Dynamic Ultrasound in Shoulder Impingement

Author(s):  
2011 ◽  
Vol 41 (9) ◽  
pp. 1047-1053 ◽  
Author(s):  
Ahmed A. Daghir ◽  
Paul A. Sookur ◽  
Sachit Shah ◽  
Martin Watson

Author(s):  
Islam El-Hefnawi Abdel Fattah El-Shewi ◽  
Hatem Mohamed El Azizy ◽  
Amr Abd El Fattah Hassan Gadalla

Abstract Background Subacromial impingement is the most frequent cause of shoulder pain, accounting for up to 60% of all shoulder complaints; dynamic high-resolution ultrasonography can be used in the detection of different abnormalities causing and related to shoulder impingement. This is compared to MRI, which we considered as a standard in our cases. Results Fifty patients presented with symptoms of painful shoulder with 42 patients of them having limited movements of their shoulders. All patients had a conventional B-mode ultrasound examination, and dynamic sonographic examination was also performed in all patients. The results were compared to the MRI examination results of those patients. The addition of dynamic ultrasound examination for diagnosis of the painful shoulder showed the highest sensitivity in the assessment of impingement syndrome and for detection of different abnormalities affecting the shoulder joint (e.g., 85.7% for rotator cuff partial-thickness tear, 90% for rotator cuff full-thickness tear). Conclusion Based on our results, the static US combined with dynamic study can be a helpful tool in detecting different abnormalities of the painful shoulder especially impingement syndrome and its different causes.


2020 ◽  
pp. 1-1
Author(s):  
Benjamin D. Levine ◽  
Steven Kwong ◽  
Kambiz Motamedi

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
N Cheyne ◽  
A Jeelani ◽  
M Zeiton ◽  
C Tablot ◽  
E Holt ◽  
...  

Abstract Background Subacromial injections are common for diagnosis and therapy of shoulder impingement secondary to subacromial bursitis. We evaluated the likelihood of a successful subacromial injection from both the posterior and lateral injection sites. Method We reviewed 100 MRI scans of the shoulder and recorded measurements in both the sagittal (representative of posterior injection) and coronal (representative of lateral injection) orientations. We compared these to the lengths of standard needles. Multiple measurements were taken: Results Measuring along the angle of the acromion demonstrated shorter mean distances from the lateral injection site. The distance from skin to mid-point of the acromion) provided mean values of 51.4mm for posterior and 40.1mm for lateral. A standard 40mm (green) needle would reach the midpoint of the acromion in 58% of lateral measurements and 23% from posterior. Conclusions Injections are more likely to enter the subacromial space from a lateral rather than a posterior entry point.


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