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

Park I, Lee HJ, Kim SE, Bae SH, Lee KY, Park KS, Kim YS - Clin Orthop Surg (2015)

Bottom Line: 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.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopedic Surgery, Armed Forces Capital Hospital, Seongnam, Korea.

ABSTRACT

Background: 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.

Methods: 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.

Results: 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.

Conclusions: 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.

No MeSH data available.


Related in: MedlinePlus

Effusion within the biceps long head tendon sheath. The longest distance from the sheath to the tendon margin of the long head biceps tendon (arrow) was measured as the amount of the effusion within the biceps long head tendon sheath. GT: greater tubercle, LT: lesser tubercle.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4553284&req=5

Figure 1: Effusion within the biceps long head tendon sheath. The longest distance from the sheath to the tendon margin of the long head biceps tendon (arrow) was measured as the amount of the effusion within the biceps long head tendon sheath. GT: greater tubercle, LT: lesser tubercle.

Mentions: The patients were seated in the upright position with the arm in the neutral position, the elbow flexed to 90° and the palm face up. The ultrasonographic transducer was placed in the short axis of the BLHT at about 1 cm inferior to the coracoid process. The BLHT was scanned in the short axis. If low-echogenic fluid was detected around the BLHT in the short axis view, the authors considered that there would be an appreciably sized glenohumeral joint effusion present. We measured the amount of effusion within the BLHT sheath as the length of effusion in the short axis view, that is, the longest distance from the sheath to the tendon margin was evaluated (Fig. 1). Zubler et al.12) reported that in their ultrasonographic study, the fluid collection in the BLHT sheath was 0.6 mm and that it increased to more than 0.9 mm after an injection of 8 to 12 mL fluid into the glenohumeral joint. Therefore, we considered shoulders showing an effusion of more than 0.9 mm to indicate effusion within the BLHT sheath.


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

Park I, Lee HJ, Kim SE, Bae SH, Lee KY, Park KS, Kim YS - Clin Orthop Surg (2015)

Effusion within the biceps long head tendon sheath. The longest distance from the sheath to the tendon margin of the long head biceps tendon (arrow) was measured as the amount of the effusion within the biceps long head tendon sheath. GT: greater tubercle, LT: lesser tubercle.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4553284&req=5

Figure 1: Effusion within the biceps long head tendon sheath. The longest distance from the sheath to the tendon margin of the long head biceps tendon (arrow) was measured as the amount of the effusion within the biceps long head tendon sheath. GT: greater tubercle, LT: lesser tubercle.
Mentions: The patients were seated in the upright position with the arm in the neutral position, the elbow flexed to 90° and the palm face up. The ultrasonographic transducer was placed in the short axis of the BLHT at about 1 cm inferior to the coracoid process. The BLHT was scanned in the short axis. If low-echogenic fluid was detected around the BLHT in the short axis view, the authors considered that there would be an appreciably sized glenohumeral joint effusion present. We measured the amount of effusion within the BLHT sheath as the length of effusion in the short axis view, that is, the longest distance from the sheath to the tendon margin was evaluated (Fig. 1). Zubler et al.12) reported that in their ultrasonographic study, the fluid collection in the BLHT sheath was 0.6 mm and that it increased to more than 0.9 mm after an injection of 8 to 12 mL fluid into the glenohumeral joint. Therefore, we considered shoulders showing an effusion of more than 0.9 mm to indicate effusion within the BLHT sheath.

Bottom Line: 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.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopedic Surgery, Armed Forces Capital Hospital, Seongnam, Korea.

ABSTRACT

Background: 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.

Methods: 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.

Results: 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.

Conclusions: 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.

No MeSH data available.


Related in: MedlinePlus