Wurnig C
Universitätsklinik für Orthopädie, Wien.
Z Orthop Ihre Grenzgeb. 1996 Mar-Apr;134(2):161-5. doi: 10.1055/s-2008-1039789.
641 patients who had undergone ultrasonic investigation of the shoulder joint were reviewed retrospectively. Thirty-four cases (5.3%) with sonographic abnormalities of the biceps tendon or the soft tissue surrounding the biceps tendon were found. In 15 cases a synovitis or effusion of the bicipital (convexity of the transverse ligament) groove was found. Four times a mineralization of the transverse ligament (high echogenic zone with interruption of the humerus coticalis) was observed. In 10 cases rupture of the tendon (sagging of the transverse ligament) was diagnosed. One case was diagnosed as a subluxated biceps tendon (tendon riding on the lesser tubercle) and was misdiagnosed. Four cases with cysts of the biceps tendon were seen (well defined zone of low echogenity). Seven patients underwent surgery following unsuccessful conservative treatment and in all cases but one the ultrasonic diagnosis was confirmed. According to the experience of this investigation ultrasonic examination of the biceps tendon turned out to be an ideal imaging technique for screening of lesions of the long head of the biceps.
对641例接受过肩关节超声检查的患者进行了回顾性研究。发现34例（5.3%）存在肱二头肌腱或肱二头肌腱周围软组织的超声异常。15例发现肱二头肌（横韧带凸面）沟滑膜炎或积液。观察到4次横韧带矿化（高回声区伴肱骨皮质中断）。10例诊断为肌腱断裂（横韧带下垂）。1例诊断为肱二头肌腱半脱位（肌腱骑跨于小结节），诊断有误。发现4例肱二头肌囊肿（边界清晰的低回声区）。7例患者经保守治疗无效后接受手术，除1例以外，所有病例的超声诊断均得到证实。根据本研究的经验，肱二头肌腱超声检查是筛查肱二头肌长头病变的理想成像技术。
