Sonography of the shoulder after arthrography (arthrosonography): Preliminary results

Lee, Hak Soo; Joo, Kyung-Bin; Park, Choong Ki; Kim, Young Sun; Jeong, Woojin; Kim, Yong Soo; Park, Dong Woo; Kim, Sun Il; Park, Tae Soo

doi:10.1002/jcu.10021

Cited by 22 publications

(9 citation statements)

References 15 publications

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“…One of the 2 shoulders with flat curves (subject P12) was found to have a full‐thickness rotator cuff tear, which was identified as an articular side partial thickness tear in the ultrasound examination before the fluid was introduced (Figure 6a). Because a full‐thickness rotator cuff tear could serve as a communication channel between the IA space and subacromial‐subdeltoid bursa space [43,44], it was obvious that the fluid infused into the GHJ capsule leaked out into the bursa space (Figure 6b), subsequently leading to no significant IA pressure. However, the other low‐pressure shoulder (subject P11) did not have a full‐thickness tear or leaking of fluid out of the GHJ.…”

Section: Discussionmentioning

confidence: 99%

Intra‐articular Pressure Profiles of Painful Stiff Shoulders Compared With Those of Other Conditions

Chung¹,

Lee²,

Kim³

et al. 2009

PM&R

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The steeply rising, high IA pressure can be considered as a predominant characteristic of the PSS compared with other conditions that showed flat, low-pressure profiles, suggesting the P-V profiles might be used in evaluation of the capsular tightness of various shoulder problems. The triphasic curve appears to be a preruptural sign; however, there are several practical limitations to terminating hydraulic distension before rupture occurs.

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Section: Discussionmentioning

confidence: 99%

Intra‐articular Pressure Profiles of Painful Stiff Shoulders Compared With Those of Other Conditions

Chung¹,

Lee²,

Kim³

et al. 2009

PM&R

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“…However, there has been a variable degree of sensitivity and specificity of preoperative and postoperative ultrasonography from 50% to 100% 5,6,7,8,9). Furthermore, it may be difficult to accurately identify the cuff integrity with ultrasonography if the ends of torn rotator cuffs are not retracted or a gap in the tear is not filled with synovial fluid 16). In order to overcome these shortcomings of ultrasonography, we conceived the technique of ultrasonography after the distention of the glenohumeral joint.…”

Section: Discussionmentioning

confidence: 99%

“…We thought the sonography could be combined with arthrography (arthrosonography) to overcome those disadvantages. This technique was reported in previous studies 16,17,18). However, to our knowledge, there has been no report on comparing the results between conventional ultrasonography and arthrosonography in assessing the repaired cuff integrity.…”

mentioning

confidence: 90%

“…However, it is difficult to identify the integrity of the rotator cuff after a surgery with ultrasonography because bone and soft tissue ultrasonographic landmarks around the tendon become distorted or absent and tendons are hyperechoic which leads to further difficulties in the diagnosis of recurrent rotator cuff tears 4,9,15). Furthermore, it may not be possible to accurately identify the integrity of the rotator cuff with ultrasonography if the ends of torn rotator cuffs are not retracted or a gap in the tear is not filled with synovial fluid 16). We thought the sonography could be combined with arthrography (arthrosonography) to overcome those disadvantages.…”

mentioning

confidence: 99%

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A Comparison of Conventional Ultrasonography and Arthrosonography in the Assessment of Cuff Integrity after Rotator Cuff Repair

et al. 2014

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BackgroundThis study was designed to perform conventional ultrasonography, magnetic resonance arthrography (MRA) and arthrosonography exams after rotator cuff repair to compare the results of conventional ultrasonography and arthrosonography with those of MRA as the gold standard.MethodsWe prospectively studied 42 consecutive patients (14 males, 28 females; average age, 59.4 years) who received arthroscopic rotator cuff repair due to full-thickness tears of the supraspinatus tendon from 2008 to 2010. The integrity assessment of the repaired rotator cuff was performed 6 months postoperatively using conventional ultrasonography, MRA, and arthrosonography.ResultsThe diagnostic accuracy of the conventional ultrasonography compared to MRA was 78.6% and the McNemar test results were 0.016 in full-thickness tear and 0.077 in partial-thickness tear. The diagnostic accuracy of arthrosonography compared to MRA was 92.9% and the McNemar test results were 0.998 in full-thickness tear and 0.875 in partial-thickness tear.ConclusionsIt was found that the integrity assessment of the repaired rotator cuff by ultrasonography must be guarded against and that arthrosonography is an effective alternative method in the postoperative integrity assessment. Also, an arthrosonography seems to be a suitable modality to replace the conventional ultrasonography.

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“…Single-contrast arthrography, double-contrast arthrography,[5] CT arthrography, ultrasound (U/S),[6–8] magnetic resonance imaging (MRI), and arthro-MRI. [9], of shoulder U/S as an imaging modality has gained widespread attention.…”

Section: Introductionmentioning

confidence: 99%

Dynamic ultrasound assessment in the diagnosis of intra-articular entrapment of the biceps tendon (hourglass biceps): A preliminary investigation

Pujol

Hargunani

Gadikoppula

et al. 2009

Int J Shoulder Surg

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Background:The hourglass biceps, an intra-articular entrapment of the long head of the biceps (LHB), is a possible diagnosis in cases of shoulder pain associated with loss of passive elevation.Purpose:The objective of this study is to investigate the role of dynamic ultrasound (U/S) in determining the diagnosis of the hourglass biceps lesion.Materials and Methods:A prospective cohort of 16 patients with the clinical suspicion of an hourglass lesion, a preoperative ultrasound, and a confirmed hourglass LHB at surgery, were included in the study. Eight patients had preoperative dynamic ultrasound assessment of the LHB, and eight had standard ultrasound investigations and served as a control group.Results:Dynamic ultrasound accurately diagnosed an hourglass biceps in three out of eight cases. LHB hypertrophy was demonstrated in five out of eight cases with U/S and three out of eight cases with standard U/S. All patients were treated by excision of the intra-articular portion of the LHB, 15 by bipolar tenotomy, and one by LHB tenodesis.Conclusions:Dynamic ultrasound shows promise in improving the accuracy in diagnosis of LHB hypertrophy and the Hourglass lesion.Level of Evidence:III (Consecutive case-control study investigating a diagnostic test).

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Sonography of the shoulder after arthrography (arthrosonography): Preliminary results

Cited by 22 publications

References 15 publications

Intra‐articular Pressure Profiles of Painful Stiff Shoulders Compared With Those of Other Conditions

Intra‐articular Pressure Profiles of Painful Stiff Shoulders Compared With Those of Other Conditions

A Comparison of Conventional Ultrasonography and Arthrosonography in the Assessment of Cuff Integrity after Rotator Cuff Repair

Dynamic ultrasound assessment in the diagnosis of intra-articular entrapment of the biceps tendon (hourglass biceps): A preliminary investigation

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