Sonography in soft-tissue trauma of the shoulder

Lind, Thomas; Reimann, Inge; Larsen, Jan; Karstrup, S

doi:10.3109/17453678909150091

Cited by 4 publications

(3 citation statements)

References 4 publications

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“…In addition, although US is not primarily used in the setting of trauma, it is more sensitive than radiography for the identification of grade I AC joint injuries, which appear as softtissue swelling and capsular distension on US images. The US findings of more severe traumatic AC joint injuries are similar to the radiographic findings (Fig 9) (27,29,30).…”

Section: Common Indications and Diseasessupporting

confidence: 69%

Comprehensive Shoulder US Examination: A Standardized Approach with Multimodality Correlation for Common Shoulder Disease

Lee¹,

Sheehan²,

Orwin³

et al. 2016

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1Shoulder pain is one of the most common musculoskeletal conditions encountered in primary care and specialty orthopedic clinic settings. Although magnetic resonance (MR) imaging is typically the modality of choice for evaluating the soft-tissue structures of the shoulder, ultrasonography (US) is becoming an important complementary imaging tool in the evaluation of superficial softtissue structures such as the rotator cuff, subacromial-subdeltoid bursa, and biceps tendon. The advantages of US driving its recent increased use include low cost, accessibility, and capability for realtime high-resolution imaging that enables dynamic assessment and needle guidance. As more radiologists are considering incorporating shoulder US into their practices, the development of a standardized approach to performing shoulder US should be a priority to facilitate the delivery of high-quality patient care. Familiarity with and comfort in performing a standardized shoulder US examination, as well as knowledge of the types of anomalies that can be evaluated well with US, will enhance the expertise of those working in musculoskeletal radiology practices and add value in the form of increased patient and health care provider satisfaction. This review describes the utility and benefits of shoulder US as a tool that complements MR imaging in the assessment of shoulder pain. A standardized approach to the shoulder US examination is also described, with a review of the basic technique of this examination, normal anatomy of the shoulder, common indications for shoulder US, and characteristic US findings of common shoulder diseases-with select MR imaging and arthroscopic correlation. Abbreviations: AC = acromioclavicular, IST = infraspinatus tendon, LHBT = long head of the biceps tendon, RC = rotator cuff, SASD = subacromial-subdeltoid, SST = supraspinatus tendon, SubST = subscapularis tendon

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Section: Common Indications and Diseasessupporting

confidence: 69%

Comprehensive Shoulder US Examination: A Standardized Approach with Multimodality Correlation for Common Shoulder Disease

Lee¹,

Sheehan²,

Orwin³

et al. 2016

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“…10 Sonography of the AC joint is more sensitive than plain radiographs in the detection of changes with mild AC joint strain injuries (grade I), where findings include soft tissue swelling and joint capsule distension. 11 Findings on sonography for more advanced strain injuries parallel those of plain film assessment (Figure 8). Because the anterior aspect of the AC joint is wider than the posterior aspect, separation may be overestimated if the corresponding region of the asymptomatic contralateral AC joint is not assessed for comparison.…”

Section: Traumatic Disruptionmentioning

confidence: 58%

Sonographic Examination of the Acromioclavicular and Sternoclavicular Joints

Ferri

Finlay

Popowich

et al. 2005

J. Clin. Ultrasound

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“…Two-dimensional real-time gray scale ultrasonography has been applied to the diagnosis of abnormalities of the biceps brachii tendon in humans (11)(12)(13)(14)(15)(16)(17)(18). Sonographic evaluation of the tendon is non-invasive, does not utilize ionizing radiation, and may not require sedation.…”

Section: Introductionmentioning

confidence: 99%

Biceps Tenosynovitis in the Dog: Radiographic and Sonographic Findings

Rivers¹,

Wallace²,

Johnston³

1992

Vet Comp Orthop Traumatol

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SummaryUltrasonography of the biceps brachii tendon was prospectively evaluated as an ancillary diagnostic technique in comparison to arthrography in canine biceps tenosynovitis, in a series of six cases with surgical and histopathological confirmation of the diagnosis. Arthrographic findings, compatible with the disease, were present in all six cases, and correlated well with surgical findings. Significant differences were not found in the sonographic appearance of the affected versus the contralateral unaffected biceps brachii tendon proper. In two cases, sonography demonstrated a sonolucency surrounding the affected tendon; in one of these cases effusion within the biceps tendon sheath was noted at operation. In a third case, sonographic findings correlated with the presence of periosteal proliferation within the intertubercular groove noted on survey radio-graphs. Based on these six cases, arthrography appears to be a more sensitive ancillary diagnostic technique in this disorder than ultrasonography of the biceps brachii tendon.Ultrasonography was prospectively evaluated in comparison to arthrography as an ancillary diagnostic technique in six cases of canine biceps tenosynovitis with surgical and histopathological confirmation of the diagnosis. Results obtained indicate arthrography appears to be a more sensitive ancillary diagnostic technique than ultra-sonography in this disorder.

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Sonography in soft-tissue trauma of the shoulder

Cited by 4 publications

References 4 publications

Comprehensive Shoulder US Examination: A Standardized Approach with Multimodality Correlation for Common Shoulder Disease

Comprehensive Shoulder US Examination: A Standardized Approach with Multimodality Correlation for Common Shoulder Disease

Sonographic Examination of the Acromioclavicular and Sternoclavicular Joints

Biceps Tenosynovitis in the Dog: Radiographic and Sonographic Findings

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