Adhesive Capsulitis of the Shoulder: Evaluation With US-Arthrography Using a Sonographic Contrast Agent.
Adhesive Capsulitis of the Shoulder: Evaluation With US-Arthrography Using a Sonographic Contrast Agent.
复制标题
肩部粘连性囊炎：使用超声造影剂进行超声关节造影评估
DOI：
10.1038/s41598-017-05491-x
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发表时间：
2017-07-17
影响因子：
4.6
通讯作者：
Lu M
中科院分区：
文献类型：
--
作者：
Cheng X;Zhang Z;Xuanyan G;Li T;Li J;Yin L;Lu M
粘连性肩关节囊炎（AC）是一种疼痛和致残的疾病，引起运动受限和慢性肩部疼痛。近年来，腔内超声造影被应用于评估梗阻性胆管疾病、输卵管通畅、膀胱输尿管反流等。本研究的目的是通过在盂肱关节内注射造影剂SonoVue，比较US-关节造影在诊断AC中的价值。将45例AC患者的超声（US）和US-关节造影图像与45例未患AC的对照者的超声（US）和关节造影图像进行比较，并以MRI为金标准。与对照组（1.59 ml）相比，AC患者在超声成像上肱骨喙韧带（CHL, 3.1 mm）和下囊（3.5 mm）明显增厚，腋窝隐窝体积（1.14 ml）减少。超声关节造影显示关节充盈缺损（91.1%）和滑膜样异常（75.6%）比旋间期异常（71.1%）、CHL增厚> 3mm（64.4%）、下囊增厚> 3.5 mm（66.7%）对AC的诊断更为敏感。超声关节造影诊断AC比超声更有效。关节腔充盈缺损和关节滑膜样异常是超声关节造影诊断AC的特征性表现。
Adhesive capsulitis (AC) is a painful and disabling disorder, which caused restricted motion and chronic pain of shoulder. Intracavitary contrast-enhanced ultrasound has been recently applied to assess obstructive bile duct diseases, tubal patency, vesicoureteric reflux and so on. The aim of this study was to detect the value of US-arthrography by injecting the contrast agent SonoVue into glenohumeral joint compared with US in diagnosing AC. Utrasound (US) and US-arthrography images of 45 patients with AC were compared with that of 45 control subjects without AC with MRI as a gold standard. Patients with AC had a significantly thickened coracohumeral ligment (CHL, 3.1 mm) and inferior capsule (3.5 mm) on US, and a decreased volume of axillary recess (1.14 ml) on US-arthrography compared with the control subjects (1.59 ml). Filling defect (91.1%) and synovitis-like abnormality (75.6%) in the joint on US-arthrography were more sensitive than that of rotator interval abnormality (71.1%), thickened CHL more than 3 mm (64.4%), thickened inferior capsule more than 3.5 mm (66.7%) on US respectively for diagnosis of AC. Consequently, US-arthrography was more effective method than US for assessment of AC. Filling defects of joint cavity and synovitis-like abnormality in the joint are characteristic US-arthrography findings for diagnosing AC.
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影响因子：
2.1
作者：
Lee, JC;Sykes, C;Connell, D
通讯作者：
Connell, D
影响因子：
5.9
作者：
Jung, JY;Jee, WH;Kim, JM
通讯作者：
Kim, JM
影响因子：
3
作者：
Kim, Kyung Cheon;Rhee, Kwang Jin;Shin, Hyun Dae
通讯作者：
Shin, Hyun Dae
影响因子：
37.8
作者：
Lindner, JR;Song, J;Kaul, S
通讯作者：
Kaul, S
DOI：
10.1007/s11420-008-9088-1
发表时间：
2008-09-01
期刊：
HSS journal : the musculoskeletal journal of Hospital for Special Surgery
影响因子：
--
作者：
Sofka, Carolyn M;Ciavarra, Gina A;Potter, Hollis G
通讯作者：
Potter, Hollis G