Valutazione delle lesioni focali del tendine del sovraspinato con elastosonografia: confronto con ecografia B-mode e risonanza magnetica: esperienza personale.

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[automatically translated] Target. Aim of the study was to assess the elasticity of the supraspinatus tendon in the shoulder symptomatic patients with clinical suspicion of unilateral breaking of the rotator cuff, and compare the findings with those found conventional ultrasonography (ultrasound, US) and magnetic resonance imaging (MRI ). Methods. In the period between January and December 2009 were reviewed by a radiologist both shoulders of 58 patients (mean age: 46 years; range 32-58 years) with either elastosonographic module in real-time in B-mode via the same ultrasound (EUB - Hitachi 7500), using a high-frequency linear probe (13 MHz). The elasticity of the supraspinatus tendon fibers was assessed in a semiquantitative score of different representatives rigid fabric colors (blue) and tissue gradually more elastic (green, yellow, red). The finds discovered with elastography and conventional ultrasonography were assessed separately by a second radiologist and those affected shoulder compared with those found later in an MRI performed over a period of between 2 and 4 weeks after the ultrasound examination. The MRI was evaluated by a third radiologist blinded to the ultrasound examination result issued first. Results. Using as gold standard the MRI, the elastography correctly diagnosed in seven patients a partial lesion detected as simple tendinosis examination B-mode presumably because of the presence of granulation tissue intralesional to echostructure similar to that of the surrounding tendon . In addition, three cases of injury intratendinea encountered with the US were found to be, both all'elastosonografia that MRI, a lesion at full depth. In all cases (58/58) the MRI examination findings have confirmed those dell'elastosonografia, although in some cases the amplitude of the lesion appeared greater in RM, presumably because of the additional signal given by the edema perilesional . Conclusions. The elastosonographic examination is a sensitive method for the diagnosis of lesions of the supraspinatus tendon, in particular those of partial and full thickness of degenerative basis.
Original languageItalian
Pages (from-to)513-525
Number of pages13
Publication statusPublished - 2012

All Science Journal Classification (ASJC) codes

  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation

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