Tendon quality in small unilateral supraspinatus tendon tears. Real-time sonoelastography correlates with clinical findings

Verfasser / Beitragende:
[Cosimo Tudisco, Salvatore Bisicchia, Matteo Stefanini, Marco Antonicoli, Salvatore Masala, Giovanni Simonetti]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/2(2015-02-01), 393-398
Format:
Artikel (online)
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024 7 0 |a 10.1007/s00167-013-2551-7  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-013-2551-7 
245 0 0 |a Tendon quality in small unilateral supraspinatus tendon tears. Real-time sonoelastography correlates with clinical findings  |h [Elektronische Daten]  |c [Cosimo Tudisco, Salvatore Bisicchia, Matteo Stefanini, Marco Antonicoli, Salvatore Masala, Giovanni Simonetti] 
520 3 |a Purpose: To investigate the feasibility of real-time sonoelastography in the assessment of the mechanical tendon properties in small unilateral supraspinatus tears, to describe the sonoelastographic properties of the torn supraspinatus tendons and to correlate real-time sonoelastography findings with clinical results and demographic data. Methods: All the patients presenting for a unilateral rotator cuff tear were prospectively scrutinized. Clinical evaluation included complete physical examination, VAS, Quick DASH, Constant-Murley score, Simple Shoulder Test, ASES score and UCLA score. Radiological evaluation was performed with conventional ultrasounds and real-time sonoelastography; this is a noninvasive method that uses ultrasounds to evaluate the mechanical properties of tissues, reflecting their quality, that can be semi-quantitatively estimated using the strain index. During the enrolment period, 92 patients were scrutinized, and 50 were included in the study. Results: A negative correlation between strain index and VAS for pain, a strong positive correlation between strain index and Constant-Murley score and ASES score were found. Comparable results were observed in male and female patients, but in males, we found a strong positive correlation also for Simple Shoulder Test and UCLA score. Conclusions: Real-time sonoelastography was a feasible method applicable in the assessment of tendon quality in small supraspinatus tears, and its findings correlated with the clinical results of the patients. In day-by-day clinical practice, this information is very important because quality of tendons is one of the most important prognostic factors for surgeons performing rotator cuff repair. Level of evidence: III. 
540 |a Springer-Verlag Berlin Heidelberg, 2013 
690 7 |a Rotator cuff  |2 nationallicence 
690 7 |a Tendon quality  |2 nationallicence 
690 7 |a Real-time sonoelastography  |2 nationallicence 
690 7 |a Supraspinatus tendon  |2 nationallicence 
700 1 |a Tudisco  |D Cosimo  |u Department of Orthopaedic Surgery, University of Rome "Tor Vergata”, Viale Oxford 81, 00133, Rome, Italy  |4 aut 
700 1 |a Bisicchia  |D Salvatore  |u Department of Orthopaedic Surgery, University of Rome "Tor Vergata”, Viale Oxford 81, 00133, Rome, Italy  |4 aut 
700 1 |a Stefanini  |D Matteo  |u Department of Diagnostic and Molecular Imaging, Interventional Radiology and Radiotherapy, University of Rome "Tor Vergata”, Viale Oxford 81, 00133, Rome, Italy  |4 aut 
700 1 |a Antonicoli  |D Marco  |u Department of Diagnostic and Molecular Imaging, Interventional Radiology and Radiotherapy, University of Rome "Tor Vergata”, Viale Oxford 81, 00133, Rome, Italy  |4 aut 
700 1 |a Masala  |D Salvatore  |u Department of Diagnostic and Molecular Imaging, Interventional Radiology and Radiotherapy, University of Rome "Tor Vergata”, Viale Oxford 81, 00133, Rome, Italy  |4 aut 
700 1 |a Simonetti  |D Giovanni  |u Department of Diagnostic and Molecular Imaging, Interventional Radiology and Radiotherapy, University of Rome "Tor Vergata”, Viale Oxford 81, 00133, Rome, Italy  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/2(2015-02-01), 393-398  |x 0942-2056  |q 23:2<393  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-013-2551-7  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00167-013-2551-7  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Tudisco  |D Cosimo  |u Department of Orthopaedic Surgery, University of Rome "Tor Vergata”, Viale Oxford 81, 00133, Rome, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Bisicchia  |D Salvatore  |u Department of Orthopaedic Surgery, University of Rome "Tor Vergata”, Viale Oxford 81, 00133, Rome, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Stefanini  |D Matteo  |u Department of Diagnostic and Molecular Imaging, Interventional Radiology and Radiotherapy, University of Rome "Tor Vergata”, Viale Oxford 81, 00133, Rome, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Antonicoli  |D Marco  |u Department of Diagnostic and Molecular Imaging, Interventional Radiology and Radiotherapy, University of Rome "Tor Vergata”, Viale Oxford 81, 00133, Rome, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Masala  |D Salvatore  |u Department of Diagnostic and Molecular Imaging, Interventional Radiology and Radiotherapy, University of Rome "Tor Vergata”, Viale Oxford 81, 00133, Rome, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Simonetti  |D Giovanni  |u Department of Diagnostic and Molecular Imaging, Interventional Radiology and Radiotherapy, University of Rome "Tor Vergata”, Viale Oxford 81, 00133, Rome, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/2(2015-02-01), 393-398  |x 0942-2056  |q 23:2<393  |1 2015  |2 23  |o 167