Bedside ultrasound evaluation of tendon injuries

Wu, Teresa; Roque, Pedro; Green, Jared; Drachman, Dave; Khor, Kai-Ning; Rosenberg, M.; Simpson, Claire

doi:10.1016/j.ajem.2011.11.004

Cited by 46 publications

(31 citation statements)

References 9 publications

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“…Emergency physician physical examination had a sensitivity, specificity, and accuracy of 100%, 76%, and 85%, respectively in this study. 11 In conclusion, in our study, US was able to accurately and reliably identify extensor tendon lacerations in a cadaveric model. Missed extensor tendon injuries can result in swan neck deformity, fixed contracture, or boutonniere deformity so they are critical to reliably and accurately detect.…”

Section: Discussionsupporting

confidence: 52%

Accuracy of High-Resolution Ultrasonography in the Detection of Extensor Tendon Lacerations

Dezfuli

Taljanovic²,

Melville

et al. 2016

Annals of Plastic Surgery

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Diagnostic US is a very accurate noninvasive study that can identify extensor mechanism injuries. Clinically suspected cases of acute extensor tendon injury scanned by high-frequency US can aid and/or confirm the diagnosis, with dynamic imaging providing added value compared to static. Ultrasonography, to aid in the diagnosis of extensor mechanism lacerations, can be successfully used in a reliable and accurate manner.

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Section: Discussionsupporting

confidence: 52%

Accuracy of High-Resolution Ultrasonography in the Detection of Extensor Tendon Lacerations

Dezfuli

Taljanovic²,

Melville

et al. 2016

Annals of Plastic Surgery

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“…Extremity trauma is one of the most common reasons for admission to ED, and musculoskeletal US is widely used by emergency medicine physicians because of real-time dynamic imaging, in addition to it being fast and cost-effective. BUS is also a successful method for the evaluation of tendon injuries (9). Some of the sonographic findings of PLHB rupture are the absence of a fibrillar structure of the tendon in the bicipital and hypoechoic bicipital grooves because of fluid accumulation (10).…”

Section: Discussionmentioning

confidence: 99%

Biceps Tendon Rupture Diagnosed by Physical Examination and Bedside Ultrasonography in the Emergency Department

Yıldırım¹,

Akdur²,

Balcı³

et al. 2015

JAEMCR

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Introduction: A complete tear of the proximal long head of biceps tendon is a rare clinical condition that is caused by direct or indirect trauma. We report the case of a patient with a proximal long-head biceps (PLHB) rupture diagnosed by bedside ultrasonography (BUS) and physical examination in the emergency department (ED). Case Report: A-55-year-old, right-handed man presented to ED with pain in the right shoulder and weakness in the elbow. Two days before, while he was lifting a 5-kg object from the ground, he felt a sudden pain, a burning sensation, and an audible pop in his right shoulder. On physical examination, there was a severe pain and tenderness over the anterior aspect of the shoulder, proximal part of the biceps muscle, and distally located biceps muscle mass. An emergency medicine physician performed BUS with a 7.5-to 12-MHz linear transducer. In BUS, there was a hypoechoic area in the right shoulder bicipital groove, but there were no tendon fibers. The evaluation of both the physical examination and sonographic findings revealed a PLHB rupture. Conclusion: BUS is a fast and cost-effective imaging method for the diagnosis of PLHB total rupture in ED.Keywords: Biceps, ultrasound, tendon rupture Received: 19.05.2015 Accepted: 29.06.2015 ÖZET Giriş: Biceps proksimal uzun tendon (PBUT) rüptürü direk ve indirek travma sonrası görülen nadir bir klinik tablodur. Bu yazıda acil serviste fizik muayene ve yatak başı ultrasonografi (USG) ile tanı koyulan bir PBUT rüptürü olgusu sunuldu. Olgu Sunumu: 55 yaşında sağ elini kullanan bir erkek hasta acil servise sağ omuzda ağrı ve dirseği bükmede güçsüzlük şikayeti ile başvurdu. Öyküsünde 2 gün önce yerden yaklaşık 5 kg'lık bir ağırlığı kaldırırken sağ omuzda ani ağrı, yanma hissi ve çarpma sesi meydana geldiği öğrenildi. Fizik muayenede palpasyonla sağ omuz anteriorda ağrı ve hassasiyet dirsek fleksiyonunda distal yerleşimli biseps kası kitlesi tespit edildi. Acil servis hekimi tarafından 7.5-12 MHz linear prob ile yapılan yatak başı USG'de sağ omuz bicipital olukta tendon liflerinin olmadığı bir hipoekoik alan görüntülendi. Fizik muayene ve USG bulguları ile hastaya PBUT rüptür tanısı konuldu. Sonuç: Acil servislerde PBUT total rüptür tanısında yatak başı USG hızlı, yeterli ve ucuz bir tanı yöntemidir.

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“…Ultrasound evaluation for tendon lacerations is more sensitive and specific than physical examination alone. 8,9 Ultrasound can also differentiate a partial tendon tear from complete rupture. 10 Pyogenic flexor tenosynovitis is an uncommon infection of the hand and is considered a surgical emergency.…”

Section: Review Of the Literaturementioning

confidence: 99%