Yadav Pankaj K, Shah Bhavin, Shende Amol, Rajesh S
J Indian Med Assoc. 2014 Feb;112(2):103-5.
The objective of this study was to evaluate the role of biceps tendon sheath effusion detected on ultrasound as a diagnostic clue to rotator cuff pathology. Despite being the most common cause of shoulder pain in adults early sonographic changes of rotator cuff tendinopathy are easy to miss. A total of 31 patients out of whom 27 had unilateral shoulder pain and 4 had bilateral complaints under- went ultrasonographic examination of shoulder joint using high frequency linear array transducer. Any fluid surrounding the long head of biceps tendon was noted followed by a careful search for any associated sonographic abnormality involving the rotator cuff. Eighteen out of the 35 had presence of fluid in their biceps tendon sheath. Twelve had presence of both biceps tendon sheath effusion and rotator cuff pathologies. Among 17 patients, who had no fluid in their biceps tendon sheath, only 2 had rotator cuff involvement whereas rest 15 had neither biceps tendon sheath fluid nor rotator cuff pathologies. A significant association was found between presence of fluid in long head of biceps tendon sheath and rotator cuff pathologies. Thus the most common finding observed in association with the presence of fluid around the long head of biceps tendon sheath in this study was tendinosis of rotator cuff. On ultrasonography simple presence of fluid around the long head of biceps tendon sheath demands careful examination of rotator cuff.
本研究的目的是评估超声检测到的肱二头肌肌腱鞘积液作为肩袖病变诊断线索的作用。尽管肩袖肌腱病是成人肩部疼痛最常见的原因，但其早期超声改变很容易被漏诊。共有31例患者接受了肩关节超声检查，其中27例为单侧肩部疼痛，4例为双侧肩部疼痛，使用高频线性阵列探头。记录肱二头肌长头周围的任何液体，随后仔细查找涉及肩袖的任何相关超声异常。35例中有18例肱二头肌肌腱鞘内有液体。12例既有肱二头肌肌腱鞘积液又有肩袖病变。在17例肱二头肌肌腱鞘内无液体的患者中，只有2例有肩袖受累，其余第15例既无肱二头肌肌腱鞘积液也无肩袖病变。发现肱二头肌长头肌腱鞘内有液体与肩袖病变之间存在显著关联。因此，在本研究中，与肱二头肌长头肌腱鞘周围有液体相关的最常见发现是肩袖肌腱病。在超声检查中，肱二头肌长头肌腱鞘周围单纯有液体需要仔细检查肩袖。
