Related Experiment Video
Updated: Jan 24, 2026
10:10
Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
43.9K
[OPPORTUNITIES OF ULTRASOUND IMAGING FOR VISUALIZATION OF THE SHOULDER JOINT PATHOLOGICAL CHANGES]
L Baindurashvili1, M Mizandari1
1Tbilisi State Medical University, Department Intervetional Radiology; LTD "New Hospitals", Department of Diagnostic&Interventional Radiology, Georgia.
Georgian Medical News
|May 19, 2019
Summary
Ultrasound (US) imaging effectively diagnoses shoulder joint pathologies like tendinitis and bursitis, showing high sensitivity and accuracy. This makes US a valuable tool for initial outpatient diagnosis, guiding further treatment decisions.
Area of Science:
- Orthopedics
- Radiology
- Medical Imaging
Background:
- Shoulder joint pathologies encompass traumatic, degenerative, and inflammatory conditions.
- Accurate diagnosis is crucial for effective treatment planning.
- Ultrasound (US) offers a non-invasive imaging modality for musculoskeletal assessment.
Purpose of the Study:
- To evaluate the diagnostic capabilities of ultrasound (US) for visualizing shoulder joint pathologies.
- To compare the accuracy of US findings with Magnetic Resonance Imaging (MRI) as the gold standard.
- To determine the reliability of US in assessing tendon thickness, echostructure, and contour continuity.
Main Methods:
- Investigated 100 patients with shoulder joint pathologies using high-frequency linear array ultrasound (7.5-12.0 MHz) with Doppler.
- Assessed tendon thickness, echostructure, and contour continuity in transverse and sagittal planes.
- Compared US results with MRI findings (T1, T2, and PDF sequences) in 23 patients.
Main Results:
- US demonstrated high sensitivity (95.00%) and diagnostic accuracy (91.30%) for tendon thickness and contour continuity.
- US showed high sensitivity (94.74%) but moderate specificity (50.00%) for tendon echostructure.
- Negative Likelihood Ratio (NLR) was significant across all evaluated parameters, indicating strong diagnostic value.
Conclusions:
- Ultrasound (US) imaging is highly sensitive and accurate for diagnosing shoulder joint pathologies, particularly for tendon abnormalities.
- US is suitable for primary outpatient diagnostics, while MRI is recommended for complex cases or pre-surgical planning.
- The significant NLR values underscore the utility of US in ruling out shoulder joint pathologies.
Related Concept Videos
01:23Muscles of the Shoulder
9.1K
The muscles surrounding the shoulder girdle, including the clavicle and scapula, primarily stabilize the scapula. This stable base allows other muscles to move the humerus effectively. Scapular movements often mirror those of the humerus and extend its range of motion. For instance, raising the arm above the head would not be feasible without simultaneous upward rotation of the scapula.
Anterior Thoracic Muscles
The anterior thoracic muscles include the serratus anterior, subclavius, and...
Anterior Thoracic Muscles
The anterior thoracic muscles include the serratus anterior, subclavius, and...
9.1K
01:16Structural Joints: Synovial Joints
6.5K
Synovial joints are the most common type of joint in the body. A key structural characteristic for a synovial joint is the presence of a joint cavity. This fluid-filled space is where the articulating surfaces of the bones contact each other. Also, unlike fibrous or cartilaginous joints, the articulating bone surfaces at a synovial joint are not directly connected to each other with fibrous connective tissue or cartilage. This gives the bones of a synovial joint the ability to move smoothly...
6.5K
01:03Structural Joints: Fibrous Joints
3.7K
Fibrous joints are a type of joint where the bones are connected by fibrous connective tissue. These joints provide stability and minimal to no movement between the articulating bones. There are three types of fibrous joints.
Suture
All the bones of the skull, except for the mandible, are joined to each other by a fibrous joint called a suture. The fibrous connective tissue found at a suture strongly unites the adjacent skull bones and thus helps to protect the brain and form the face. In...
Suture
All the bones of the skull, except for the mandible, are joined to each other by a fibrous joint called a suture. The fibrous connective tissue found at a suture strongly unites the adjacent skull bones and thus helps to protect the brain and form the face. In...
3.7K
01:17Structural Joints: Cartilaginous Joints
4.0K
As the name indicates, at a cartilaginous joint, the adjacent bones are united by cartilage, a tough but flexible type of connective tissue. Unlike synovial joints, these types of joints lack a joint cavity and involve bones joined together by either hyaline cartilage or fibrocartilage.
There are two types of cartilaginous joints:
Synchondrosis
A synchondrosis ("joined by cartilage") is a cartilaginous joint where bones are connected by hyaline cartilage. Synchondrosis may be temporary...
There are two types of cartilaginous joints:
Synchondrosis
A synchondrosis ("joined by cartilage") is a cartilaginous joint where bones are connected by hyaline cartilage. Synchondrosis may be temporary...
4.0K
01:26Joints
35.5K
Joints, also called articulations or articular surfaces, are points at which ligaments or other tissues connect adjacent bones. Joints permit movement and stability, and can be classified based on their structure or function.
Structural joint classifications are based on the material that makes up the joint as well as whether or not the joint contains a space between the bones. Joints are structurally classified as fibrous, cartilaginous, or synovial.
Fibrous Joints Are Immovable
The bones of a...
Structural joint classifications are based on the material that makes up the joint as well as whether or not the joint contains a space between the bones. Joints are structurally classified as fibrous, cartilaginous, or synovial.
Fibrous Joints Are Immovable
The bones of a...
35.5K
00:58Introduction to Joints
4.7K
The adult human body usually has 206 bones, and except for the hyoid bone in the neck, each bone is connected to at least one other bone. Joints are the location where bones come together. Many joints allow for movement between the bones. At these joints, the articulating surfaces of the adjacent bones can move smoothly against each other. However, the bones of other joints may be joined by connective tissue or cartilage. These joints are designed for stability and provide little or no...
4.7K