Pacific Radiology, Crofton Downs, Wellington, New Zealand.
Discipline of Medical Imaging Science, Faculty of Medicine and Health, University of Sydney, Camperdown, New South Wales, Australia.
Ultrasound Med Biol. 2022 Dec;48(12):2379-2397. doi: 10.1016/j.ultrasmedbio.2022.07.003. Epub 2022 Sep 1.
While ultrasound has become a preferred tool for musculoskeletal imaging, differing ultrasound findings that have been reported in patients with adhesive capsulitis can create confusion and misconceptions. This systematic review was aimed at summarizing all the ultrasound features currently described in the literature and providing a critical analysis of the sources to allow the readers to make a well-informed decision on the reliability of these features in the diagnosis of this condition. Databases were searched for original studies up to August 2021. Twenty-three studies were included. The QUADAS-2 (Quality Assessment of Diagnostic Accuracy Studies 2) tool was used to assess the quality of each selected article. Fourteen ultrasound features were identified. A quality analysis of all ultrasound features was performed using the GRADE (Grading of Recommendations, Assessment, Development and Evaluations) framework. All studies exhibited considerable heterogeneity in investigated ultrasound features and methodologies employed; therefore, meta-analysis was not considered to be appropriate. Hence, narrative synthesis was performed. The overall quality of each ultrasound outcome was found to be of "low" to "very low" level, and the generalisability of the results was also thought to be limited. Cautious interpretation and clinical correlation are recommended while applying these ultrasound features in clinical practice.
虽然超声已成为肌肉骨骼成像的首选工具，但粘连性肩关节囊炎患者的不同超声表现可能会造成混淆和误解。本系统评价旨在总结目前文献中描述的所有超声特征，并对来源进行批判性分析，以便读者能够对这些特征在该疾病诊断中的可靠性做出明智的决策。检索了截至 2021 年 8 月的原始研究数据库。共纳入 23 项研究。使用 QUADAS-2（诊断准确性研究的质量评估 2）工具评估所选文章的质量。确定了 14 个超声特征。使用 GRADE（推荐评估、制定与评价分级）框架对所有超声特征的质量进行了分析。所有研究在研究的超声特征和使用的方法学方面都表现出相当大的异质性；因此，不认为适合进行荟萃分析。因此，进行了叙述性综合。发现每个超声结果的总体质量为“低”到“非常低”，并且认为结果的普遍性也受到限制。建议在临床实践中应用这些超声特征时谨慎解释并与临床相关联。
