Effect of Patient’s Positioning on the Grade of Tendinosis and Visible Range of Infraspinatus Tendon on Ultrasound

Purpose To investigate the effect of patient positioning on tendinosis grade, visible range, and infraspinatus tendon (IST) thickness, and to determine the feasibility of internal rotation (IR) position to assess IST on ultrasound (US). Materials and Methods This study included 52 shoulders of 48...

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Main Authors: Jee Won Chai, Joo-ho Lee, Dong Hyun Kim, Jina Park, So-Hee Oh, Su-Mi Shin
Format: Article
Language:English
Published: The Korean Society of Radiology 2023-05-01
Series:Journal of the Korean Society of Radiology
Subjects:
Online Access:https://doi.org/10.3348/jksr.2022.0137
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author Jee Won Chai
Joo-ho Lee
Dong Hyun Kim
Jina Park
So-Hee Oh
Su-Mi Shin
author_facet Jee Won Chai
Joo-ho Lee
Dong Hyun Kim
Jina Park
So-Hee Oh
Su-Mi Shin
author_sort Jee Won Chai
collection DOAJ
description Purpose To investigate the effect of patient positioning on tendinosis grade, visible range, and infraspinatus tendon (IST) thickness, and to determine the feasibility of internal rotation (IR) position to assess IST on ultrasound (US). Materials and Methods This study included 52 shoulders of 48 subjects who were evaluated for IST in three different positions: neutral position (N), IR, and position with the ipsilateral hand on the contralateral shoulder (HC). Two radiologists retrospectively graded IST tendinosis from grade 0 to grade 3 and the visible range from grade 1 to grade 4. The thickness of the IST was measured by another radiologist with a short-axis view. A generalized estimating equation was used for statistical analysis. Results The tendinosis grades were higher in the HC position than in the IR position, with a cumulative odds ratio of 2.087 (p = 0.004, 95% confidence interval [CI]: 1.268–3.433). The tendinosis grades in the HC position (p = 0.370) and IR position (p = 0.146) were not significantly different from those in the N position. The overall difference in IST thickness was significant (p < 0.001), but the visible range (p = 0.530) was not significantly different according to position. Conclusion Patient positioning significantly affected the grade of tendinosis and thickness but not the visible range of the IST. The IR position is a feasible position for assessing the IST on US.
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spelling doaj.art-48024a9ea2ef4c5286aeab93fd1f2d3e2023-05-30T13:58:30ZengThe Korean Society of RadiologyJournal of the Korean Society of Radiology2951-08052023-05-01843627637Effect of Patient’s Positioning on the Grade of Tendinosis and Visible Range of Infraspinatus Tendon on UltrasoundJee Won ChaiJoo-ho LeeDong Hyun KimJina ParkSo-Hee OhSu-Mi ShinPurpose To investigate the effect of patient positioning on tendinosis grade, visible range, and infraspinatus tendon (IST) thickness, and to determine the feasibility of internal rotation (IR) position to assess IST on ultrasound (US). Materials and Methods This study included 52 shoulders of 48 subjects who were evaluated for IST in three different positions: neutral position (N), IR, and position with the ipsilateral hand on the contralateral shoulder (HC). Two radiologists retrospectively graded IST tendinosis from grade 0 to grade 3 and the visible range from grade 1 to grade 4. The thickness of the IST was measured by another radiologist with a short-axis view. A generalized estimating equation was used for statistical analysis. Results The tendinosis grades were higher in the HC position than in the IR position, with a cumulative odds ratio of 2.087 (p = 0.004, 95% confidence interval [CI]: 1.268–3.433). The tendinosis grades in the HC position (p = 0.370) and IR position (p = 0.146) were not significantly different from those in the N position. The overall difference in IST thickness was significant (p < 0.001), but the visible range (p = 0.530) was not significantly different according to position. Conclusion Patient positioning significantly affected the grade of tendinosis and thickness but not the visible range of the IST. The IR position is a feasible position for assessing the IST on US.https://doi.org/10.3348/jksr.2022.0137rotator cuffinfraspinatusultrasoundtendinopathymethods
spellingShingle Jee Won Chai
Joo-ho Lee
Dong Hyun Kim
Jina Park
So-Hee Oh
Su-Mi Shin
Effect of Patient’s Positioning on the Grade of Tendinosis and Visible Range of Infraspinatus Tendon on Ultrasound
Journal of the Korean Society of Radiology
rotator cuff
infraspinatus
ultrasound
tendinopathy
methods
title Effect of Patient’s Positioning on the Grade of Tendinosis and Visible Range of Infraspinatus Tendon on Ultrasound
title_full Effect of Patient’s Positioning on the Grade of Tendinosis and Visible Range of Infraspinatus Tendon on Ultrasound
title_fullStr Effect of Patient’s Positioning on the Grade of Tendinosis and Visible Range of Infraspinatus Tendon on Ultrasound
title_full_unstemmed Effect of Patient’s Positioning on the Grade of Tendinosis and Visible Range of Infraspinatus Tendon on Ultrasound
title_short Effect of Patient’s Positioning on the Grade of Tendinosis and Visible Range of Infraspinatus Tendon on Ultrasound
title_sort effect of patient s positioning on the grade of tendinosis and visible range of infraspinatus tendon on ultrasound
topic rotator cuff
infraspinatus
ultrasound
tendinopathy
methods
url https://doi.org/10.3348/jksr.2022.0137
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