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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

The amount of effusion within the biceps long head tendon sheath in each type of shoulder disease.
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Figure 3: The amount of effusion within the biceps long head tendon sheath in each type of shoulder disease.

Mentions: The average amount of the effusion within the BLHT sheath was 1.7 ± 1.6 mm: 2.0 ± 1.6 mm in patients with adhesive capsulitis, 1.6 ± 1.6 mm in patients with rotator cuff tear, 1.2 ± 1.6 mm in patients with calcific tendinitis, and 1.1 ± 1.8 mm in patients with biceps tendinitis. The amount of the effusion within the BLHT sheath in patients with adhesive capsulitis was significantly larger than that in patients with calcific tendinitis (p = 0.03). However, there were no statistically significant differences between the other shoulder diseases (Fig. 3). The correlation coefficient of the intraobserver reliability was 0.80 (p < 0.05).


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)

The amount of effusion within the biceps long head tendon sheath in each type of shoulder disease.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 3: The amount of effusion within the biceps long head tendon sheath in each type of shoulder disease.
Mentions: The average amount of the effusion within the BLHT sheath was 1.7 ± 1.6 mm: 2.0 ± 1.6 mm in patients with adhesive capsulitis, 1.6 ± 1.6 mm in patients with rotator cuff tear, 1.2 ± 1.6 mm in patients with calcific tendinitis, and 1.1 ± 1.8 mm in patients with biceps tendinitis. The amount of the effusion within the BLHT sheath in patients with adhesive capsulitis was significantly larger than that in patients with calcific tendinitis (p = 0.03). However, there were no statistically significant differences between the other shoulder diseases (Fig. 3). The correlation coefficient of the intraobserver reliability was 0.80 (p < 0.05).

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