Article Text

AB0669 The importance of diagnostic ultrasound in the differential diagnosis of painful shoulder
  1. J. Jovanovic1,
  2. V. Skakic2,
  3. V. Jovanovic3,
  4. S. Bozilov1,
  5. A. Skakic4
  1. 1Rheumatology
  3. 3Orthopedics, Clinical centre
  4. 4Research, Faculty of medicine Nis, Nis, Serbia


Objectives The aim of this study was to evaluate the diagnostic significance of musculoskeletal ultrasound (MSUS) in determining the type and presence of soft tissue changes in patients with a referral diagnosis of painful shoulder

Methods We examined 63 patients or 67 shoulders, who had referral diagnosis of painful shoulder. Patients with trauma for the past year and what suffering from connective diseases were not analyzed. MSUS examination was performed using 8-13 MHz linear probe.

Results Of the 63 patients there were 34 (54%) and 29 women (46% men), mean age 52.4 years (range 21 to 69 years) who were divided into 3 groups according to age. Of 63 patients 48 (76.2%) patients had abnormal and 15 (23.8%) patients had normal results. There were a total of 76 changes and the most common soft tissue pathology is chronic supraspinatus calcific tendinitis 42.1%. The highest percentage of pathological findings were found in the patients of 41-60 years and the lowest percentage in the group of 21-40 years. In the oldest group, the findings of a complete rupture of the rotator cuff. The most common changes detected, at the supraspinatus tendon 64.5% as follows: Chronic calcific tendinitis in 32 (42.1%), complete rupture of the rotator cuff in 10 (13.2%) and partial rupture of the rotator cuff in 7 (9.2%) patients. Subdeltoid bursitis was found in 7 (9.2%), long head biceps tenosynovitis in 9 (11.9%) patients. Subscapularis tendinitis was found in 4 (5.3%) and infraspinatus tendinitis in 1 (1.3%). Joint effusion in humeroscapular in 3 (3.9%) and tendinitis m.bicepsa brachi in 3 (3.9%) patients.

Conclusions Ultrasound has an important place in the diagnosis of painful shoulder. As a non-invasive, relatively inexpensive and available methods, and because of the high specificity in detecting soft tissue changes the method of choice in the diagnosis of painful shoulder

Disclosure of Interest None Declared

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