Role of Ultrasound in the Detection of Rotator-Cuff Syndrome: An Observational Study
Role of Ultrasound in the Detection of Rotator-Cuff Syndrome: An Observational Study
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超声波在肩袖综合征检测中的作用：一项观察性研究
DOI：
10.12659/msm.915547
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发表时间：
2019-08-06
影响因子：
3.1
通讯作者：
Du, Lianfang
中科院分区：
文献类型：
--
作者：
Zheng, Fang;Wang, Haiyan;Du, Lianfang
背景：体格检查通常是评估肩袖综合征的首选方法，但不足以预测肩袖的形态和大小。该研究的目的是评估突发性肩痛患者的超声检查结果，并确定潜在的预测因素。材料/方法对112例经骨科医生怀疑为肩袖综合征的突发性肩痛患者进行超声检查。对肩锁关节、二头肌、冈下肌、后盂唇、肩胛下肌、冈上肌、小圆肌肌腱和肩峰下-三角肌下囊进行实时超声检查。通过扫描平面，按照长轴和短轴，以及从其肌腱连接处肩部到骨止点的方向，评估每个肌腱。进行线性和逻辑回归分析以预测病史与肩袖损伤的关系。结果超声检查发现82%的患者至少有一个特殊的原因，肩袖疾病。在肩袖疾病中，钙化性肌腱炎（54%）最常见，其次是肌腱病（32%）、肩峰下-三角肌下滑囊炎（22%）和部分厚度撕裂（21%）。此外，46例患者（41%）有多个发现。年龄较大（大于40岁）是肩袖功能障碍的强预测因素（r2=0.36，P=0.0004）。结论超声检查是骨科医生诊断突发性肩痛患者肩袖功能紊乱的重要方法。
Background Physical tests are usually preferred to assess rotator-cuff syndrome but are insufficient to predict the morphology and size of the rotator-cuff. The objective of the study was to rate the ultrasound findings for patients with sudden shoulder pain and to determine potential predictors of the same. Material/Methods A total of 112 patients with sudden shoulder pain with rotator-cuff syndrome, suspected by orthopedic doctors, were subjected to ultrasonography. Real-time ultrasonography was done for the acromioclavicular joint, biceps, infraspinatus, posterior labrum, subscapularis, supraspinatus, teres minor tendon, and the sub-acromial-subdeltoid bursa. Each tendon was assessed via scanning planes in orientation as per longer and shorter axis, and from their myotendinous junction shoulder to bony insertions. Linear and logistic regression analysis were performed to predict the associations of medical history with rotator-cuff injury. Results Ultrasonography identified that 82% of the enrolled patients had at least one particular cause of the rotator-cuff disorder. Among the rotator-cuff disorders, calcific tendonitis (54%) was observed more frequently followed by tendinopathy (32%), subacromial-subdeltoid bursitis (22%), and partial thickness tear (21%). Also, 46 patients (41%) had multiple findings. Older age (older than 40 years) was a strong predicting factor of rotator-cuff disorder (r2=0.36, P=0.0004). Conclusions Ultrasonography is a vital diagnostic procedure used by orthopedic surgeons for diagnosis of the rotator-cuff disorder(s) in patients with sudden shoulder pain.