Shoulder ultrasound: current concepts and future perspectives
Ultrasonography is an established and effective imaging technique that can be used to evaluate articular and periarticular structures around the shoulder. It has been shown to be useful in a wide range of rotator cuff diseases (e.g. tendon tears, rotator cuff calcific tendinopathy and bursitis) as w...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Sciendo
2021-06-01
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| Series: | Journal of Ultrasonography |
| Subjects: | |
| Online Access: | https://doi.org/10.15557/jou.2021.0025 |
| _version_ | 1818501748167278592 |
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| author | Serpi Francesca Albano Domenico Rapisarda Santi Chianca Vito Sconfienza Luca Maria Messina Carmelo |
| author_facet | Serpi Francesca Albano Domenico Rapisarda Santi Chianca Vito Sconfienza Luca Maria Messina Carmelo |
| author_sort | Serpi Francesca |
| collection | DOAJ |
| description | Ultrasonography is an established and effective imaging technique that can be used to evaluate articular and periarticular structures around the shoulder. It has been shown to be useful in a wide range of rotator cuff diseases (e.g. tendon tears, rotator cuff calcific tendinopathy and bursitis) as well as non-rotator cuff abnormalities (instability, synovial joint diseases and nerve entrapment syndrome). A scanning protocol is highly recommended to reduce the rate of operators’ errors by following a standardized scheme including a list of main structures. Shoulder ultrasound has several advantages: it is a relatively cheap and widely available technique, free from ionizing radiation, that can reach excellent diagnostic accuracy even compared to magnetic resonance imaging. Moreover, it is the only imaging technique that allows dynamic evaluation of musculoskeletal structures, which is important for the evaluation of impingement. Also, due to the shoulder’s superficial anatomical position, ultrasound can also be helpful in guiding interventional percutaneous procedures, both for diagnostic (e.g. magnetic resonance arthrography) and therapeutic purposes (e.g. percutaneous treatment of calcific tendonitis). Contrast-enhanced ultrasound and speckle tracking offer complimentary evaluations of shoulder anatomy and biomechanics. Moreover, the advent of ultra-high-frequency US, with probes up to 70 MHz allowing for a resolution as low as 30 μm, is a promising tool for further evaluation of the shoulder anatomy, and diagnostic and therapeutic strategies. |
| first_indexed | 2024-12-10T21:00:31Z |
| format | Article |
| id | doaj.art-1c5ee0aea5064b0f9fe32b809fc0d68a |
| institution | Directory Open Access Journal |
| issn | 2451-070X |
| language | English |
| last_indexed | 2024-12-10T21:00:31Z |
| publishDate | 2021-06-01 |
| publisher | Sciendo |
| record_format | Article |
| series | Journal of Ultrasonography |
| spelling | doaj.art-1c5ee0aea5064b0f9fe32b809fc0d68a2022-12-22T01:33:49ZengSciendoJournal of Ultrasonography2451-070X2021-06-01218515416110.15557/jou.2021.0025Shoulder ultrasound: current concepts and future perspectivesSerpi Francesca0Albano Domenico1Rapisarda Santi2Chianca Vito3Sconfienza Luca Maria4Messina Carmelo5Postgraduate School of Radiodiagnostics, Università degli Studi di Milano, Milan, ItalyIRCCS Istituto Ortopedico Galeazzi, Milan, ItalyIRCCS Istituto Ortopedico Galeazzi, Milan, ItalyClinica di Radiologia EOC, Istituto di Imaging della Svizzera Italiana (IIMSI), Lugano, SwitzerlandIRCCS Istituto Ortopedico Galeazzi, Milan, ItalyIRCCS Istituto Ortopedico Galeazzi, Milan, ItalyUltrasonography is an established and effective imaging technique that can be used to evaluate articular and periarticular structures around the shoulder. It has been shown to be useful in a wide range of rotator cuff diseases (e.g. tendon tears, rotator cuff calcific tendinopathy and bursitis) as well as non-rotator cuff abnormalities (instability, synovial joint diseases and nerve entrapment syndrome). A scanning protocol is highly recommended to reduce the rate of operators’ errors by following a standardized scheme including a list of main structures. Shoulder ultrasound has several advantages: it is a relatively cheap and widely available technique, free from ionizing radiation, that can reach excellent diagnostic accuracy even compared to magnetic resonance imaging. Moreover, it is the only imaging technique that allows dynamic evaluation of musculoskeletal structures, which is important for the evaluation of impingement. Also, due to the shoulder’s superficial anatomical position, ultrasound can also be helpful in guiding interventional percutaneous procedures, both for diagnostic (e.g. magnetic resonance arthrography) and therapeutic purposes (e.g. percutaneous treatment of calcific tendonitis). Contrast-enhanced ultrasound and speckle tracking offer complimentary evaluations of shoulder anatomy and biomechanics. Moreover, the advent of ultra-high-frequency US, with probes up to 70 MHz allowing for a resolution as low as 30 μm, is a promising tool for further evaluation of the shoulder anatomy, and diagnostic and therapeutic strategies.https://doi.org/10.15557/jou.2021.0025ultrasoundsonographyshoulder |
| spellingShingle | Serpi Francesca Albano Domenico Rapisarda Santi Chianca Vito Sconfienza Luca Maria Messina Carmelo Shoulder ultrasound: current concepts and future perspectives Journal of Ultrasonography ultrasound sonography shoulder |
| title | Shoulder ultrasound: current concepts and future perspectives |
| title_full | Shoulder ultrasound: current concepts and future perspectives |
| title_fullStr | Shoulder ultrasound: current concepts and future perspectives |
| title_full_unstemmed | Shoulder ultrasound: current concepts and future perspectives |
| title_short | Shoulder ultrasound: current concepts and future perspectives |
| title_sort | shoulder ultrasound current concepts and future perspectives |
| topic | ultrasound sonography shoulder |
| url | https://doi.org/10.15557/jou.2021.0025 |
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