caa a22 4500 605460434 CHVBK 20210128100238.0 cr unu---uuuuu 210128e20150201xx s 000 0 eng 10.1007/s00167-013-2551-7 doi (NATIONALLICENCE)springer-10.1007/s00167-013-2551-7 Tendon quality in small unilateral supraspinatus tendon tears. Real-time sonoelastography correlates with clinical findings [Elektronische Daten] [Cosimo Tudisco, Salvatore Bisicchia, Matteo Stefanini, Marco Antonicoli, Salvatore Masala, Giovanni Simonetti] 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. Springer-Verlag Berlin Heidelberg, 2013 Rotator cuff nationallicence Tendon quality nationallicence Real-time sonoelastography nationallicence Supraspinatus tendon nationallicence Tudisco Cosimo Department of Orthopaedic Surgery, University of Rome "Tor Vergata”, Viale Oxford 81, 00133, Rome, Italy aut Bisicchia Salvatore Department of Orthopaedic Surgery, University of Rome "Tor Vergata”, Viale Oxford 81, 00133, Rome, Italy aut Stefanini Matteo Department of Diagnostic and Molecular Imaging, Interventional Radiology and Radiotherapy, University of Rome "Tor Vergata”, Viale Oxford 81, 00133, Rome, Italy aut Antonicoli Marco Department of Diagnostic and Molecular Imaging, Interventional Radiology and Radiotherapy, University of Rome "Tor Vergata”, Viale Oxford 81, 00133, Rome, Italy aut Masala Salvatore Department of Diagnostic and Molecular Imaging, Interventional Radiology and Radiotherapy, University of Rome "Tor Vergata”, Viale Oxford 81, 00133, Rome, Italy aut Simonetti Giovanni Department of Diagnostic and Molecular Imaging, Interventional Radiology and Radiotherapy, University of Rome "Tor Vergata”, Viale Oxford 81, 00133, Rome, Italy aut Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/2(2015-02-01), 393-398 0942-2056 23:2<393 2015 23 167 https://doi.org/10.1007/s00167-013-2551-7 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00167-013-2551-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Tudisco Cosimo Department of Orthopaedic Surgery, University of Rome "Tor Vergata”, Viale Oxford 81, 00133, Rome, Italy aut NATIONALLICENCE 700 1- Bisicchia Salvatore Department of Orthopaedic Surgery, University of Rome "Tor Vergata”, Viale Oxford 81, 00133, Rome, Italy aut NATIONALLICENCE 700 1- Stefanini Matteo Department of Diagnostic and Molecular Imaging, Interventional Radiology and Radiotherapy, University of Rome "Tor Vergata”, Viale Oxford 81, 00133, Rome, Italy aut NATIONALLICENCE 700 1- Antonicoli Marco Department of Diagnostic and Molecular Imaging, Interventional Radiology and Radiotherapy, University of Rome "Tor Vergata”, Viale Oxford 81, 00133, Rome, Italy aut NATIONALLICENCE 700 1- Masala Salvatore Department of Diagnostic and Molecular Imaging, Interventional Radiology and Radiotherapy, University of Rome "Tor Vergata”, Viale Oxford 81, 00133, Rome, Italy aut NATIONALLICENCE 700 1- Simonetti Giovanni Department of Diagnostic and Molecular Imaging, Interventional Radiology and Radiotherapy, University of Rome "Tor Vergata”, Viale Oxford 81, 00133, Rome, Italy aut NATIONALLICENCE 773 0- Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/2(2015-02-01), 393-398 0942-2056 23:2<393 2015 23 167