Sonography in the instability of the long head of the biceps tendon confronted with histopathologic and arthroscopic findings

Zabrzyński, Jan; Paczesny, Łukasz; Zabrzyńska, Agnieszka; Grzanka, Dariusz; Łapaj, Łukasz

doi:10.5603/fm.a2018.0012

Cited by 12 publications

(15 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The authors of included studies used mostly the four-variable classical Bonar score [ 19 , 20 , 23 , 24 , 25 , 26 , 29 , 31 , 32 ] ( Table 3 ).…”

Section: Resultsmentioning

confidence: 99%

“…None of the included sonographic modality studies presented a clear radiological association with histopathology. Authors of the sonographic study of the LHBT showed abundant histopathological alterations and concomitant sonographic changes, such as hypoechogenicity and increased tendon diameter, however, no statistically significant correlation was found [ 25 ]. Cook et al suggested that imaging abnormalities such as hypoechogenicity requires a high accumulation of the ground substance [ 32 ].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The Bonar Score in the Histopathological Assessment of Tendinopathy and Its Clinical Relevance—A Systematic Review

et al. 2021

View full text Add to dashboard Cite

This study aimed to perform a comprehensive systematic review, which reports the role of the Bonar score in the histopathological assessment of tendinopathy and its clinical relevance. To identify all of the studies that reported relevant information on the Bonar scoring system and tendinopathy, an extensive search of the major and the most significant electronic databases (PubMed, Cochrane Central, ScienceDirect, SciELO, Web of Science) was performed. A systematic review of the literature was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The extracted data included—year of study, geographical location, type of the study, radiological modifications, gender, number of patients, region of tendinopathy, mean age, control group, characteristics of the Bonar score and alterations in the scale, mean Bonar score, number of investigators, area of tendon investigation, clinical and radiological implications. An extensive search of the databases and other sources yielded a total of 807 articles. Eighteen papers were finally included in this systematic review, and of these, 13 original papers included the clinical and radiological implications of tendinopathy. Radiological evaluation was present in eight studies (both magnetic resonance imaging (MRI) and ultrasound (US)). The clinical implications were more frequent and present in 10 studies. Using the Bonar score, it is easy to quantify the pathological changes in tendinous tissue. However, its connection with clinical and radiological evaluation is much more complicated. Based on the current state of knowledge, we concluded that the neovascularization variable in the Bonar system should be reconsidered. Ideally, the microscopic assessment score should follow the established classification scale with the radiological and clinical agreement and should have a prognostic value.

show abstract

“…The authors of included studies used mostly the four-variable classical Bonar score [ 19 , 20 , 23 , 24 , 25 , 26 , 29 , 31 , 32 ] ( Table 3 ).…”

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The Bonar Score in the Histopathological Assessment of Tendinopathy and Its Clinical Relevance—A Systematic Review

et al. 2021

View full text Add to dashboard Cite

show abstract

“…Ultrasound achieved success in dynamic assessment of LHBT, but not that of BRP integrity and detection of concomitant intra-articular pathologies, which required further arthroscopic investigation. 12,13 Dynamic arthroscopic examination of the pulley structures is a useful tool for early detection of symptoms that may progress to ASI, such as BRP lesions including partial tear and SGHL insufficiency. 3…”

Section: Discussionmentioning

confidence: 99%

Biceps tendon instability with or without pulley tears: an arthroscopic diagnostic study

Kao

Chiu

Hsu

et al. 2020

Preprint

View full text Add to dashboard Cite

Background To investigate long head of the biceps tendon (LHBT) instability and biceps reflection pulley (BRP) lesions with dynamic arthroscopy in patients with refractory anterior shoulder pain and determine associated intraarticular pathologies. Methods Patients with refractory anterior shoulder pain and arthroscopically-diagnosed LHBT instability were enrolled. LHBT instability was confirmed by either static dislodge from the groove or subluxation induced by the hook probe (ramp test), and the integrity of BRP and concomitant intra-articular lesions were investigated. Demographics and arthroscopic findings were compared between patients with and without BRP tear. Results A total of 40 patients with refractory anterior shoulder pain and arthroscopically-diagnosed LHBT instability identified through review of medical records at a single surgeon’s practice from 2014 to 2017 were enrolled. BRP tear was noted in 25 patients (group A) and superior glenohumeral ligament (SGHL) insufficiency through ramp test, in 15 patients (group B). No significant difference of patient characteristics was observed between the two groups. Concomitant intraarticular pathologies were noted in 27 patients, including 19 in group A (76%) and eight in group B (53%), without significant group-wise difference (P = 0.083). The incidence of articular-side subscapularis tear was significantly higher in group A (P = 0.021), and those of the other intraarticular pathologies were similar between groups A and B. Fraying at the articular side of the subscapularis and supraspinatus tendons was frequent in group B, without difference of incidence as compared to group A (P = 0.5 and P = 0.084, respectively). Conclusions LHBT instability was a common disorder in patients with refractory shoulder pain. In patients with refractory anterior shoulder pain, dynamic assessment of BRP lesions and SGHL insufficiency and meticulous survey of associated intra-articular pathologies, including subscapularis tear are necessary for making accurate diagnosis.

show abstract

“…Ultrasonography (US) is a reliable imaging method to evaluate soft tissue structures, such as muscles, tendons, aponeurosis, and ligaments. For tendinopathy, US reveals structural abnormalities, such as tendon thickening, textural heterogeneity with intra-tendinous focal hypoechoic areas, and altered vascularity [ 5 ]. There is a consensus on the role of US measurement of the thickness of the plantar fascia in establishing the diagnosis of plantar fasciitis [ 6 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

The Diagnostic Significance of Ultrasonographic Measurement of the Achilles Tendon Thickness for the Insertional Achilles Tendinopathy in Patients with Heel Pain

Kim

Choi

Park

et al. 2021

JCM

View full text Add to dashboard Cite

No consensus exists concerning the diagnostic role or cutoff value of the Achilles tendon thickness on ultrasonography (US) for the diagnosis of insertional Achilles tendinopathy. This study sought to assess the diagnostic utility of US measurement of the thickness and echogenicity of the Achilles tendon for the insertional Achilles tendinopathy in patients with heel pain, and to compare the results with those of the plantar fascia for the plantar fasciitis. We conducted US examinations in consecutive patients who presented with unilateral or bilateral heel pain at the foot clinic of a single tertiary hospital from February 2016 to December 2020. Each US evaluation assessed the thickness and echogenicity of the insertion area of the Achilles tendon and plantar fascia. We retrospectively compared these parameters between patients with insertional Achilles tendinopathy or plantar fasciitis and normal controls and analyzed the diagnostic utility of these parameters. Based on clinical diagnosis, 44 feet were diagnosed with insertional Achilles tendinopathy, 109 feet were diagnosed with plantar fasciitis, and 32 feet were classified as normal. There was a significant difference in the thickness of the plantar fascia between the plantar fasciitis and normal control groups (p = 0.032). There was also a significant difference in the echogenicity of the plantar fascia between the plantar fasciitis and normal groups (p < 0.001). However, there was no significant difference in the thickness of the insertional area of the Achilles tendon between the insertional Achilles tendinopathy and normal groups (p = 0.132). There was a significant difference in the echogenicity of the insertional area of the Achilles tendon between the insertional Achilles tendinopathy and normal groups (p < 0.001). US measurement of the thickness of the insertional area of the Achilles tendon might not reflect the clinical status of insertional Achilles tendinopathy, unlike that of plantar fasciitis.

show abstract

Sonography in the instability of the long head of the biceps tendon confronted with histopathologic and arthroscopic findings

Abstract: Background: Disorders of the long head of the biceps (LHB) tendon are a common (Folia Morphol 2018; 77, 3: 583-590)

Cited by 12 publications

References 20 publications

The Bonar Score in the Histopathological Assessment of Tendinopathy and Its Clinical Relevance—A Systematic Review

The Bonar Score in the Histopathological Assessment of Tendinopathy and Its Clinical Relevance—A Systematic Review

Biceps tendon instability with or without pulley tears: an arthroscopic diagnostic study

The Diagnostic Significance of Ultrasonographic Measurement of the Achilles Tendon Thickness for the Insertional Achilles Tendinopathy in Patients with Heel Pain

Contact Info

Product

Resources

About