scholarly journals Correlations Between Range of Motion and Elasticity of the Coracohumeral Ligament Evaluated With Shear-Wave Elastography

2021 ◽  
Vol 30 (1) ◽  
pp. 9-15 ◽  
Author(s):  
Kenji Kanazawa ◽  
Yoshihiro Hagiwara ◽  
Takuya Sekiguchi ◽  
Ryo Fujita ◽  
Kazuaki Suzuki ◽  
...  
Keyword(s):  
Elastic Modulus ◽  
Range Of Motion ◽  
Shear Wave ◽  
Glenohumeral Joint ◽  
External Rotation ◽  
Age Groups ◽  
Shear Wave Elastography ◽  
Underlying Mechanism ◽  
Older Individuals ◽  
Coracohumeral Ligament

Context: Range of motion (ROM) in the glenohumeral joint decreases with age in healthy subjects; however, the underlying mechanism remains unclear. The process of aging of the joint capsule, including the coracohumeral ligament (CHL), could affect ROM limitation. Objective: This study investigated correlations between elasticity of the CHL, evaluated by means of shear-wave elastography, and age, side dominance, and ROM in healthy individuals. Design: Experimental study. Setting: Laboratory. Subjects: Eighty-four healthy volunteers (39 men and 45 women, mean age: 42.6 y) were included. Main Outcome Measures: Subjects were divided into 3 age groups: younger (20–39 y), middle (40–59 y), and older (≥60 y) age groups. With participants in the supine position, CHL elasticity in both shoulders was evaluated in both neutral and 30° external rotation, with arms at the sides. ROM, including forward flexion, lateral elevation, external rotation, 90° abduction with external rotation, and hand behind the back were measured with participants in the standing position. Results: The CHL elastic modulus was higher in the older group than in the younger group in the neutral (78.4 kPa [SD: 37.1] and 56.6 kPa [SD: 31.7], respectively) and 30° external rotation positions (135.5 kPa [SD: 63.5] and 71.4 kPa [SD: 32.2], respectively). Negative correlations were found between the CHL elastic modulus and ROM in terms of 30° external rotation and both external rotation (R = −.59, P = .02) and 90° abduction with external rotation (R = −.71, P = .003) in the older group, with correlation coefficients increasing with age. Conclusions: Significant correlations were identified between CHL elasticity and ROM in both external rotation and 90° abduction with external rotation with increasing age. Decreased CHL elasticity was strongly associated with decreased shoulder ROM in middle-aged and older individuals.

Rotational Motion Changes in the Glenohumeral Joint of the Adolescent/Little League Baseball Player

2005 ◽  
Vol 33 (5) ◽  
pp. 693-698 ◽  
Author(s):  
Keith Meister ◽  
Timothy Day ◽  
Marybeth Horodyski ◽  
Thomas W. Kaminski ◽  
Michael P. Wasik ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Internal Rotation ◽  
Rotational Motion ◽  
Glenohumeral Joint ◽  
External Rotation ◽  
Age Groups ◽  
Baseball Player ◽  
Cross Sectional ◽  
Little League ◽  
Total Range

Background Differences in range of motion and rotational motion between the dominant and nondominant shoulders in throwing athletes are well documented, although the age at which these changes begin to occur is not known. Hypothesis Changes in glenohumeral rotational motion in the shoulder of the Little League/adolescent baseball player occur during the most formative years of physical development. Study Design Cross-sectional study. Methods Elevation, internal rotation at 90° of abduction, and external rotation at 90° of abduction were measured in the dominant and nondominant shoulders of 294 baseball players, aged 8 to 16 years. Results Analysis of variance revealed 2-way interactions between arm dominance by age for elevation (P =. 005) and internal rotation (P =. 001). Significant differences were noted between dominant and nondominant arms for internal rotation at 90° (P =.001) and external rotation at 90° (P =. 001). Elevation, internal rotation at 90°, external rotation at 90°, and total range of motion varied significantly (P =. 001) among age groups. Elevation in the dominant arms of 16-year-olds was on average 5.3° less than in 8-year-olds (179.6° vs 174.3°). In the nondominant arms, mean elevation for 16-year-olds was 5.6° less than in 8-year-olds (179.7° vs 174.1°). Internal rotation at 90° for the dominant arms averaged 39.0° at age 8 and only 21.3° at age 16. In the non-dominant arms, internal rotation for 8-year-olds averaged 42.2° and only 33.1° for 16-year-olds. Conclusions Elevation and total range of motion decreased as age increased. These changes may be consequences of both bone and soft tissue adaptation. The most dramatic decline in total range of motion was seen between the 13-year-olds and 14-year-olds, in the year before peak incidence of Little Leaguer's shoulder. This decrease in rotational motion may cause increased stress at the physis during throwing.

scholarly journals Elastic Changes of the Coracohumeral Ligament Evaluated with Shear Wave Elastography

2018 ◽  
Vol 12 (1) ◽  
pp. 427-434
Author(s):  
Kenji Kanazawa ◽  
Yoshihiro Hagiwara ◽  
Takuya Sekiguchi ◽  
Ryo Fujita ◽  
Kazuaki Suzuki ◽  
...  
Keyword(s):  
Shear Wave ◽  
External Rotation ◽  
Natural Aging ◽  
Shear Wave Elastography ◽  
Neutral Position ◽  
Level Of Evidence ◽  
Coracohumeral Ligament ◽  
Shoulder Range Of Motion ◽  
Level 3 ◽  
Positive Correlations

Background: Although the shoulder range of motion significantly decreases with advancing age, how the natural aging process affects the joint capsule, including the Coracohumeral Ligament (CHL), in healthy subjects is still unknown. Objective To use shear wave elastography to investigate the correlations between age, sex, and shoulder dominance, and elasticity of the CHL in healthy individuals. Methods: Eighty-four healthy volunteers (mean age: 42.6; 39 men) were included in this study. They were divided into five groups based on age: 20s (20–29, n = 19), 30s (30–39, n = 17), 40s (40–49, n = 20), 50s (50–59, n = 13), and 60s (60–69, n = 15) groups. The elasticity of the CHL in the bilateral shoulders was evaluated at the neutral and 30° external rotation (ER at 30°) positions with the arm at the side while laying supine. Results: The elastic modulus was significantly greater in ER at 30° than in the neutral position regardless of sex or shoulder dominance (P < 0.001). Significant positive correlations between age and elasticity of the CHL were observed in both the neutral and ER at 30° positions regardless of shoulder dominance. Elasticity of the CHL was significantly greater with increasing age in both the neutral and ER at 30° positions on the dominant (P = 0.0022, P < 0.001, respectively) and non-dominant sides (P = 0.0199, 0.0014). Conclusion: The elasticity of the CHL increased with age, and the ER at 30° position could demonstrate faint changes in CHL elasticity. Level of Evidence: Level 3 Case-control study.

Liver Elastography in Healthy Children Using Three Different Systems – How Many Measurements Are Necessary?

2020 ◽  
Author(s):  
Anders Batman Mjelle ◽  
Anesa Mulabecirovic ◽  
Roald Flesland Havre ◽  
Edda Jonina Olafsdottir ◽  
Odd Helge Gilja ◽  
...  
Keyword(s):  
Shear Wave ◽  
Transient Elastography ◽  
Intraclass Correlation ◽  
Age Groups ◽  
Liver Stiffness ◽  
Shear Wave Elastography ◽  
Healthy Children ◽  
Significant Difference ◽  
Pediatric Liver Disease ◽  
Liver Elastography

Abstract Purpose Liver elastography is increasingly being applied in screening for and follow-up of pediatric liver disease, and has been shown to correlate well with fibrosis staging through liver biopsy. Because time is of the essence when examining children, we wanted to evaluate if a reliable result can be achieved with fewer acquisitions. Materials and Methods 243 healthy children aged 4–17 years were examined after three hours of fasting. Participants were divided into four age groups: 4–7 years; 8–11 years; 12–14 years and 15–17 years. Both two-dimensional shear wave elastography (2D-SWE; GE Logiq E9) and point shear wave elastography (pSWE; Samsung RS80A with Prestige) were performed in all participants, while transient elastography (TE, Fibroscan) was performed in a subset of 87 children aged 8–17 years. Median liver stiffness measurement (LSM) values of 3, 4, 5, 6, 7, and 8 acquisitions were compared with the median value of 10 acquisitions (reference standard). Comparison was performed for all participants together as well as within every specific age group. We investigated both the intraclass correlation coefficient (ICC) with absolute agreement and all outliers more than 10 %, 20 % or ≥ 0.5 or 1.0 kPa from the median of 10 acquisitions. Results For all three systems there was no significant difference between three and ten acquisitions, with ICCs ≥ 0.97. All systems needed 4 acquisitions to achieve no LSM deviating ≥ 1.0 kPa of a median of ten. To achieve no LSM deviating ≥ 20 % of a median of ten acquisitions, pSWE and TE needed 4 acquisitions, while 2D-SWE required 6 acquisitions. Conclusion Our results contradict recommendations of 10 acquisitions for pSWE and TE and only 3 for 2D-SWE.

scholarly journals Elastic Modulus and Elasticity Ratio of Malignant Breast Lesions with Shear Wave Ultrasound Elastography: Variations with Different Region of Interest and Lesion Size

Diagnostics ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. 1015
Author(s):  
Antonio Bulum ◽  
Gordana Ivanac ◽  
Eugen Divjak ◽  
Iva Biondić Špoljar ◽  
Martina Džoić Dominković ◽  
...  
Keyword(s):  
Elastic Modulus ◽  
Shear Wave ◽  
Large Diameter ◽  
Small Diameter ◽  
Shear Wave Elastography ◽  
Lesion Size ◽  
Ultrasound Elastography ◽  
Breast Lesions ◽  
Malignant Breast ◽  
The Impact

Shear wave elastography (SWE) is a type of ultrasound elastography with which the elastic properties of breast tissues can be quantitatively assessed. The purpose of this study was to determine the impact of different regions of interest (ROI) and lesion size on the performance of SWE in differentiating malignant breast lesions. The study included 150 female patients with histopathologically confirmed malignant breast lesions. Minimal (Emin), mean (Emean), maximal (Emax) elastic modulus and elasticity ratio (e-ratio) values were measured using a circular ROI size of 2, 4 and 6 mm diameters and the lesions were divided into large (diameter ≥ 15 mm) and small (diameter < 15 mm). Highest Emin, Emean and e-ratio values and lowest variability were observed when using the 2 mm ROI. Emax values did not differ between different ROI sizes. Larger lesions had significantly higher Emean and Emax values, but there was no difference in e-ratio values between lesions of different sizes. In conclusion, when measuring the Emin, Emean and e-ratio of malignant breast lesions using SWE the smallest possible ROI size should be used regardless of lesion size. ROI size has no impact on Emax values while lesion size has no impact on e-ratio values.

scholarly journals Post-Operative Assessment of Ulnar Nerve Tension Using Shear-Wave Elastography

2021 ◽  
Vol 13 (3) ◽  
pp. 469-476
Author(s):  
Sebastien Durand ◽  
Wassim Raffoul ◽  
Thierry Christen ◽  
Nadine Pedrazzi
Keyword(s):  
Elastic Modulus ◽  
Shear Wave ◽  
Ulnar Nerve ◽  
Shear Wave Elastography ◽  
Elbow Flexion ◽  
Ulnar Nerve Compression ◽  
Nerve Decompression ◽  
Shear Elastic Modulus ◽  
Anterior Transposition ◽  
Operative Assessment

Background: Ulnar nerve compression at the elbow level is the second-most common entrapment neuropathy. The aim of this study was to use shear-wave elastography for the quantification of ulnar nerve elasticity in patients after ulnar nerve decompression with anterior transposition and in the contralateral non-operative side. Method: Eleven patients with confirmed diagnosis and ulnar nerve decompression with anterior transposition were included and examinations were performed on an AixplorerTM ultrasound system (Supersonic Imagine, Aix-en-Provence, France). Results: We observed significant differences at 0-degree (p < 0.001), 45-degree (p < 0.05), 90-degree (p < 0.01) and 120-degree (p < 0.001) elbow flexion in the shear elastic modulus of the ulnar nerve in the operative and non-operative sides. There were no statistically significant differences between the elasticity values of the ulnar nerve after transposition at 0-degree elbow flexion and in the non-operative side at 120-degree elbow flexion (p = 0.39), or in the ulnar nerve after transposition at 120-degree elbow flexion and in the non-operative side at 0-degree elbow flexion (p = 0.09). Conclusion: Shear-wave elastography has the potential to be used postoperatively as a method for assessing nerve tension noninvasively by the estimation of mechanical properties, such as the shear elastic modulus.

Lumbar Hyperextension in Baseball Pitching: A Potential Cause of Spondylolysis

2018 ◽  
Vol 34 (6) ◽  
pp. 429-434 ◽  
Author(s):  
Hardeep Singh ◽  
Mark Lee ◽  
Matthew J. Solomito ◽  
Christian Merrill ◽  
Carl Nissen
Keyword(s):  
Motion Capture ◽  
Glenohumeral Joint ◽  
External Rotation ◽  
Age Groups ◽  
Motion Capture System ◽  
Kinematic Data ◽  
Pelvic Motion ◽  
The Difference ◽  
Lumbar Extension ◽  
Upper Thoracic

Symptomatic spondylolysis/spondylolisthesis is thought to be caused by repetitive lumbar extension. About 8.9% of baseball pitchers that experience back pain will be diagnosed with spondylolysis. Therefore, this study aims to identify and quantify lumbar extension experienced during baseball pitching. It was hypothesized that young pitchers would exhibit less lumbar extension than older pitchers. A total of 187 healthy pitchers were divided into 3 age groups: youth, adolescent, and college. Kinematic data were collected at 250 Hz using a 3-D motion capture system. Lumbar motion was calculated as the difference between upper thoracic motion and pelvic motion over the pitching cycle. Lumbar “hyperextension” was defined as ≥20° past neutral. College pitchers had significantly greater lumbar extension compared with youth and adolescent pitchers at the point of maximum external rotation of the glenohumeral joint during the pitch cycle (−25° [13°], P = .04). For all age groups, lumbar hyperextension was present during the first 66% of the pitch cycle. Most pitchers spent 45% of pitch cycle in ≥30° of lumbar extension. Understanding that lumbar extension and hyperextension are components of the complex, multiplanar motions of the spine associated with baseball pitching can potentially help in both the prevention and management of symptomatic spondylolysis/spondylolisthesis.

Effect of Rest Duration Between Static Stretching on Passive Stiffness of Medial Gastrocnemius Muscle In Vivo

2020 ◽  
Vol 29 (5) ◽  
pp. 578-582
Author(s):  
Masatoshi Nakamura ◽  
Shigeru Sato ◽  
Ryosuke Kiyono ◽  
Nobushige Takahashi ◽  
Tomoichi Yoshida
Keyword(s):  
Elastic Modulus ◽  
Shear Wave ◽  
Repeated Measures ◽  
Shear Wave Elastography ◽  
Muscle Stiffness ◽  
Medial Gastrocnemius ◽  
Static Stretching ◽  
Shear Elastic Modulus ◽  
Before And After

Context: In clinical and sports settings, static stretching (SS) is usually performed to increase range of motion (ROM) and decrease passive muscle stiffness. Recently, the shear elastic modulus was measured by ultrasonic shear wave elastography as an index of muscle stiffness. Previous studies reported that the shear elastic modulus measured by ultrasound shear wave elastography decreased after SS, and the effects of SS on shear elastic modulus were likely affected by rest duration between sets of SS. Objective: To investigate the acute effects of SS with different rest durations on ROM and shear elastic modulus of gastrocnemius and to clarify whether the rest duration between sets of SS decreases the shear elastic modulus. Design: A randomized, repeated-measures experimental design. Setting: University laboratory. Participants: Sixteen healthy males volunteered to participate in the study (age 21.3 [0.8] y; height 171.8 [5.1] cm; weight 63.1 [4.5] kg). Main Outcome Measures: Each participant underwent 3 different rest interval durations during SS (ie, long rest duration: 90 s; normal rest duration: 30 s; and short rest duration: 10 s). This SS technique was repeated 10 times, thus lasting a total of 300 seconds with different rest durations in each protocol. The dorsiflexion ROM and shear elastic modulus were measured before and after SS. Results: Our results revealed that dorsiflexion ROM and shear elastic modulus were changed after 300-second SS; however, no effects of the rest duration between sets of SS were observed. Conclusions: In terms of decreasing the shear elastic modulus, clinicians and coaches should not focus on the rest duration when SS intervention is performed.

Change in Shear Elastic Modulus of Thigh Muscle by Changing Muscle Length Using Ultrasound Shear Wave Elastography in Beagle Dogs

2019 ◽  
Vol 32 (06) ◽  
pp. 454-459 ◽  
Author(s):  
Miki Shimizu ◽  
Yu Ito
Keyword(s):  
Elastic Modulus ◽  
Shear Wave ◽  
Vastus Lateralis ◽  
Muscle Length ◽  
Shear Wave Elastography ◽  
Biceps Femoris ◽  
Percentage Change ◽  
Thigh Muscle ◽  
Beagle Dogs ◽  
Shear Elastic Modulus

Objectives This study investigated the relationship between the change in the shear elastic modulus and the change in muscle length using ultrasound shear wave elastography. Study Design Four thigh muscles, cranial part of the sartorius, vastus lateralis, biceps femoris and semitendinosus muscles, of 21 pelvic limbs in 12 clinically healthy Beagle dogs were used. The muscle length was estimated using a radiograph and the flexed and extended positions of the coxofemoral and stifle joints, respectively. The shear elastic modulus (kPa) was measured in two joint positions using ultrasound shear wave elastography. Shear elastic modulus was expressed as median of 10 consecutive measurements. The percentage change of elastic modulus was calculated from the shear elastic modulus in elongated condition and pre-elongated condition of muscle. Results The elastic modulus of all muscles increased when the muscle was elongated. The shear elastic modulus for both joint positions and the percentage change of the shear elastic modulus (%) in cranial part of the sartorius were highest in all muscles. Intra-observer correlation coefficient (1.2) was 0.75 to 0.96 and intra-observer correlation coefficients (2.2) was 0.46 to 0.96. Conclusion This study revealed that the shear elastic modulus of muscle was changed by the change in muscle length and increased when the muscle was elongated. Ultrasound shear wave elastography can be used to assess the elastic properties of canine muscle.

scholarly journals Shear wave elastography in differentiating between benign and malignant cervical lymph nodes in patients with oral carcinoma

2019 ◽  
Vol 48 (6) ◽  
pp. 20180454 ◽  
Author(s):  
Yoshihiko Sasaki ◽  
Ichiro Ogura
Keyword(s):  
Elastic Modulus ◽  
Lymph Nodes ◽  
Shear Wave ◽  
Rank Correlation ◽  
Shear Wave Elastography ◽  
Oral Carcinoma ◽  
Cervical Lymph Nodes ◽  
Significance Level ◽  
Axial Diameter ◽  
Shear Elastic Modulus

Objectives: To evaluate shear wave elastography in differentiating between benign and malignant cervical lymph nodes in patients with oral carcinoma. Methods: 77 patients with oral squamous cell carcinoma were examined by B-mode and shear wave elastography with a 14 MHz linear transducer. The integrated shear wave elastography software allowed the operator to place regions of interest of various sizes within the elastography window, and automatically displayed shear elastic modulus data (kPa) for each region of interest. The relationship between size and shear elastic modulus of cervical lymph nodes was assessed by Pearson's rank correlation test. The shear elastic modulus of cervical lymph nodes in benign and malignant were evaluated using the Mann–Whitney U test. The analyses were used with a 5% significance level. Results: We plotted shear elastic modulus (X) against minimal axial diameter of cervical lymph nodes (Y), and observed a significant correlation [ Y = 0.091 X + 4.648 (R2 = 0.603, p = 0.000, N = 77)]. Furthermore, the shear elastic modulus of the malignant cervical lymph nodes (105.9 ± 5.2 kPa) was higher than that of benign (11.9 ± 4.4 kPa, p = 0.000). Conclusions: The shear wave elastography is an effective technique for the objectively and quantitatively diagnosis of cervical lymph node metastases of the oral carcinoma.

Shoulder Range of Motion and Strength Characteristics in Circus Acrobats

2020 ◽  
Vol 35 (3) ◽  
pp. 145-152
Author(s):  
Carlie Huberman ◽  
Melissa Scales ◽  
Srikant Vallabhajosula
Keyword(s):  
General Population ◽  
Range Of Motion ◽  
Glenohumeral Joint ◽  
External Rotation ◽  
Hand Dominance ◽  
Cross Sectional ◽  
Shoulder Range Of Motion ◽  
Shoulder Strength ◽  
Shoulder Complex ◽  
Shoulder Range

OBJECTIVES: To begin to establish normative data for shoulder range of motion (ROM) and strength in the circus acrobats and to compare these values based on age, sex, hand dominance, and acrobatic subgroup. METHODS: Active (AROM) and passive (PROM) of the full shoulder complex and PROM of the isolated glenohumeral joint were measured in 193 circus acrobats using standardized techniques for anterior elevation (flexion), posterior elevation (extension), lateral elevation (abduction), and external and internal rotation. Shoulder strength was measured using a hand-held dynamometer in all planes of motion. Measurements were taken twice and averaged. Mixed ANOVA were performed. One-sample t-tests were used to compare with general population. RESULTS: Several significant differences were noted between dominant and non-dominant sides, but not between the sex or age groups tested. Acrobats who did both aerial and ground acrobatics had significantly greater full shoulder complex flexion AROM than the aerial group, and AROM extension than the ground group. Circus acrobats had significantly greater AROM full shoulder complex extension, abduction, internal and external rotation, and shoulder strength than the general population. CONCLUSION: Overall, results from this cross-sectional study revealed that circus acrobats had greater shoulder strength and ROM than the general population, which could affect the way these patients should be treated in a clinical setting. Age and sex seemed to have minimal effects, but there was clearly an effect of hand dominance. Acrobats who train both aerial and ground acrobatics may have greater ROM in certain planes than those who train in only one type of discipline.

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