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[Sonography of the biceps tendon]
1Universitätsklinik für Orthopädie, Wien.
Zeitschrift Fur Orthopadie Und Ihre Grenzgebiete
|March 1, 1996
Summary
Ultrasonic investigation of the shoulder joint effectively screened for biceps tendon abnormalities in 641 patients. This imaging technique proved ideal for diagnosing various biceps tendon lesions, including synovitis, rupture, and cysts.
Area of Science:
- Orthopedics
- Radiology
- Musculoskeletal Imaging
Background:
- The long head of the biceps tendon is a common source of shoulder pain.
- Accurate diagnosis of biceps tendon pathology is crucial for effective treatment.
- Ultrasonography offers a non-invasive method for evaluating shoulder structures.
Purpose of the Study:
- To evaluate the effectiveness of ultrasonography in diagnosing lesions of the long head of the biceps tendon.
- To determine the prevalence of various biceps tendon abnormalities in patients undergoing shoulder ultrasound.
Main Methods:
- Retrospective review of 641 shoulder joint ultrasound investigations.
- Analysis of sonographic findings related to the biceps tendon and surrounding soft tissues.
- Correlation of ultrasound diagnoses with surgical findings where applicable.
Main Results:
- Sonographic abnormalities of the biceps tendon or surrounding tissues were identified in 5.3% of patients (34 cases).
- Specific findings included synovitis/effusion of the bicipital groove (15 cases), transverse ligament mineralization (4 cases), tendon rupture (10 cases), and cysts (4 cases).
- Ultrasound diagnosis was confirmed in all but one surgically treated case, demonstrating high accuracy.
Conclusions:
- Ultrasonography is an ideal imaging technique for screening lesions of the long head of the biceps tendon.
- The study highlights the utility of ultrasound in identifying a range of biceps tendon pathologies.
- Accurate ultrasound diagnosis aids in guiding appropriate patient management and treatment strategies.