Sonographic visualization of a scapular body fracture: A case report

McCrady, Bradley M.; Schaefer, Michael P.

doi:10.1002/jcu.20839

Cited by 10 publications

(6 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Thus, when there is a strong suspicion of ASF, plain radiography and additional imaging modalities, such as computed tomography, magnetic resonance imaging, and bone scintigraphy, are recommended for a definitive diagnosis. 8,11,[35][36][37] Our study confirmed acromial pathology with ultrasonography, which is a valuable tool in detecting non-displaced fractures, occult cortical fractures, and periosteal reactions that cannot be confirmed by plain radiography. 28,29,32,36,38 Thus, the acromial pathology incidence was higher in our study than in previous reports.…”

Section: Discussionmentioning

confidence: 52%

See 1 more Smart Citation

Does Preservation of Coracoacromial Ligament Reduce the Acromial Stress Pathology Following Reverse Total Shoulder Arthroplasty?

Baek

Kim

Lee

et al. 2021

Journal of Shoulder and Elbow Arthroplasty

View full text Add to dashboard Cite

Introduction Acromial pathologies (AP), such as acromial stress reaction (ASR), acromial stress occult fracture (ASOF), and acromial stress fracture (ASF), are known as complications that deteriorate the clinical score and patient satisfaction after reverse total shoulder arthroplasty (RSA). Several factors that increase stress on the acromion have been reported as risk factors for AP, but this is also unclear. Thecoracoacromial ligament (CAL) is a structure that distributes the stress loading on such an acromion, although its importance has been mentioned, there is a lack of research. Therefore, we investigated the incidence of AP according to the preservation of the CAL and whether it is a risk factor. Methods The study was retrospectively conducted on patients who underwent RSA from 2016 and 2018. Patients with CAL transection was classified into group 1 and CAL preservation was classified into group 2. ASR and ASOF were identified through symptoms and ultrasound, and ASF identified through simple radiograph or computed tomography. The incidence of AP in each group was checked and compared. Results Of the total of 265 patients. Among 197 cases of group 1, 21 cases of ASR(10.7%), 28 cases of ASOF (14.2%),10 cases of ASF (5.1%), and 59 cases of total AP (29.4%). Among 68 cases in group 2, 2 cases (2.9%) of ASR, 6 cases of ASOF(8.8%), 1 case of ASF (1.5%), and 9 cases of total AP (13.2%). It was confirmed that ASR and ASOP were significantly decreased in the group preserving CAL. (P = .008) Conclusion In the case of preservation of CAL during surgery, it was confirmed that the incidence of ASR, ASOF was reduced. Therefore, preservation of CAL can be regarded as a modifiable risk factor that can reduce the risk of AP by distributing the stress applied to acromion after RSA surgery.

show abstract

Section: Discussionmentioning

confidence: 52%

Section: Discussionmentioning

confidence: 99%

Does Preservation of Coracoacromial Ligament Reduce the Acromial Stress Pathology Following Reverse Total Shoulder Arthroplasty?

Baek

Kim

Lee

et al. 2021

Journal of Shoulder and Elbow Arthroplasty

View full text Add to dashboard Cite

show abstract

“…In addition to skeletally immature cases where bones may not be completely calcified, and therefore radiography is not useful, ultrasonography can be a valuable alternative (McCrady & Schaefer, 2011). In the present study, a 5-11-MHz linear transducer and a zoning system were used.…”

Section: Resultsmentioning

confidence: 99%

Ultrasonographic evaluation of normal scapula in the horse

Ahrari-Khafi¹,

Naeini²,

Ajvadi³

2018

BJVM

View full text Add to dashboard Cite

SummaryAhrari-Khafi, M. S., A. Tabatabaei Naeini & N. Ajvadi, 2018. Ultrasonographic evaluation of normal scapula in the horse. Bulg. J. Vet. Med., 21, No 1,[50][51][52][53][54][55][56][57][58]. Scapular fracture is rare in horse, but if happen can cause severe lameness. Due to overlapping of the contralateral scapula and thorax on the scapula, usually radiography is not helpful in its evaluation except in small amount of distal part. This study was intended to document the normal ultrasonographic appearance of the equine scapula. Right forelimbs of six horses were used. To facilitate image understanding, a zoning system was developed. Ultrasonography was performed using a 5-11 MHz linear array transducer. Ultrasonographic anatomy of scapula in different parts and planes was imaged and documented. This diagnostic imaging technique revealed a high potential in evaluating scapular surface and possible regional injuries. Ultrasonography could be considered an important addition to radiography in diagnosing fractures in the scapular region.

show abstract

“…Ultrasonography can be used to obtain multiplanar images of fractures around the shoulder joint, while plain radiography only provides a two-dimensional view of the area of interest. Fractures of the coracoid process, greater tuberosity, and scapula are readily detected by ultrasonography, whereas they occasionally go undetected on plain radiographs [8,9]. Acromial spur, by its osseous nature, can also be easily detected using ultrasonography.…”

mentioning

confidence: 99%

Evaluation of acromial spur using ultrasonography

Kim

Choi

Park

et al. 2021

Clin Shoulder Elbow

View full text Add to dashboard Cite

Background: The presence of an acromial spur implies a rotator cuff disorder due to impingement between the acromial spur and the rotator cuff. The purpose of the study was to observe acromial spurs using ultrasonography and to compare measurements between plain radiographs and sonograms.Methods: We retrospectively enrolled 51 consecutive patients with acromial spurs, which were interpreted on preoperative plain radiographs (supraspinatus outlet view and 30° caudal tilt) and preoperative sonograms. The ultrasonography transducer was held vertically and continuously moved laterally, which corresponded to the long axis of the long head of the biceps. The distance from the most distal margin of the original acromion to the most projected point of the acromial spur was measured.Results: No significant difference was found between the plain radiograph and ultrasonography measurements (p=0.186). A moderate to strong correlation was detected between the ultrasonography and supraspinatus outlet-view measurements (r=0.776, p=0.000).Conclusions: Anteriorly projected acromial spurs were well-visualized by ultrasonography. No discrepancy in acromial spur length was detected between the use of plain radiography (supraspinatus outlet view and 30° caudal-tilt view) and ultrasonography. The correlation coefficients between the plain radiography and ultrasonography measurements exceeded 0.7.

show abstract

Sonographic visualization of a scapular body fracture: A case report

Cited by 10 publications

References 8 publications

Does Preservation of Coracoacromial Ligament Reduce the Acromial Stress Pathology Following Reverse Total Shoulder Arthroplasty?

Does Preservation of Coracoacromial Ligament Reduce the Acromial Stress Pathology Following Reverse Total Shoulder Arthroplasty?

Ultrasonographic evaluation of normal scapula in the horse

Evaluation of acromial spur using ultrasonography

Contact Info

Product

Resources

About