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Evaluation of the Effusion within Biceps Long Head Tendon Sheath Using Ultrasonography

Many shoulder diseases are related to glenohumeral joint synovitis and effusion. The purpose of the present study is to detect effusion within the biceps long head tendon sheath as the sign of glenohumeral joint synovitis using ultrasonography, and to evaluate the clinical meaning of effusion within...

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Published in:Clinics in orthopedic surgery 2015, 7(3), , pp.351-358
Main Authors: Park, In, Lee, Hyo-Jin, Kim, Sung-Eun, Bae, Sung-Ho, Lee, Kwang-Yeol, Park, Kwang-Sun, Kim, Yang-Soo
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description Many shoulder diseases are related to glenohumeral joint synovitis and effusion. The purpose of the present study is to detect effusion within the biceps long head tendon sheath as the sign of glenohumeral joint synovitis using ultrasonography, and to evaluate the clinical meaning of effusion within the biceps long head tendon sheath. A consecutive series of 569 patients who underwent ultrasonography for shoulder pain were reviewed retrospectively and ultimately, 303 patients were included. The authors evaluated the incidence and amount of the effusion within the biceps long head tendon sheath on the ultrasonographic short axis view. Furthermore, the authors evaluated the correlation between the amount of effusion within the biceps long head tendon sheath and the range of motion and the functional score. The effusion within the biceps long head tendon sheath was detected in 58.42% of the patients studied: 69.23% in adhesive capsulitis, 56.69% in rotator cuff tear, 41.03% in calcific tendinitis, and 33.33% in biceps tendinitis. The average amount of the effusion within the biceps long head tendon sheath was 1.7 ± 1.6 mm, and it was measured to be the largest in adhesive capsulitis. The amount of effusion within biceps long head tendon sheath showed a moderate to high degree of correlation with the range of motion, and a low degree of correlation with the functional score and visual analogue scale for pain in each type of shoulder disease. The effusion within the biceps long head tendon sheath is closely related to the range of motion and clinical scores in patients with painful shoulders. Ultrasonographic detection of the effusion within the biceps long head tendon sheath might be a simple and easy method to evaluate shoulder function.
doi_str_mv 10.4055/cios.2015.7.3.351
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subjects Adult
Aged
Aged, 80 and over
Female
Humans
Male
Middle Aged
Original
Range of Motion, Articular
Retrospective Studies
Shoulder Joint - diagnostic imaging
Shoulder Joint - physiopathology
Synovitis - diagnostic imaging
Tendons - diagnostic imaging
Ultrasonography
정형외과학
title Evaluation of the Effusion within Biceps Long Head Tendon Sheath Using Ultrasonography
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