Avtor/Urednik		De Candia, Alessandro; Doratiotto, Stefano; Pelizzo, Francesco; Paschina, Elio; Bazzocchi, Massimo
Naslov		Real time compound ultrasound of the shoulder
Prevedeni naslov		Ultrazvočna preiskava rame
Tip		članek
Vir		Radiol Oncol
Vol. in št.		Letnik 36, št. 4
Leto izdaje		2002
Obseg		str. 319-25
Jezik		eng
Abstrakt		Background. The purpose of the study was to determinate the value of the ultrasound real time compound imaging in the evaluation of supraspinatus tendon in subacromial impingement disease. Patients and methods. Preoperative ultrasound was performed on 180 shoulders in 157 patients with clin- ical suspicion of rotator cuff disease; 71 patients were surgically treated with acrimioplasty and cuff repair. The sonograms were obtained under static and dynamic examination using a 5-12 MHz high frequency lin- ear array probe, and compound real time elaboration of multiple images from different viewing angles (Sono CT - ATL). The supraspinatus morphology was classified into the following groups: the absence of tears, the presence of partial thickness tears and the presence of full thickness tears. In the absence of tears, the supraspinatus tendinopathy was classified into three classes according to the Neer stages. The ultrasound findings were compared to the surgical inspection results. Results. Ultrasound showed 32 (96.9%) out of 33 full thickness tears, only one false negative in a patient with large body, and 9 (75%) out of 12 partial thickness tears. There were three false negative studies in supraspinatus tendons with superficial lesions. Ultrasound correctly showed 26 (100%) out of 26 rotator cuffs with the absence of tear. Conclusions. Real time compound ultrasound is a useful tool in the evaluation of the supraspinatus tendon diseases; this technique permits the reduction of the presence of conventional ultrasound acoustic artefacts and provides necessary information for preoperative planning.
Izvleček		Izhodišča. Namen raziskave je bil določiti vrednost dinamične ultrazvočne preiskave s sestavljanjem slik (real time compound ultrasound) pri bolnikih, ki so imeli bolezensko spremenjene tetive supraspinatusa ramenskega sklepa. Bolniki in metode. Ultrazvočno smo preoperativno pregledali 180 ramen pri 157 bolnikih, ki so imeli klinično sumljive znake poškodbe rotatorne manšete; 71 bolnikov je bilo nato kirurško zdravljenih. Bolnike smo pregledali s statičnim in dinamičnim ultrazvokom in pri tem uporabljali visokofrekvenčno (5-12 MHz) linearno sondo, dinamična ultrazvočna preiskava pa je sestavljala različne slike pod različnimi koti (Sono CT - ATL). Morfologijo supraspinatusov smo opredelili v skupine: ni raztrganine, delna raztrganina in popolna raztrganina. Kadar nismo našli raztrganine, smo supraspinatovo tendinopatijo razvrstili v 3 skupine glede na Neerove stadije. Na koncu smo opredelitve ob ultrazvočnih preiskavah primerjali z ugotovitvami ob kirurških posegih. Rezultati. Ultrazvočna preiskava je ugotovila 32 (96,9%) od 33 popolnih raztrganin. Samo pri enem bolniku, ki je bil prekomerno hranjen, smo ugotovili lažno negativni rezultat. Pri 9 (75%) od 12 bolnikih pa smo pravilno ugotovili delno raztrganino. Pri treh bolnikih, kjer je bila poškodba površinska, je bil rezultat lažno negativen. Ultrazvočna preiskava 26 bolnikov je prav tako pravilno pokazala, da noben od 26 bolnikov (100%) ni imel raztrganine, tako da nismo zasledili lažno pozitivnih razultatov. Zaključki. Dinamična ultrazvočna preiskava s sestavljanjem slik (real time compound ultrasound) je koristna pri ocenjevanju bolezni supraspinatusnih tetiv. Pri takšni preiskavi je manj akustičnih artefaktov, ki so sicer prisotni pri konvencionalni ultrazvočni preiskavi, takšna preiskava omogoča bolj natančno opredelitev poškodbe oziroma lažje načrtovanje kirurškega zdravljenja.
Deskriptorji		SHOULDER JOINT ROTATOR CUFF SHOULDER IMPINGEMENT SYNDROME