Classification of rotator cuff tendinopathy using high definition ultrasound

Hinsley, Hannah

doi:10.11138/mltj/2014.4.3.391

Cited by 16 publications

(8 citation statements)

References 13 publications

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“…According to a study by Hinsley et al who classified supraspinatus tendinopathy with the help of MSKUS in following style: Normal Tendons; Abnormal enthesis / Partial-thickness tear; Single tendon full-thickness tears (0–2.5 cm); Multi-tendon full-thickness tears (>2.5 cm) respectively which is also in accordance to our study14 ) .…”

Section: Discussionsupporting

confidence: 91%

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Reliability of musculoskeletal ultrasound imaging to measure supraspinatus tendon thickness in healthy subjects

et al. 2017

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[Purpose] The purpose of this study was to assess intra-rater and inter-rater reliability of musculoskeletal ultrasound (MSKUS) as a tool to measure supraspinatus tendon thickness in healthy subjects. [Subjects and Methods] Twenty healthy subjects were assessed in similar sitting position. Two experienced musculoskeletal ultrasound specialists measured supraspinatus tendon thickness. Tendon was measured twice in one day by each of two raters with an interval of one hour for within day reliability and was re-measured following one week for between days reliability. Data analysis was performed using the intraclass correlation coefficient (ICC) and standard error of measurement (SEM). [Results] Results reflected excellent within day intra-rater and inter-rater reliability with Mean ± standard deviation (SD)=5.14 ± 0.83 and 5.17 ± 0.78, ICC (2,1)=0.89–0.93 and ICC (2,2)=0.98 (0.95−0.99) and SEM=0.18–0.18 and 0.17 while between days intra-rater rater and inter-rater reliability with Mean ± SD=5.14 ± 0.83 and 5.17 ± 0.78, ICC(2,1)=0.88–0.90 and ICC(2,2)=0.95 (0.88−0.98), SEM=0.17–0.38 and 0.17 [Conclusion] The results of the current study indicate that MSKUS is a reliable tool for measuring supraspinatus tendon thickness in healthy subjects.

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Section: Discussionsupporting

confidence: 91%

“…The tendon was examined thoroughly from all planes and final reading was taken by measuring middle and thickest part of supraspinatus tendon14 ) .…”

Section: Methodsmentioning

confidence: 99%

Reliability of musculoskeletal ultrasound imaging to measure supraspinatus tendon thickness in healthy subjects

et al. 2017

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“…Shoulder pain is the third commonest orthopedic problem to present to clinicians (1,2). Shoulder soft tissue pathology such as rotator cuff tears cause pain, loss of function, joint failure and development of secondary osteoarthritis with a substantial social and economic burden.…”

Section: Introductionmentioning

confidence: 99%

Inflammation activation and resolution in human tendon disease

et al. 2015

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Improved understanding of the role of inflammation in tendon disease is required to facilitate therapeutic target discovery. We studied supraspinatus tendons from patients experiencing pain before and after surgical subacromial decompression treatment. Tendons were classified as having early, intermediate or advanced disease and inflammation was characterized through activation of pathways mediated by Interferon, NF-κB, glucocorticoid receptor and STAT-6. Inflammation signatures revealed expression of genes and proteins induced by Interferon and NF-κB in early stage disease and genes and proteins induced by STAT-6 and glucocorticoid receptor activation in advanced stage disease. The pro-resolving proteins FPR2/ALX and ChemR23 were increased in early stage disease compared to intermediate-advanced stage disease. Patients who were pain-free post-treatment had tendons with increased expression of CD206 and ALOX15 mRNA compared to tendons from patients who continued to experience pain post-treatment, suggesting that these genes and their pathways may moderate tendon pain. Stromal cells from diseased tendons cultured in vitro showed increased expression of NF-κB and Interferon target genes after treatment with lipopolysaccharide or IFNγ compared to stromal cells derived from healthy tendons. We identified 15-epi Lipoxin A 4 , a stable lipoxin metabolite derived from aspirin treatment, as potentially beneficial in the resolution of tendon inflammation. *Corresponding author Stephanie G Dakin, stephanie.dakin@ndorms.ox.ac.uk Corresponding author telephone +44 (0)1865 227374. Author contributions: SGD performed all experiments and wrote the manuscript with input from all co-authors. SGD, AJC and FOM designed the study. FOM, UO and GW provided qPCR reagents and FOM and UO performed array analysis. FOM and GW provided human macrophages for co-culture experiments. CY facilitated confocal image acquisition. BD, KW, BW, LR and AJC facilitated procurement and collection of healthy and diseased shoulder tendons from patients.

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“…120 patients with subscapular tendinosis Grade II tendinopathy according to high-definition ultrasound classification [35] were recruited from the clinic of the department of Rehabilitation Kaohsiung Medical University Hospital, Taiwan.…”

Section: Methodsmentioning

confidence: 99%

Effects of Eccentric Exercise and Extracorporeal Shock Wave Therapy on Rehabilitation of Patients with Noncalcific Rotator Cuff Tendinopathy

Chen¹,

Su²,

Lin³

et al. 2017

Clin Res Foot Ankle

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Objective: In this study, in order to establish a more effective therapeutic model for the patients with chronic rotator cuff tendinosis, the authors attempted to compare the therapeutic effects of general physical therapy, eccentric contraction exercise, extracorporeal shock wave therapy (ESWT) and their combination for patients with noncalcific subscapular tendinosis.Methods: 120 patients with subscapular tendinosis Grade II tendinopathy were divided randomly into four groups: I-IV, with 30 patients in each group. In group I (GI): the patients received conventional rehabilitation program, which included 20 minute of local hot packs, 15 min interferential electrotherapy and 10 min of passive range motion exercise three times weekly for 8 weeks; in Group II: the patients received eccentric contraction exercise three times per day and a rehabilitation program as in GI; in GIII: the patients received ESWT therapy weekly except for a rehabilitation program as in GI; in GIV: they received three combination therapies including a conventional rehabilitation program, three rounds of eccentric contraction exercises per day and weekly ESWT for 8 weeks. The outcome measurements include visual analogue pain scale (VAS), range of shoulder motion, subscapular muscle peak torques, and proprioception of the affected shoulder. Results:The results showed that the combination therapy group GII-IV all had more improvement than the conventional rehabilitation program group I. However, the integrated therapy group IV had the best improvement over GII and GIII in pain reduction and improvement of range of motion, proprioception and muscle peak torques. Additionally, group III and IV had better improvement of range of motion and muscle peak torques than did GII. Conclusion:Eccentric exercise and ESWT had benefit in rehabilitation of patients with noncalcific subscapular tendinosis, and conventional rehabilitation combined with these two therapies will result in more therapeutic effects.

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Classification of rotator cuff tendinopathy using high definition ultrasound

Cited by 16 publications

References 13 publications

Reliability of musculoskeletal ultrasound imaging to measure supraspinatus tendon thickness in healthy subjects

Reliability of musculoskeletal ultrasound imaging to measure supraspinatus tendon thickness in healthy subjects

Inflammation activation and resolution in human tendon disease

Effects of Eccentric Exercise and Extracorporeal Shock Wave Therapy on Rehabilitation of Patients with Noncalcific Rotator Cuff Tendinopathy

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