotator cuff tendon tear, which is a cause of shoulder pain, is associated with the subacromial region volume. Using the Sampling Perfection with Application optimized Contrasts using different flip angle Evolution technique can also easily reveal the cause of the damage.

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“…It could be argued that X-ray remains the first imaging test to be performed in the investigation of any shoulder pain due to its wide availability and ready accessibility (Hershkovich et al, 2014;Tuite and Small,2017) providing useful information particularly in cases with a history of trauma but this technique provides limited information on the soft tissue structures around the shoulder (King and Healy, 1999); on the other hand, the use of ultrasound is growing but it has a number of limitations and varying reports questioned its accuracy (King and Healy, 1999). As a consequence, MRI is becoming the first line diagnostic modality for shoulder pain (Hershkovich et al, 2014;Tuite and Small, 2017).…”

Section: Discussion:-mentioning

confidence: 99%

Effectiveness of Intra-Articular Hyaluronic Acid on Patients Suffering From Painful Shoulder

Pisanti¹,

Valles²,

Coronel³

et al. 2020

IJAR

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This work was a retrospective, observational study to analyse the effectiveness of viscosupplementation in terms of pain relief and function improvement in a cohort of patients suffering from shoulder pain and treated under usual clinical practice conditions. The population included patients with painful shoulder, stiffness grades I/II and intact rotator cuff or with partial thickness tear. Previous hyaluronic acid or corticosteroid injections, passive mobilization or shoulder infections were not permitted. Patients received 3-5 injections of medium molecular weight hyaluronic acid and efficacy was assessed at the end of treatment and at 3 and 6 months. Effectiveness was evaluated using the Constant scale, physician and patient global assessments. In total 180 patients were analysed with a mean age of 49.1 years and 52.2% were female. More than 50% presented 2 relevant symptoms, being pain present at baseline in 82.2% followed by stiffness (57.2%) and instability (5.6%). Mean Constant value was 53.8 points. A mean improvement of 14.3 points was observed at the end of treatment, 28.2 at 3 months and 37.9 at 6 months (p<0.001 versus baseline at all-time points). Constant condition at the end of treatment was excellent in 3.3% of patients, good in 70.6% and fair in 26.1% whereas at 6 months it was excellent in nearly 100% patients in agreement with patient and physician assessments. These results suggest that viscosupplementation constitute a conservative and minimally invasive approach to manage shoulder pain with effects lasting for at least 6 months.

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Imaging Evaluation of Nonacute Shoulder Pain

Cited by 30 publications

References 77 publications

Shear-Wave and Strain Ultrasound Elastography of the Supraspinatus and Infraspinatus Tendons in Patients with Idiopathic Adhesive Capsulitis of the Shoulder: A Prospective Case-Control Study

Shear-Wave and Strain Ultrasound Elastography of the Supraspinatus and Infraspinatus Tendons in Patients with Idiopathic Adhesive Capsulitis of the Shoulder: A Prospective Case-Control Study

Evaluation of the relationship between subacromial space volume and rotator cuff injury by Magnetic Resonance Imaging with SPACE technique

Effectiveness of Intra-Articular Hyaluronic Acid on Patients Suffering From Painful Shoulder

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