“Tenomalacia”: a new sonographic sign of tendinopathy?

Khoury, Viviane; Cardinal, Étienne

doi:10.1007/s00330-008-1112-9

Cited by 39 publications

(31 citation statements)

References 8 publications

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“…These histopathologic alterations of tendinopathy have been found to increase the compressibility of tissue on ultrasound scans and may cause softening of the tissue on SE [33]. De Zordo et al reported that SE is valuable in the detection of intratendinous and peritendinous alterations in lateral epicondylitis or Achilles tendinopathy [23,34].…”

Section: Discussionmentioning

confidence: 99%

Sonoelastography findings of supraspinatus tendon in rotator cuff tendinopathy without tear: comparison with magnetic resonance images and conventional ultrasonography

2014

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Background and purpose Sonoelastography (SE) is a new technique that can assess differences in tissue stiffness. This study investigated the performance of SE for the differentiation of supraspinatus (SSP) tendon alterations of tendinopathy compared to magnetic resonance imaging (MRI) and conventional ultrasonography (US). Methods One hundred and eighteen consecutively registered patients with symptoms and MRI findings of SSP tendinopathy were assessed with US and SE. Coronal images of the SSP tendon were obtained using US and SE. Increased signal intensity on T2-weighted images in the coronal planes were graded according to the extent of the signal changes from ventral to dorsal. SE images were evaluated by reviewers using an experimentally proven color grading system. Results Using SE, 7.6 % of the SSP tendons were categorized as grade 0, 30.5 % as grade 1, 19.5 % as grade 2, and 42.4 % as grade 3. Evaluation of the interobserver reliability of the SE findings showed ''almost perfect agreement'', with a weighted kappa coefficient of 0.83. By comparing the MRI findings with the SE findings, grades of MRI and SE had a positive correlation (r = 0.829, p = \0.001). Furthermore, grades of US and SE also had a positive correlation (r = 0.723, p = \0.001). Conclusions SE is valuable in the detection of the intratendinous and peritendinous alterations of the SSP tendon and has excellent interobserver reliability and excellent correlation with MRI findings and conventional ultrasonography findings.Keywords Rotator cuff Á Tendinopathy Á Ultrasonography Á Sonoelastography Riassunto Obiettivi La sonoelastografia (SE) è una nuova tecnica in grado di valutare le differenze di rigidità dei tessuti. Questo studio ha valutato le capacità della SE nella differenziazione delle alterazioni tendinee da tendinopatia del sovraspinato (SSP) rispetto a risonanza magnetica (MRI) ed ecografia convenzionale (US). Materiali e Metodi Centoventuno pazienti con sintomi e reperti MRI di tendinopatia del SSP sono stati valutati con US e SE. Si sono realizzate immagini coronali del tendine SSP utilizzando US e SE. Sono state valutate immagini T2-pesate, per la maggiore intensità del segnale, nei piani coronali, da ventrale a dorsale. Immagini di SE sono state valutate da revisori che utilizzavano un sistema di grading di colore sperimentale. Risultati Utilizzando la SE, 7,4 % dei tendini SSP sono stati classificati come di grado 0, 29,8 % di grado 1, 19,8 % di grado 2, e 43,0 % di grado 3. La valutazione inter-osservatori dei risultati SE ha mostrato ''accordo quasi perfetto'', con un coefficiente kappa pesato di 0,83. Confrontando i risultati della risonanza magnetica con i risultati della SE, risonanza magnetica e SE hanno avuto una correlazione positiva (r = 0,849, p = \ 0.001). Inoltre, anche US e SE hanno avuto una correlazione positiva (r = 0,706, p = \ 0,001). Conclusioni La SE è valida nella rilevazione delle alterazioni intra-tendinee e peri-tendinee del tendine SSP e ha un'ottima affidabilità inter-osservatori e un'eccellente ...

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Section: Discussionmentioning

confidence: 99%

Sonoelastography findings of supraspinatus tendon in rotator cuff tendinopathy without tear: comparison with magnetic resonance images and conventional ultrasonography

2014

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“…Tendinosis involves collagen break down that softens and weakens the tendon, eventually leading to tendon tear or rupture [24]. These histopathologic alterations of tendinosis have been found to increase the compressibility of tissue at ultrasound, and may cause softening of tissue at SE [25]. De Zordo et al [26,27] reported that SE is valuable in the detection of the intratendinous and peritendinous alteration of lateral epicondylitis or Achilles tendinopathy.…”

Section: Discussionmentioning

confidence: 99%

Sonoelastography findings of biceps tendinitis and tendinosis

2014

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Objective The purpose of this study was to evaluate sonoelastography (SE) in the assessment of the long head of biceps tendon (LHBT) in patients with symptoms of biceps tendinitis or tendinosis and in patients without biceps lesion. The findings were compared with those obtained at clinical examination, using ultrasonography (US). Materials and methods 36 shoulders of 34 consecutively registered patients with clinical symptoms and US findings of biceps tendinitis or tendinosis, and 114 shoulders of 98 patients without biceps lesions were assessed with SE. Transverse and longitudinal images of LHBT were obtained using SE. SE images were evaluated by reviewers using an experimentally proven color grading system. Results The transverse images of SE showed a mean sensitivity of 69.4 %, a mean specificity of 95.6 % and a mean accuracy of 89.3 %. Good correlation of conventional ultrasound findings was found (p \ 0.001, r = 0.763). The longitudinal images of SE showed a mean sensitivity of 94.4 %, a mean specificity of 92.1 % and a mean accuracy of 92.7 %. Good correlation of conventional ultrasound findings was found (p \ 0.001, r = 0.585). Inter-observer reliability of SE was in ''almost perfect agreement'' with a weighted kappa coefficient of 0.84. Conclusions SE has potential to be clinically useful in the detection of the intratendinous and peritendinous alterations of LHBT and has excellent accuracy and excellent correlation with conventional ultrasound findings.Keywords Biceps Á Tendinitis Á Tendinosis Á Sonoelastography Riassunto Obiettivo Lo scopo di questo studio è stato quello di valutare l'efficacia della elastosonografia (SE) nello studio del tendine del capo lungo del bicipite (LHBT) in pazienti con sintomi quali tendiniti o tendinosi del muscolo bicipite ed in pazienti asintomatici. I risultati ottenuti sono stati messi a confronto con i dati derivanti dall'esame clinico del paziente e dall'ultrasonografia (US). Materiali e metodi Mediante SE sono state studiate 36 spalle di 34 pazienti sintomatici con evidenza all'ecografia di segni di tendinite o tendinosi del muscolo bicipite e 114 spalle di 98 pazienti che non presentavano lesioni del muscolo bicipite. Alla SE, sono state ottenute immagini con scansioni trasversali ed assiali del tendine del capo lungo del muscolo bicipite. Le immagini ottenute mediante SE sono state valutate da alcuni revisori che utilizzano un sistema comprovato di gradazione del colore. Risultati Le immagini SE ottenute secondo una scansione trasversale hanno mostrato sensibilità media del 69.4 %, una specificità media del 95.6 % ed una accuratezza media del 89.3 %. E' stata riscontrata una buona correlazione con i dati ottenuti mediante US (p \ 0.001, r = 0.763). Le immagini SE ottenute secondo una scansione longitudinale hanno mostrato una sensibilità media del 94.4 %, una specificità media del 92.1 % ed una accuratezza media del 92.7 %. E' stata ottenuta una buona correlazione con i dati ultrasonografici (p \ 0.001, r = 0.585). La variabilità interosservatore della SE ...

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“…Doppler on US might help us diagnose inflammation, degeneration, and to follow-up the evolution of such processes (4,14). This differentiation is very relevant, due to the fact that the goal of treatment and the prognosis changes substantially.…”

Section: Advantages Of Usmentioning

confidence: 99%

Utility of Ultrasound on Musculoskeletal Pathology in Hands of a Rehabilitation Specialist: A Review of the Literature

Fernández-Cuadros

Pérez-Moro

Albaladejo-Florín

et al. 2018

Middle East J Rehabil Health Stud

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Musculoskeletal (MSK) disorders are very prevalent in a rehabilitation setting. These disorders involve muscle, tendon, ligaments, as well as nerves, and are related to overuse due to work or sports, and degeneration due to aging. These conditions are usually diagnosed based on clinical signs and symptoms; however, a more accurate diagnosis is required. The imaging techniques for diagnosis include radiography, magnetic resonance imaging (MRI), and ultrasounds (US). In this review article, US is proposed to be an effective technique in diagnosing MSK pathologies, which, in hands of a Rehabilitation specialist, constitute a dynamic, accurate, economic, and cost-effective tool.

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“Tenomalacia”: a new sonographic sign of tendinopathy?

Cited by 39 publications

References 8 publications

Sonoelastography findings of supraspinatus tendon in rotator cuff tendinopathy without tear: comparison with magnetic resonance images and conventional ultrasonography

Sonoelastography findings of supraspinatus tendon in rotator cuff tendinopathy without tear: comparison with magnetic resonance images and conventional ultrasonography

Sonoelastography findings of biceps tendinitis and tendinosis

Utility of Ultrasound on Musculoskeletal Pathology in Hands of a Rehabilitation Specialist: A Review of the Literature

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