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肩部超声检查:普通人群中适龄工作女性的无症状检查结果

Ultrasonography of the shoulder: asymptomatic findings from working-age women in the general population.

作者信息

Meroni Roberto, Piscitelli Daniele, Valerio Sansone, Boria Paola, Perin Cecilia, De Vito Giovanni, Cornaggia Cesare Maria, Cerri Cesare Giuseppe

机构信息

School of Medicine and Surgery, University of Milano Bicocca, Italy.

Ortopaedic Department, University of Milan, Italy.

出版信息

J Phys Ther Sci. 2017 Jul;29(7):1219-1223. doi: 10.1589/jpts.29.1219. Epub 2017 Jul 15.

Abstract

[Purpose] The aim of this study was to estimate the prevalence of abnormal shoulder ultrasonographic findings in a sample of asymptomatic women. [Subjects and Methods] A secondary analysis of a cross-sectional study was performed. We recruited 305 women (aged 18-56 years). All the subjects had a structured interview screening for self-reported symptoms and underwent a shoulder ultrasonographic examination, in which both shoulders were examined. The radiologist was blinded to the clinical history of the participants. All detectable shoulder abnormalities were collected. [Results] Of the subjects, 228 (74.75%) were asymptomatic at both shoulders, and 456 asymptomatic shoulders were analyzed. Lack of uniformity (supraspinatus, infraspinatus, subscapularis, and biceps brachii long head) was found in 28 shoulders (6.14%), 19 (4.17%) on the dominant side and 9 (1.97%) on the non-dominant side. Tendinosis (supraspinatus, infraspinatus, subscapularis, and biceps brachii long head) was found in 19 shoulders (5.32%), 12 (2.63%) on the dominant side and 7 (1.53%) on the non-dominant side. Calcification and other abnormal findings were reported. [Conclusion] The most common abnormalities were calcifications within the rotator-cuff tendons and humeral head geodes; other degenerative findings were less common.

摘要

[目的] 本研究旨在评估无症状女性样本中肩部超声检查异常结果的患病率。[对象与方法] 对一项横断面研究进行二次分析。我们招募了305名女性(年龄18 - 56岁)。所有受试者都进行了结构化访谈以筛查自我报告的症状,并接受了肩部超声检查,检查双侧肩部。放射科医生对参与者的临床病史不知情。收集所有可检测到的肩部异常情况。[结果] 在这些受试者中,228名(74.75%)双侧肩部无症状,共分析了456个无症状肩部。发现28个肩部(6.14%)存在不均匀性(冈上肌、冈下肌、肩胛下肌和肱二头肌长头),优势侧19个(4.17%),非优势侧9个(1.97%)。发现19个肩部(5.32%)存在肌腱病(冈上肌、冈下肌、肩胛下肌和肱二头肌长头),优势侧12个(2.63%),非优势侧7个(1.53%)。报告了钙化及其他异常发现。[结论] 最常见的异常是肩袖肌腱内的钙化和肱骨头结节;其他退行性发现较少见。

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本文引用的文献

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Musculoskeletal ultrasound: technical guidelines.肌肉骨骼超声:技术指南。
Insights Imaging. 2010 Jul;1(3):99-141. doi: 10.1007/s13244-010-0032-9.
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