Adhesive capsulitis: sonographic changes in the rotator cuff interval with arthroscopic correlation
Adhesive capsulitis: sonographic changes in the rotator cuff interval with arthroscopic correlation
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DOI：
10.1007/s00256-005-0957-0
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发表时间：
2005-09-01
影响因子：
2.1
通讯作者：
Connell, D
中科院分区：
文献类型：
--
作者：
Lee, JC;Sykes, C;Connell, D
目的：评价关节镜检查前临床表现为粘连性囊炎的患者旋转器间隔的超声表现。设计和患者：我们前瞻性地比较了30例临床诊断为粘连性囊炎的患者(女性20例，男性10例，平均年龄50岁)与10名正常志愿者和100名临床怀疑肩袖撕裂的患者的对照人群。采用灰阶和彩色多普勒超声对旋转区进行测量。结果：26例患者(87%)在旋转肌间隔内表现为低回声纹理和血管增多，所有患者的症状都在1年内。3例患者有低回声结构，但血管没有增加，1例患者的超声表现正常。所有患者在关节镜检查中都显示出与粘连性囊炎相称的旋转区纤维血管炎软组织改变。没有一名志愿者或临床诊断为肩袖撕裂的患者出现这种变化。结论：超声可以通过评估低回声血管软组织的旋转间隔来提供粘连性囊炎的早期准确诊断。
Objective: To evaluate the sonographic findings of the rotator interval in patients with clinical evidence of adhesive capsulitis immediately prior to arthroscopy. Design and patients: We prospectively compared 30 patients with clinically diagnosed adhesive capsulitis (20 females, 10 males, mean age 50 years) with a control population of 10 normal volunteers and 100 patients with a clinical suspicion of rotator cuff tears. Grey-scale and colour Doppler sonography of the rotator interval were used. Results: Twenty-six patients (87%) demonstrated hypoechoic echotexture and increased vascularity within the rotator interval, all of whom had had symptoms for less than 1 year. Three patients had hypoechoic echotexture but no increase in vascularity, and one patient had a normal sonographic appearance. All patients were shown to have fibrovascular inflammatory soft-tissue changes in the rotator interval at arthroscopy commensurate with adhesive capsulitis. None of the volunteers or the patients with a clinical diagnosis of rotator cuff tear showed such changes. Conclusions: Sonography can provide an early accurate diagnosis of adhesive capsulitis by assessing the rotator interval for hypoechoic vascular soft tissue.