Evaluation of hypervascularity in synovitis of the shoulder using ultrasound: comparison of preoperative ultrasound findings and intraoperative arthroscopic findings
Background: Synovitis of the shoulder causes pain; however, it is difficult to accurately determine the area and degree of synovitis from preoperative images. This study investigated the correlation between intraoperative arthroscopic findings and preoperative power Doppler ultrasonography (PDUS) fi...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-05-01
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| Series: | JSES International |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666638322000196 |
| _version_ | 1828342755286319104 |
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| author | Akira Inoue, PT Tadanao Funakoshi, MD, PhD Ryuji Koga, MD Hiroshi Kusano, MD Toru Takahashi, MD Azusa Miyamoto, MS, PT Toshiki Murayama, MS, PT Yuta Kainuma, PT Saki Koda, PT Keito Kawanabe, PT Yuzuru Yamamoto, MD, PhD |
| author_facet | Akira Inoue, PT Tadanao Funakoshi, MD, PhD Ryuji Koga, MD Hiroshi Kusano, MD Toru Takahashi, MD Azusa Miyamoto, MS, PT Toshiki Murayama, MS, PT Yuta Kainuma, PT Saki Koda, PT Keito Kawanabe, PT Yuzuru Yamamoto, MD, PhD |
| author_sort | Akira Inoue, PT |
| collection | DOAJ |
| description | Background: Synovitis of the shoulder causes pain; however, it is difficult to accurately determine the area and degree of synovitis from preoperative images. This study investigated the correlation between intraoperative arthroscopic findings and preoperative power Doppler ultrasonography (PDUS) findings for synovitis evaluation. Methods: Forty patients (mean age = 62.0 years; 24 men and 16 women) underwent arthroscopic surgery for partial rotator cuff tears. Three observation areas were evaluated: rotator interval (RI), subacromial bursa, and bicipital groove. The Doppler flow areas and PDUS grade were measured one day before surgery. Arthroscopic findings were visualized intraoperatively and classified into 3 groups: pale, pink, and red. The correlation between the arthroscopic classification and PDUS findings was analyzed. Results: The correlation between intraoperative arthroscopic classification and preoperative PDUS findings, Doppler flow area and PDUS grade, was high for the RI (r = 0.82, 0.70). There was no correlation for the subacromial bursa (r = 0.01, -0.02) and the bicipital groove (r = -0.03, 0.3). Conclusion: Hypervascularity findings in the PDUS were highly correlated with arthroscopic color classification in the RI. Therefore, visualization of hypervascularity in the RI area could be a reliable measure for the assessment of glenohumeral synovitis in patients with partial-thickness rotator cuff tear. |
| first_indexed | 2024-04-13T23:34:03Z |
| format | Article |
| id | doaj.art-094ec81809b444509abe55330c182cfc |
| institution | Directory Open Access Journal |
| issn | 2666-6383 |
| language | English |
| last_indexed | 2024-04-13T23:34:03Z |
| publishDate | 2022-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JSES International |
| spelling | doaj.art-094ec81809b444509abe55330c182cfc2022-12-22T02:24:49ZengElsevierJSES International2666-63832022-05-0163473478Evaluation of hypervascularity in synovitis of the shoulder using ultrasound: comparison of preoperative ultrasound findings and intraoperative arthroscopic findingsAkira Inoue, PT0Tadanao Funakoshi, MD, PhD1Ryuji Koga, MD2Hiroshi Kusano, MD3Toru Takahashi, MD4Azusa Miyamoto, MS, PT5Toshiki Murayama, MS, PT6Yuta Kainuma, PT7Saki Koda, PT8Keito Kawanabe, PT9Yuzuru Yamamoto, MD, PhD10Department of Rehabilitation Keiyu Orthopaedic Hospital, Tatebayashi, Japan; Corresponding author: Akira Inoue, PT, Keiyu Orthopaedic Hospital, 2267 Akoda, Tatebayashi, Gunma 374-0013, JapanDepartment of Orthopaedic Surgery Keiyu Orthopaedic Hospital, Tatebayashi, JapanDepartment of Orthopaedic Surgery Keiyu Orthopaedic Hospital, Tatebayashi, JapanDepartment of Orthopaedic Surgery Keiyu Orthopaedic Hospital, Tatebayashi, JapanDepartment of Orthopaedic Surgery Keiyu Orthopaedic Hospital, Tatebayashi, JapanDepartment of Rehabilitation Keiyu Orthopaedic Hospital, Tatebayashi, JapanDepartment of Rehabilitation Keiyu Orthopaedic Hospital, Tatebayashi, JapanDepartment of Rehabilitation Keiyu Orthopaedic Hospital, Tatebayashi, JapanDepartment of Rehabilitation Keiyu Orthopaedic Hospital, Tatebayashi, JapanDepartment of Rehabilitation Keiyu Orthopaedic Hospital, Tatebayashi, JapanDepartment of Orthopaedic Surgery Keiyu Orthopaedic Hospital, Tatebayashi, JapanBackground: Synovitis of the shoulder causes pain; however, it is difficult to accurately determine the area and degree of synovitis from preoperative images. This study investigated the correlation between intraoperative arthroscopic findings and preoperative power Doppler ultrasonography (PDUS) findings for synovitis evaluation. Methods: Forty patients (mean age = 62.0 years; 24 men and 16 women) underwent arthroscopic surgery for partial rotator cuff tears. Three observation areas were evaluated: rotator interval (RI), subacromial bursa, and bicipital groove. The Doppler flow areas and PDUS grade were measured one day before surgery. Arthroscopic findings were visualized intraoperatively and classified into 3 groups: pale, pink, and red. The correlation between the arthroscopic classification and PDUS findings was analyzed. Results: The correlation between intraoperative arthroscopic classification and preoperative PDUS findings, Doppler flow area and PDUS grade, was high for the RI (r = 0.82, 0.70). There was no correlation for the subacromial bursa (r = 0.01, -0.02) and the bicipital groove (r = -0.03, 0.3). Conclusion: Hypervascularity findings in the PDUS were highly correlated with arthroscopic color classification in the RI. Therefore, visualization of hypervascularity in the RI area could be a reliable measure for the assessment of glenohumeral synovitis in patients with partial-thickness rotator cuff tear.http://www.sciencedirect.com/science/article/pii/S2666638322000196UltrasoundPower DopplerRotator cuff tearVascularityArthroscopic color classificationSynovitis |
| spellingShingle | Akira Inoue, PT Tadanao Funakoshi, MD, PhD Ryuji Koga, MD Hiroshi Kusano, MD Toru Takahashi, MD Azusa Miyamoto, MS, PT Toshiki Murayama, MS, PT Yuta Kainuma, PT Saki Koda, PT Keito Kawanabe, PT Yuzuru Yamamoto, MD, PhD Evaluation of hypervascularity in synovitis of the shoulder using ultrasound: comparison of preoperative ultrasound findings and intraoperative arthroscopic findings JSES International Ultrasound Power Doppler Rotator cuff tear Vascularity Arthroscopic color classification Synovitis |
| title | Evaluation of hypervascularity in synovitis of the shoulder using ultrasound: comparison of preoperative ultrasound findings and intraoperative arthroscopic findings |
| title_full | Evaluation of hypervascularity in synovitis of the shoulder using ultrasound: comparison of preoperative ultrasound findings and intraoperative arthroscopic findings |
| title_fullStr | Evaluation of hypervascularity in synovitis of the shoulder using ultrasound: comparison of preoperative ultrasound findings and intraoperative arthroscopic findings |
| title_full_unstemmed | Evaluation of hypervascularity in synovitis of the shoulder using ultrasound: comparison of preoperative ultrasound findings and intraoperative arthroscopic findings |
| title_short | Evaluation of hypervascularity in synovitis of the shoulder using ultrasound: comparison of preoperative ultrasound findings and intraoperative arthroscopic findings |
| title_sort | evaluation of hypervascularity in synovitis of the shoulder using ultrasound comparison of preoperative ultrasound findings and intraoperative arthroscopic findings |
| topic | Ultrasound Power Doppler Rotator cuff tear Vascularity Arthroscopic color classification Synovitis |
| url | http://www.sciencedirect.com/science/article/pii/S2666638322000196 |
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