Clinical value of ultrasound in diagnosing, treating and follow-up of patients with supraspinatus tendon injury_West China Medical Journal

Authors：

 XIAOJing

Department of Ultrasound, the First People’s Hospital of Guangyuan, Guangyuan, Sichuan 628017, P. R. China;

Corresponding?author：

XIAOJing, Email: 13684357887@163.com

Keywords：

Ultrasound; Supraspinatus tendon; Diagnosis; Treatment; Follow-up

DOI：

10.7507/1002-0179.201601008

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To investigate the value of ultrasound in diagnosing, treating and follow-up of patients with supraspinatus tendon injury. Methods Between May 2014 and October 2015, ultrasound and MRI examinations were performed on 52 patients who were suspected to have supraspinatus tendon injury in the First People’s Hospital of Guangyuan. According to the conditions of the disease, patients underwent conservative or surgical treatment. The treatment results were compared with MRI and arthroscopic surgery. And regular ultrasound follow-up was performed at different recovery stages to observe the changes of the supraspinatus tendon, in order to provide corresponding basis for further clinical treatment. Results Ultrasound results showed that 37 patients had supraspinatus tendon injury. Based on MRI results, the sensitivity, specificity, positive likelihood ratio, negative likelihood ratio, and coincidence rate of the ultrasound examination were 85.0%, 75.0%, 91.9%, 60.0% and 82.7%, respectively. Of these 37 patients, 18 underwent conservative treatment, 7 underwent calcified mass mashing and aspiration treatment through needles under the guidance of ultrasonography, and 12 underwent arthroscopic surgery. Conclusions Ultrasonography is accurate in diagnosing supraspinatus tendon injury, which can achieve bilateral comparison and real-time dynamic information of the patients. When it is necessary, it can also guide localization and puncture of local lesions. Furthermore, it is inexpensive and easy for treatment and follow-up.

Citation： XIAOJing. Clinical value of ultrasound in diagnosing, treating and follow-up of patients with supraspinatus tendon injury. West China Medical Journal, 2017, 32(1): 56-59. doi: 10.7507/1002-0179.201601008 Copy

1.	許曉華, 李皓, 朱偉民, 等. 岡上肌鈣化性肌腱炎的高頻超聲診斷價值. 南昌大學學報: 醫學版, 2012, 52(6): 100-101.
2.	龍江. 超聲檢查在肩袖損傷中的應用體會. 中國實用鄉村醫生雜志, 2014, 23(8): 32-33.
3.	李斯琴, 紅華, 呂惠成, 等. 高頻超聲在肩袖損傷中的應用. 內蒙古醫學雜志, 2014, 46(3): 293-295.
4.	袁濱, 吳意赟, 馮瑩, 等. 超聲引導針刀穿刺負吸技術治療肩袖鈣化性肌腱炎臨床療效分析. 南京醫科大學學報: 自然科學版, 2014, 14(11): 1558-1560.
5.	Zlatkin MB, Iannotti JP, Roberts MC, et al. Rotator cuff tears: diagnostic performance of MR imaging. Radiology, 1989, 172(1): 223-229.
6.	劉汀, 賈建文, 林發儉, 等. 超聲在肩關節疾病診斷中的應用價值. 中華超聲影像學雜志, 2008, 17(6): 521-525.
7.	于慧敏, 朱梅, 李彥林, 等. 高頻超聲對肩關節病變的診斷及其療效評估. 昆明醫學院學報, 2012, 33(3): 41-45.
8.	Chang HC, Shin KK, Myung RC, et al. Functional outcomes and structural integrity after double-pulley suture bridge rotator cuff repair using serial ultrasonographic examination. J Shoulder Elbow Surg, 2012, 21(12): 1753-1763.
9.	Shane J, Barrett S, Stephen L, et al. Prospective analysis of arthroscopic rotator cuff repain: prognostic factors affecting clinical and ultrasound outcome. J Shoulder Elbow Surg, 2009, 18(9): 13-20.
10.	Burkhart SS, Cole BJ. Bridging self-reinforcing double-row rotator cuff repair. We really are doing better. Arthroscopy, 2010, 26(5): 677-680.
11.	Gulotta LV, Nho SJ, Dodson CC, et al. Prospective evaluation of arthroscopic rotator cuff repairs at 5 years; part 1: functionnal outcomes and radiographic healing rates. J Shoulder Elbow Surg, 2011, 20(7): 934-940.
12.	Gumina S, Carbone S, Campagna V, et al. The impact of aging on rotator cuff tear size. Musculaskelet Surg, 2013, 97(Suppl 1): 69-72.
13.	史森, 張改英, 辛兆芹, 等. 肩袖撕裂術后康復治療中的高頻超聲評價分析. 中華超聲影像學雜志, 2010, 21(5): 432-434.
14.	陶陽. 高頻彩色多普勒超聲在岡上肌鈣化性肌腱炎診斷中的應用價值. 中國醫療設備, 2015, 30(8): 59-61.
15.	吳靜, 劉皓月, 潘勝男, 等. 超聲引導下細針穿刺療法對肌腱腱病的治療價值. 中國臨床醫學影像雜志, 2015, 26(2): 141-142.
16.	邵明磊, 孫嘉陽, 阮慶, 等. 肩袖損傷診治的研究進展. 中國實驗診斷學, 2015, 19(9): 1607-1609.

1. 許曉華, 李皓, 朱偉民, 等. 岡上肌鈣化性肌腱炎的高頻超聲診斷價值. 南昌大學學報: 醫學版, 2012, 52(6): 100-101.
2. 龍江. 超聲檢查在肩袖損傷中的應用體會. 中國實用鄉村醫生雜志, 2014, 23(8): 32-33.
3. 李斯琴, 紅華, 呂惠成, 等. 高頻超聲在肩袖損傷中的應用. 內蒙古醫學雜志, 2014, 46(3): 293-295.
4. 袁濱, 吳意赟, 馮瑩, 等. 超聲引導針刀穿刺負吸技術治療肩袖鈣化性肌腱炎臨床療效分析. 南京醫科大學學報: 自然科學版, 2014, 14(11): 1558-1560.
5. Zlatkin MB, Iannotti JP, Roberts MC, et al. Rotator cuff tears: diagnostic performance of MR imaging. Radiology, 1989, 172(1): 223-229.
6. 劉汀, 賈建文, 林發儉, 等. 超聲在肩關節疾病診斷中的應用價值. 中華超聲影像學雜志, 2008, 17(6): 521-525.
7. 于慧敏, 朱梅, 李彥林, 等. 高頻超聲對肩關節病變的診斷及其療效評估. 昆明醫學院學報, 2012, 33(3): 41-45.
8. Chang HC, Shin KK, Myung RC, et al. Functional outcomes and structural integrity after double-pulley suture bridge rotator cuff repair using serial ultrasonographic examination. J Shoulder Elbow Surg, 2012, 21(12): 1753-1763.
9. Shane J, Barrett S, Stephen L, et al. Prospective analysis of arthroscopic rotator cuff repain: prognostic factors affecting clinical and ultrasound outcome. J Shoulder Elbow Surg, 2009, 18(9): 13-20.
10. Burkhart SS, Cole BJ. Bridging self-reinforcing double-row rotator cuff repair. We really are doing better. Arthroscopy, 2010, 26(5): 677-680.
11. Gulotta LV, Nho SJ, Dodson CC, et al. Prospective evaluation of arthroscopic rotator cuff repairs at 5 years; part 1: functionnal outcomes and radiographic healing rates. J Shoulder Elbow Surg, 2011, 20(7): 934-940.
12. Gumina S, Carbone S, Campagna V, et al. The impact of aging on rotator cuff tear size. Musculaskelet Surg, 2013, 97(Suppl 1): 69-72.
13. 史森, 張改英, 辛兆芹, 等. 肩袖撕裂術后康復治療中的高頻超聲評價分析. 中華超聲影像學雜志, 2010, 21(5): 432-434.
14. 陶陽. 高頻彩色多普勒超聲在岡上肌鈣化性肌腱炎診斷中的應用價值. 中國醫療設備, 2015, 30(8): 59-61.
15. 吳靜, 劉皓月, 潘勝男, 等. 超聲引導下細針穿刺療法對肌腱腱病的治療價值. 中國臨床醫學影像雜志, 2015, 26(2): 141-142.
16. 邵明磊, 孫嘉陽, 阮慶, 等. 肩袖損傷診治的研究進展. 中國實驗診斷學, 2015, 19(9): 1607-1609.

Previous Article
CT features and anatomic basis of peritoneal and retroperitoneal spread of primary acute duodenal inflammation
Next Article
Application of PDCA cycle to improve hand hygiene continuously

West China Medical Journal

Clinical value of ultrasound in diagnosing, treating and follow-up of patients with supraspinatus tendon injury

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content