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肩峰下撞击综合征中肱二头肌长头腱腱鞘积液的动态超声研究：337 例肩关节的研究。

Association of Bicipital Peritendinous Effusion with Subacromial Impingement: A Dynamic Ultrasonographic Study of 337 Shoulders.

机构信息

Department of Physical Medicine and Rehabilitation and Community and Geriatric Research Center, National Taiwan University Hospital, Bei-Hu Branch and National Taiwan University College of Medicine, Taipei, Taiwan.

Department of Physical and Rehabilitation Medicine Hacettepe University Medical School, Ankara, Turkey.

出版信息

Sci Rep. 2016 Dec 12;6:38943. doi: 10.1038/srep38943.

DOI:10.1038/srep38943
PMID:27941908
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5150575/
Abstract

Bicipital peritendinous effusion (BPE) is the most common biceps tendon abnormality and can be related to various shoulder ultrasonographic findings. Since the association of BPE with subacromial impingement is unclear, our study aimed to explore its association with the dynamic subacromial impingement test during ultrasound (US) imaging. We included 337 shoulders referred for US examinations and quantified the amount of BPE. Effusion more than 1 mm in thickness was considered a positive finding. A comparison of three grades of subacromial impingement, adjusted by patient demographics, static sonographic shoulder pathology, and physical findings, by using multivariate regression models revealed that the odds ratio of subacromial impingement (with 95% confidence intervals) in the presence of BPE was 6.54 (3.21-13.32) in grade 1, 6.93 (3.05-15.76) in grade 2 and 3.18 (1.48-6.80) in grade 3. An increase in age, subdeltoid bursitis, full-thickness supraspinatus tendon tear, and shoulder stiffness were also associated with BPE. Since our study demonstrated a positive association of BPE with all grades of impingement, a US dynamic subacromial impingement test is suggested when BPE is present. Future prospective studies are needed to identify changes in BPE after treatment.

摘要

肱二头肌肌腱周围积液（BPE）是最常见的肱二头肌肌腱异常，与各种肩关节超声表现有关。由于 BPE 与肩峰下撞击的关系尚不清楚，我们的研究旨在探讨其与超声（US）成像中动态肩峰下撞击试验的关系。我们纳入了 337 例因 US 检查而转诊的肩关节，并对 BPE 的量进行了量化。厚度超过 1 毫米的积液被认为是阳性发现。通过多变量回归模型，比较了三个等级的肩峰下撞击（根据患者人口统计学、静态超声肩关节炎理和体格检查进行调整），结果显示，存在 BPE 时肩峰下撞击的优势比（95%置信区间）在 1 级为 6.54（3.21-13.32），在 2 级为 6.93（3.05-15.76），在 3 级为 3.18（1.48-6.80）。年龄增长、三角肌下滑囊炎、全层冈上肌腱撕裂和肩关节僵硬也与 BPE 有关。由于我们的研究表明 BPE 与所有等级的撞击均呈正相关，因此建议在存在 BPE 时进行超声动态肩峰下撞击试验。需要进行前瞻性研究以确定 BPE 在治疗后的变化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b17/5150575/04792f134f6f/srep38943-f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b17/5150575/7042a31b78b5/srep38943-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b17/5150575/8dfb5c7385de/srep38943-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b17/5150575/a0a5dcc8042b/srep38943-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b17/5150575/04792f134f6f/srep38943-f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b17/5150575/7042a31b78b5/srep38943-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b17/5150575/8dfb5c7385de/srep38943-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b17/5150575/a0a5dcc8042b/srep38943-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b17/5150575/04792f134f6f/srep38943-f4.jpg

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