Increased Stiffness of Rotator Cuff Tendons in Frozen Shoulder on Shear Wave Elastography

2019 ◽  
Vol 39 (1) ◽  
pp. 89-97 ◽  
Author(s):  
Tomoki Wada ◽  
Yoshiaki Itoigawa ◽  
Keiichi Yoshida ◽  
Takayuki Kawasaki ◽  
Yuichiro Maruyama ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Shear Wave ◽  
Frozen Shoulder ◽  
Shear Wave Elastography

scholarly journals Quantifying extensibility of rotator cuff muscle with tendon rupture using shear wave elastography: A cadaveric study

2017 ◽  
Vol 61 ◽  
pp. 131-136 ◽  
Author(s):  
Taku Hatta ◽  
Hugo Giambini ◽  
Yoshiaki Itoigawa ◽  
Alexander W. Hooke ◽  
John W. Sperling ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Shear Wave ◽  
Tendon Rupture ◽  
Shear Wave Elastography ◽  
Cadaveric Study ◽  
Rotator Cuff Muscle

scholarly journals The Use of Elastography-Ultrasound in Diagnosing Tendinopathy Related Sport Injury : A 10 Years trend Systematic Review

2019 ◽  
Vol 7 (11_suppl6) ◽  
pp. 2325967119S0048
Author(s):  
Richard Afandi ◽  
Putu Astawa
Keyword(s):  
Systematic Review ◽  
Rotator Cuff ◽  
General Population ◽  
Shear Wave ◽  
Sport Injury ◽  
Tendon Rupture ◽  
Tennis Elbow ◽  
Shear Wave Elastography ◽  
De Quervain ◽  
Tendon Pathology

Introductions: Today, physical exercise is already become a lifestyle to majority of people around the world. In sport injury cases, tendon is one of the most frequent tissues that can be injured during physical exercises. Tendinopathy has been hypothesized as a result from inflammatory changes in the tendon, and secondary to its frequent or excessive use, assigning the label of “tendinitis” or “tendinosis” to such a presentation. For instance, de quervain tenosynovitis found in badminton athlete and professional golfer, tennis elbow as seen in tennis player and jumpers knee in soccer or basketball players. However, tendinopathies condition can also be present in general population such as new moms that can developed de quervain tenosynovitis due to frequently taking care of their baby, or kind of activities like cooking and squeezing which can raised probability of tennis elbow injury. Thus, it is very important for clinical practitioner to diagnosed this kind of injury accurately, starting from history taking, physical examination and also imaging modalities. Ultrasound (US) is one of the most important modality within medical imaging, especially for assessing soft tissues. Elastography-ultrasound (EUS), a recent advancement in ultrasound, is one of modalities that becoming a ‘rising star’ in the medical world. This modalities can be used as diagnostic tool in several organs like liver, breast, spleen, kidney, lymph node, musculoskeletal pathology including muscle, tendon, fascia, ligament, joint, and more specific cases like tumour or carpal tunnel. US has been used for musculo-skeletal diseases showing, in general, a good correlation with the clinical and ultrasound (US) examination, in agreement with the histopathological features of the lesion. It is well understood that, in some cases, it is difficult or even impossible to distinguish pathological tissues using conventional US because these tissues show the same echogenicity with the surrounding normal tissues. There are two major techniques used in musculoskeletal elastography, compressive strain elastography (CSE) and shear-wave elastography (SWE), both can be used to evaluated tendon pathology. In the situation after the operative of tendon rupture, there is an increase in tendon stiffness and according to normal healing process, probably due to the structural disorganisation of collagen fibres, with dominating of type III collagen rather of type I as physiological condition. EUS play a role on post-operative rehabilitation monitoring, as a tool to evaluate and guide ongoing treatments, as example after a surgical repair of a tendon rupture, and to predict the return to previous activities (especially in high-level athletes). Objective: The aim of this study is to provide a systematic overview of clinical applications of EUS in normal and pathological condition of tendons. Material and Methods: We search PubMed and Cochrane database in 10 years range between 2009-2019, for articles in English with the search term “Tendinopathy” and “Elastography ”. A systematic research was performed according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline. We excluded unidentifiable full text, all repeated articles as well as articles not in English. We do not restrict any kind of tendons cases. We also admitted different type of EUS both strain and shear-wave elastography, excluding MRI-elastography. Results: A total of fifty nine articles were identified through several databases search, there were 3 articles removed after duplication screening, 38 articles excluded through title and abstract screening, 8 studies were not included after full text eligibility assessment, thus a total of 10 articles were selected for this systematic review. There is an increasing interest of EUS application for tendon pathology evaluation. Various tendons are amenable for EUS evaluation, such as the Achilles and patellar tendons, rotator cuff, common extensor tendons, rotator cuff tendons, and the plantar fascia. EUS appears to be a new wave in medical imaging that attracts clinician’s attention due to its usefullness on detecting early changes of tendon pathology, but more cost effective modality in terms for tendinopathy detection. From selected articles, shear wave elastography come out as the most frequent and reliable tool (5 articles) by cause of its quantitative result compared to strain elastography which gives qualitative and semi-quantitative outcome. There are various tendon pathology observed from 10 chosen articles, such as follows, 5 articles explain about achilles tendinopathy, 3 elbow tendon pathology, 3 patellar tendon, 1 de quervain tenosynovitis. There are 3 articles that use athlete as the study subject, and 7 use general population. The most used research method was case control study design (4 studies) followed by cross sectional study (3 studies). All of the articles showed that EUS is indeed a helpful tool for tendon pathology diagnosis. Both strain and shear-wave elastography was shown as a reliable EUS technique which give higher sensitivity, specificity and accuracy. EUS can confirms symptomatic tendinopathy, and able to detect tendinitis changes superior to B-mode conventional ultrasound. Conclusion: It is a common knowledge that tendinopathies is one of the most common complain at orthopaedic clinic, either related to sport activities or chronic overuse in athletes and general population. EUS can be used as the initial modality to screen any tendon pathology both in athlete and non-athlete, prior to advance imaging such as magnetic resonance imaging (MRI). EUS appears to be a very promising diagnostic tool, particularly in tendon pathology, in the other hand it provides more cost and time effective. This is a dynamic examination, demonstrate an immediate evaluation of the tissue elasticity, and useful in recognizing tendon abnormalities as well as in implementing the information available with conventional US.

scholarly journals Quantitative assessment of rotator cuff muscle elasticity: Reliability and feasibility of shear wave elastography

2015 ◽  
Vol 48 (14) ◽  
pp. 3853-3858 ◽  
Author(s):  
Taku Hatta ◽  
Hugo Giambini ◽  
Kosuke Uehara ◽  
Seiji Okamoto ◽  
Shigao Chen ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Shear Wave ◽  
Quantitative Assessment ◽  
Shear Wave Elastography ◽  
Muscle Elasticity ◽  
Rotator Cuff Muscle

scholarly journals EFFICACY OF THE REHABILITATION PLAN BASED ON THE THEORY OF MUSCULAR SPIRALS IN PATIENTS WITH SCAPULOHUMERAL PAIN SYNDROME ACCORDING TO SHEAR WAVE ELASTOGRAPHY DATA

2019 ◽  
Vol 19 (2) ◽  
pp. 68-73
Author(s):  
E.Yu. Strashko ◽  
I.V. Ivanitsky ◽  
T.A. Ivanitskaya
Keyword(s):  
Shear Wave ◽  
Shoulder Joint ◽  
Frozen Shoulder ◽  
Pain Syndrome ◽  
Shear Wave Elastography ◽  
Muscle Stiffness ◽  
Complex Effect ◽  
Limited Range Of Motion ◽  
Group I ◽  
Group Ii

The scapulohumeral pain syndrome (frozen shoulder) is an umbrella term for various pathological conditions characterized by pain and limited range of motion in the shoulder joint that considerably reduces a person’s ability to work and impairs the quality of life. The most common etiological factors are: load on the muscles of the shoulder girdle, traumatic injuries of the shoulder joint in patient’s history and overstretching and partial tearing of the ligaments of the shoulder joint, vertebral radiculopathy with the development of reflex and dystrophic disorders in the corresponding muscles, ligaments and joint capsule. The goal of our work was to compare the efficacy of the rehabilitation plans based on standard approaches and rehabilitation plans based on the theory of muscle spirals in patients with the severe pain syndrome and scapulohumeral periarthritis. Materials and methods. We studied 98 patients with scapulohumeral periarthritis. At the first stage of the treatment, all patients received a medical blockade in sites of marked inflammation of para-articular structures. Then, the patients were divided into 2 groups: the patients of group I received a standard rehabilitation in accordance with the recommended regimens using physiotherapy and exercise therapy. The patients of group II took the patient-centred rehabilitation course based on the theory of muscle spirals and the complex effect on spastic muscles. Pain intensity was assessed by visual analogue scale and DASH scale, muscle stiffness was evaluated by compression and shear wave elastography. Results and conclusions. The dynamic changes of pain reduction in patients of group II demonstrated the significant intensity of pain, and a rapid restoration of joint function. The findings of shear wave elastometry showed no difference between the stiffness of the shoulder muscles in the group II after the course of rehabilitation and healthy muscles. Thus, the use of patient-centred rehabilitation plans based on the theory of muscle spirals and a complex effect on spastic muscles enables to achieve a more pronounced effect compared to the standard rehabilitation approaches.

scholarly journals Feasibility assessment of shear wave elastography to rotator cuff muscle

2014 ◽  
Vol 28 (2) ◽  
pp. 213-218 ◽  
Author(s):  
Yoshiaki Itoigawa ◽  
John W. Sperling ◽  
Scott P. Steinmann ◽  
Qingshan Chen ◽  
Pengfei Song ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Shear Wave ◽  
Shear Wave Elastography ◽  
Feasibility Assessment ◽  
Rotator Cuff Muscle

scholarly journals Ultrasound Shear Wave Elastography and its Association with Rotator Cuff Tear Characteristics

2021 ◽  
Author(s):  
Rebekah L. Lawrence ◽  
Matthew C. Ruder ◽  
Vasilios Moutzouros ◽  
Eric C. Makhni ◽  
Stephanie J. Muh ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Shear Wave ◽  
Rotator Cuff Tear ◽  
Shear Wave Elastography ◽  
Cuff Tear
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