Sonographie der Rotatorenmanschette

Hedtmann, A.; Fett, H.

doi:10.1007/s00132-001-0266-9

Cited by 24 publications

(15 citation statements)

References 82 publications

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“…Recently, high-frequency ultrasonography with the use of linear transducers has been advocated as a valuable technique for examining the bicipital tendon and its ten-don sheath (Kramer and others 2001). In humans, radiography and ultrasonography are used complementarily to improve sensitivity in the evaluation of bicipital tenosynovitis (Farin andJaroma 1996, Hedtmann andFett 2002). In the case reported here, radiography proved to be very sensitive in detecting degenerative changes and signs of instability and dysplasia.…”

Section: Discussionmentioning

confidence: 95%

Glenoid dysplasia and bicipital tenosynovitis in a Maine coon cat

Scharf

Steinbüchl

Messmer

et al. 2004

J of Small Animal Practice

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This report describes a rare case of bicipital tenosynovitis in a Maine coon cat. The cat, a three-and-half-year-old neutered female, presented with chronic weightbearing lameness of the left forelimb. Flexion of the left glenohumeral joint and extension of the left cubital joint were resented, and palpation of the biceps brachii tendon in the bicipital groove elicited pain. A mild incongruity of the joint with mild degenerative changes was seen radiographically. Glenohumeral joint dysplasia was suspected. Ultrasound examination revealed marked thickening of the bicipital tendon and moderate effusion of the left bicipital tendon sheath. Positive contrast radiography of the joint confirmed dilation of the tendon sheath. A tentative diagnosis of bicipital tenosynovitis was made and confirmed on arthrotomy. Surgical removal of osteophytes resulted in the cat being free from pain but a mild lameness recurred six months after surgery.

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Section: Discussionmentioning

confidence: 95%

Glenoid dysplasia and bicipital tenosynovitis in a Maine coon cat

Scharf

Steinbüchl

Messmer

et al. 2004

J of Small Animal Practice

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“…41 Hedtmann and Fett state that better results regarding sensitivity and specificity are seen in studies with larger numbers of examined patients. 40 US is also unable to evaluate other sources of shoulder pain including labral tears, biceps tendon pathology, and other intra-articular issues.…”

Section: Imagingmentioning

confidence: 96%

Rotator cuff disease – basics of diagnosis and treatment

et al. 2010

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Rotator cuff (RTC) disease is a particularly prevalent cause of shoulder pain and weakness presenting to primary care physicians, internists, rheumatologists, and orthopedists. An understanding of the anatomy of the RTC tendons and the underlying pathogenesis aids in the diagnosis, which is based largely on history and specific physical examination tests. Imaging may further define the pathology and aid in the evaluation of other sources of shoulder pain. Injuries to the RTC range from tendonitis to partial thickness tears to full thickness tears. The majority of patients with impingement and some cases of partial thickness tears may be managed effectively with non-operative measures including nonsteroidal anti-inflammatory drugs, local injections, and physical therapy. Predictors of a good outcome with non-operative treatment include pre-injury strength, ability to raise the arm to the level of the shoulder, and a more acute presentation. Persistent symptoms may require operative intervention including debridement, subacromial decompression, and/or RTC repair. Acute full thickness tears in younger patients in addition to failed nonoperative management of full thickness tears in older patients are the most likely to require surgery, which may be done open or arthroscopically. The majority of tears are amenable to the less invasive arthroscopic method, which yields good success rates and high patient satisfaction.

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“…Die statische und dynamische Ultraschalluntersuchung gilt heute als Standardverfahren zur Diagnostik der Rotatorenmanschette [5,6]. Apparative Voraussetzung ist derzeit ein hochauflösender 7,5 oder 10 MHz-Linearschallkopf.…”

Section: Diskussionunclassified

“…Die Schultersonographie hat sich seit den Arbeiten von Crass [1], Mack [2] und Middleton [3,4] Mitte der 80er-Jahre bis heute als Standardverfahren zur Beurteilung der Rotatorenmanschette entwickelt [5,6]. Harland [7] und Hedtmann [8,9] etablierten standardisierte Schnittebenen sowie formale Kriterien wie eine fokale Ausdünnung bzw.…”

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“…Harland [7] und Hedtmann [8,9] etablierten standardisierte Schnittebenen sowie formale Kriterien wie eine fokale Ausdünnung bzw. Verschmälerung oder eine fehlende Darstellung in zwei senkrecht aufeinander stehenden Ebenen als sichere Zeichen eines Sehnendefektes [6,9]. Dagegen ist die Artefakt-anfällige Bewertung von Echo-Inhomogenitäten, gerade beim älteren Patienten mit physiologischerweise auftretenden Veränderungen innerhalb der Sehnen, unsicher [6].…”

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