Evaluation of hypervascularity in synovitis of the shoulder using ultrasound : comparison of preoperative ultrasound findings and intraoperative arthroscopic findings

© 2022 The Author(s).

Bibliographische Detailangaben
Veröffentlicht in:JSES international. - 2020. - 6(2022), 3 vom: 10. Mai, Seite 473-478
1. Verfasser: Inoue, Akira (VerfasserIn)
Weitere Verfasser: Funakoshi, Tadanao, Koga, Ryuji, Kusano, Hiroshi, Takahashi, Toru, Miyamoto, Azusa, Murayama, Toshiki, Kainuma, Yuta, Koda, Saki, Kawanabe, Keito, Yamamoto, Yuzuru
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2022
Zugriff auf das übergeordnete Werk:JSES international
Schlagworte:Journal Article Arthroscopic color classification Power Doppler Rotator cuff tear Synovitis Ultrasound Vascularity
Beschreibung
Zusammenfassung:© 2022 The Author(s).
Background: Synovitis of the shoulder causes pain; however, it is difficult to accurately determine the area and degree of synovitis from preoperative images. This study investigated the correlation between intraoperative arthroscopic findings and preoperative power Doppler ultrasonography (PDUS) findings for synovitis evaluation
Methods: Forty patients (mean age = 62.0 years; 24 men and 16 women) underwent arthroscopic surgery for partial rotator cuff tears. Three observation areas were evaluated: rotator interval (RI), subacromial bursa, and bicipital groove. The Doppler flow areas and PDUS grade were measured one day before surgery. Arthroscopic findings were visualized intraoperatively and classified into 3 groups: pale, pink, and red. The correlation between the arthroscopic classification and PDUS findings was analyzed
Results: The correlation between intraoperative arthroscopic classification and preoperative PDUS findings, Doppler flow area and PDUS grade, was high for the RI (r = 0.82, 0.70). There was no correlation for the subacromial bursa (r = 0.01, -0.02) and the bicipital groove (r = -0.03, 0.3)
Conclusion: Hypervascularity findings in the PDUS were highly correlated with arthroscopic color classification in the RI. Therefore, visualization of hypervascularity in the RI area could be a reliable measure for the assessment of glenohumeral synovitis in patients with partial-thickness rotator cuff tear
Beschreibung:Date Revised 16.07.2022
published: Electronic-eCollection
Citation Status PubMed-not-MEDLINE
ISSN:2666-6383
DOI:10.1016/j.jseint.2021.12.002