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在年轻健康人群中使用超声剪切波弹性成像评估不同位置和负荷条件下的冈上肌腱弹性

Assessing Supraspinatus Tendon Elasticity at Different Locations and Loading Conditions Using Ultrasound Shear-Wave Elastography in Young Healthy Population.

作者信息

Azhideh Arash, Mirghaderi Peyman, Haseli Sara, Lack William D, Takatani Karen C, Hammer Liisa C, Malik Kevin F, Tifft Hannah, Griffith Kyle, Chalian Majid

机构信息

Division of Musculoskeletal Imaging and Intervention, Department of Radiology, University of Washington, Seattle, WA 98105, USA.

Department of Orthopaedics and Sports Medicine, University of Washington, Seattle, WA 98105, USA.

出版信息

Diagnostics (Basel). 2025 Apr 29;15(9):1132. doi: 10.3390/diagnostics15091132.

Abstract

: This prospective study aims to investigate the feasibility of Shear-Wave Elastography (SWE) for assessing the mechanical properties of the normal supraspinatus tendon and describing the elastographic features of the supraspinatus tendon under different loading conditions and positions. : Twenty healthy volunteers (10 males and 10 females, aged 18-25 years) were examined by SWE using an 18-4 MHz linear array transducer. The elasticity of the supraspinatus tendon of the dominant hand was measured at three distinct locations: the insertion, middle, and myotendinous junction of the tendon. These measurements were taken under various conditions, including non-loading and the application of 5, 10, and 20 lb forces at five different positions. : The average elasticity was 69.2 ± 26.5 kilopascals across all positions and forces, with the middle part of the tendon exhibiting the highest elasticity (72.6 ± 6.2 kPa). An ascending trend in elasticity was observed by increasing the applied load, and the highest elasticity was observed with a 20 lb load. Determining the normal elasticity of the tendon is an important clinical implication, as understanding what is normal is essential for identifying pathological conditions. : SWE is a feasible and promising technology for the collection of data on how the supraspinatus tendon behaves under loading conditions. There is a need for further study to better understand tendon response to activity and resultant injuries.

摘要

这项前瞻性研究旨在探讨剪切波弹性成像(SWE)评估正常冈上肌腱力学特性以及描述不同负荷条件和体位下冈上肌腱弹性成像特征的可行性。20名健康志愿者(10名男性和10名女性,年龄18 - 25岁)使用18 - 4 MHz线性阵列换能器通过SWE进行检查。测量优势手冈上肌腱在三个不同位置的弹性:肌腱的附着点、中间部分和肌 - 腱交界处。这些测量在各种条件下进行,包括非负荷状态以及在五个不同位置施加5磅、10磅和20磅力的情况。所有位置和力的平均弹性为69.2±26.5千帕,肌腱中间部分弹性最高(72.6±6.2千帕)。随着施加负荷增加,观察到弹性呈上升趋势,20磅负荷时弹性最高。确定肌腱的正常弹性具有重要的临床意义,因为了解正常情况对于识别病理状况至关重要。SWE是一种可行且有前景的技术,可用于收集冈上肌腱在负荷条件下行为的数据。需要进一步研究以更好地理解肌腱对活动的反应及由此导致的损伤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fb8/12071702/d59664f7a2e0/diagnostics-15-01132-g001.jpg

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