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Clin Shoulder Elbow > Volume 11(2); 2008 > Article
Journal of the Korean Shoulder and Elbow Society 2008;11(2):90-95.
DOI: https://doi.org/10.5397/CiSE.2008.11.2.090    Published online December 31, 2008.
Efficacy of Ultrasonogram for the Diagnosis of Biceps Tendon Pathology
Joong Bae Seo, Jee Young Lee, Seung Chul Bahng
1Department of Orthopaedic Surgery, Dankook University College of Medicine, Cheonan, Korea.
2Department of Radiology, Dankook University College of Medicine, Cheonan, Korea. ssjb1990@dku.edu
상완 이두건의 병소에 대한 초음파 검사의 유용성
단국대학교 의과대학 정형외과학교실, 영상의학과교실*
We wanted to assess the accuracy of ultrasound for detecting abnormality of the long head of the biceps tendon in patients with rotator cuff disorders. MATERIALS AND METHODS: Between January 2006 and March 2007, we reviewed the arthroscopic findings of biceps tendons in 67 patients with rotator cuff disorder and who underwent ultrasonography pre-operatively. The patients' average age was 58 years and there were 41 males and 26 females. The statuses of the biceps tendons were described as 'normal', 'dislocation', 'subluxation', 'partial or complete tears', and 'tendinopathy'. We investigated the correspondence between the arthroscopic and ultrasonographic findings.
On ultrasonography, the biceps tendons were 'normal' in 37 patients and 'abnormal' in 30 patients. On arthroscopy, 5 biceps tendons turned out to have partial tears, which were 'normal' on ultrasonography. On the other hand, 8 biceps tendons were 'normal' which were 'abnormal' on ultrasonography. Three dislocations and 4 complete tears of biceps tendons were identified on arthroscopy, and all of them were detected by ultrasonography. Of the 20 cases of 'tendinopathy' seen on ultrasonography, 15 patients had partial tears and the remaining 5 patients were normal on arthroscopy.
Ultrasonography is accurate for detecting some biceps pathologies, such as dislocation or complete tear, but it is not accurate for the detection of partial tear.
Key Words: Rotator cuff disorder; Biceps tendon; Ultrasonography
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