Background Shoulder pain is a common symptom and it may be related to many different diseases. It is often difficult to identify the site of anatomic alterations with clinical examination and convention radiography.In contrast, sonography of soft tissues successfully evaluates changes of both articular and periarticular structures.
Objectives The aim of the this study was to present ultrasound findings in patients with shoulder pain.
Methods In our study 735 patients with shoulder pain were included (368 female and 367 male) with average age of 54,9 year (range 20-85). Moreover the shoulders of 450 healthy control subjects were examined. They were 220 female and 230 male and their mean age was 52.3 years (range 20-70). All of the patients underwent an ultrasound examination of shoulder by means of Shimatzu 2200 using a linear probe at the frequency of 8,5-10 MHz. Investigations included the long head of biceps tendon, rotator cuff tendons (peritendinous effusion, thickening, thinning, tears, calcifications); the subacromial and the subscapularis bursae (effusion); the acromioclavicular and glenohumeral joint (osteoarthritis, effusion). The chi square test was used for statistical analysis of the results above the level of p<0.001.
Results Results are reported on table 1. In 45 patients (6.1%) sonography did not show any changes of articular and periarticular soft tissues. Calcifications were found in 563 cases (76,5%)
Conclusions The diagnostic ultrasound was proved to be very useful in detection of changes of the soft tissues in patients with shoulder pain. The sensitiveness of the technique is confirmed by the finding of alterations in 93.9% of cases. Sonography is a noninvasive and low cost imaging method and it is valuable either for monitoring the therapeutic response or for the possibility of ultrasound guided interventions.
Chhem R, Cardinal E. Guidelines and Gamuts in Musculosceletal Ultrasound,New York,Wiley-Liss, 1999, pp.1-71
de Jesus JO, Parker L, Frangos JA, Nazarian LN. Accuracy of MRI, MR Arthrography and Ultrasound in the Diagnosis of Rotator Cuff Tears: A Meta- Analysis AJR 2009 June;192:1701-1707.
Disclosure of Interest None Declared