Role of shoulder ultrasonography in the evaluation of the painful shoulder

Moppes, F. I. van; Veldkamp, Onno; Roorda, Jan

doi:10.1016/0720-048x(94)00590-9

Cited by 42 publications

(15 citation statements)

References 13 publications

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“…The tendon rupture was considered partial when part of the tendon was still attached to its insertion; thus, the echostructure of the rotator-cuff muscles was assessed. Fat infiltration, seen as hyperechoic areas within the muscles, was assessed as moderate (area smaller than the remaining muscle) or extensive (area larger than the remaining muscle) [5,6,9,31,32].…”

Section: Figmentioning

confidence: 99%

Ultrasonographic rotator-cuff changes in veteran tennis players: the effect of hand dominance and comparison with clinical findings

et al. 2003

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The aim of this study was to correlate sonographic abnormalities of the rotator cuff with clinical findings in veteran tennis players. One hundred fifty individuals playing competition-level tennis, aged from 35 to 77 years (mean age 55 years), underwent physical and US examinations of their shoulders. The US abnormalities found in the dominant shoulder were compared with those observed in the non-dominant shoulder and in different subsets of players defined by the absence or presence of former and/or current pain. Tears of the long head of the biceps tendon were seen only in dominant shoulders ( n=8), and tears (23 complete and 20 partial) of the supraspinatus tendon were observed in 43 dominant vs 16 (3 complete and 13 partial) contralateral shoulders ( p<0.001). Subscapularis tendon calcifications were depicted in 23 dominant vs 12 contralateral shoulders ( p<0.05). Seventy players had no pain, 49 had former-but-not-current pain, and 31 had current pain. Abnormal thickening (>2 mm) and effusion of the subacromial-subdeltoid bursa and complete tear of the supraspinatus tendon were more frequent in the latter two groups ( p<0.001 and p<0.05), respectively. Although 90% of the players with a complete supraspinatus tear had experienced former pain, no relationship was found between current pain and the presence of a supraspinatus tear or tendon calcification. The rotator cuff may present important asymptomatic lesions, such as complete tears of the supraspinatus tendon or calcifications, that do not prevent the playing competitive tennis. The only US abnormality associated with pain was subacromial-subdeltoid bursa effusion.

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Section: Figmentioning

confidence: 99%

Ultrasonographic rotator-cuff changes in veteran tennis players: the effect of hand dominance and comparison with clinical findings

et al. 2003

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“…For 20 studies the mean age was in the range 45-55 years; three studies included on average younger patients; 36,61,64 and four included older patients. 55,56,60,65 Where it was reported, most included a majority of male patients (all except seven studies 44,55,56,59,60,66,67 ), overall mean 59% male.…”

Section: Sample Detailsmentioning

confidence: 99%

“…One-third of the studies used only arthrography as the reference test and were judged not to have employed a suitable reference standard. 41,43,45,47,50,57,59,65,68,[71][72][73]75 In a further four, 67,70,74,76 arthrography was used as the reference standard in at least some of the patients enrolled -the reference test in these studies was scored as unclear. In all of the remaining studies except one using MRI, 60 the reference standard used was likely to have correctly classified the target condition.…”

Section: Reference Testmentioning

confidence: 99%

The effectiveness of diagnostic tests for the assessment of shoulder pain due to soft tissue disorders: a systematic review

Dinnes

Loveman²,

McIntyre³

et al. 2003

Health Technol Assess

295

193

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“…Not surprising, the sensitivity increases as the size of the tear increases, with sensitivity for massive cuff tears (>3 cm) approaching 100% (36). Sonographic detection, localization, and characterization of partial-thickness cuff tears have been described only recently (36)(37)(38)(39)(40). Proposed criteria include a hypoechoic defect that involves the articular or bursal surface, a focal hypoechoic zone within the substance of the cuff, a large linear echogenic focus within the cuff substance, thinning of the cuff (marked during passive movement), and a straight outer cuff border (loss of convexity).…”

mentioning

confidence: 97%

Rotator Cuff: Evaluation with US and MR Imaging

Seibold¹,

Mallisee²,

Erickson³

et al. 1999

RadioGraphics

110

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Magnetic resonance (MR) and ultrasound (US) imaging are currently touted for assessment of rotator cuff disease. Optimum clinical imaging techniques include use of (a) a 1.5-T MR imaging unit with small planar coils, proton-density-weighted and T2-weighted fast spin-echo sequences, and 10-12-cm fields of view (yielding 400-470 x 500-625-microm in-plane spatial resolution) and (b) a state-of-the-art commercial US unit with insonation frequencies of 9-13 MHz (yielding 200-400-microm axial and lateral resolution). Proper diagnosis requires familiarity with normal anatomic characteristics and imaging pitfalls. Care must be taken to avoid sonographic tendon anisotropy and MR imaging magic angle effects, which can be misinterpreted as rotator cuff tear. At MR imaging, a complete cuff tear typically appears as either a hyperintense defect or a tendinous avulsion that extends from the bursal to the articular side of the cuff; a partial cuff tear typically appears as a focal hyperintense region that contacts only one surface of the cuff. Complete and partial tears manifest with a wide spectrum of findings at US. MR imaging and US are effective for evaluating rotator cuff injuries, with high reported accuracies for detection of complete tears but more disparate results for detection of partial tears.

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Role of shoulder ultrasonography in the evaluation of the painful shoulder

Cited by 42 publications

References 13 publications

Ultrasonographic rotator-cuff changes in veteran tennis players: the effect of hand dominance and comparison with clinical findings

Ultrasonographic rotator-cuff changes in veteran tennis players: the effect of hand dominance and comparison with clinical findings

The effectiveness of diagnostic tests for the assessment of shoulder pain due to soft tissue disorders: a systematic review

Rotator Cuff: Evaluation with US and MR Imaging

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