The efficacy of ultrasound in the diagnosis of long head of the biceps tendon pathology

Armstrong, April; Teefey, Sharlene A.; Wu, Thomas K.; Clark, Aileen M.; Middleton, William D.; Yamaguchi, Ken; Galatz, Leesa M.

doi:10.1016/j.jse.2005.04.008

Cited by 125 publications

(75 citation statements)

References 25 publications

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“…US has been shown to be both sensitive and specific in the detection of LHBT full thickness tears and subluxation and dislocation [7]. However, US appears to be insensitive in the detection of partial thickness LHBT tears when compared to arthroscopy [7]. Providing that anisotropy is accounted for during examination, this case report suggests that clinicians should feel confident in diagnosing variant LHBT anatomy with US.…”

Section: Discussionmentioning

confidence: 86%

“…Clinically, there is an association between variant intraarticular LHBT anatomy and other shoulder pathologies, especially labral tears [1,2]. US has been shown to be both sensitive and specific in the detection of LHBT full thickness tears and subluxation and dislocation [7]. However, US appears to be insensitive in the detection of partial thickness LHBT tears when compared to arthroscopy [7].…”

Section: Discussionmentioning

confidence: 99%

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Ultrasound appearance and dynamic evaluation of variant long head of the biceps tendon anatomy with MRI correlation

2014

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Many variants of the long head of the biceps tendon exist but their appearance has not been documented with ultrasonography (US). We describe a case of variant LHB anatomy that was visualized by magnetic resonance imaging and confirmed with US. Additionally, US was useful to exclude instability of the LHBT. To the best of our knowledge, this variant appearance of the LHBT has not been previously described with US. Considering that shoulder US is routinely performed clinically, knowledge of the appearance of variant LHBT anatomy may be useful.Riassunto Esistono molte varianti del tendine del capo lungo del bicipite, ma il loro aspetto non è stato documentato con ecografia (US). Descriviamo un caso di variante anatomica del LHBT visualizzata con risonanza magnetica e confermata con gli US. Inoltre, gli US sono stati utili per escludere l'instabilità del LHBT. Per quanto a nostra conoscenza, questa variante del LHBT non è stata descritta in precedenza con gli US. Considerando che l'ecografia della spalla viene eseguita di routine nella pratica clinica, la conoscenza della variante anatomica del LHBT può essere utile.

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Section: Discussionmentioning

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Ultrasound appearance and dynamic evaluation of variant long head of the biceps tendon anatomy with MRI correlation

2014

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“…Power analysis indicated that a sample size of forty cases per group would provide 95% statistical power to detect this effect size between the groups (alpha = 0.05, beta = 0.20 previous accuracy of US = 73, 13) accuracy of SE = 92.7…”

Section: Discussionmentioning

confidence: 99%

“…17) US has shown an overall sensitivity of 49% and a specificity of 97%. 13) Although, US was poor at diagnosing intra-articular partial tears of the tendon in difficult to scan patients who are obese, and requires an experienced operator. Nevertheless, it will become imaging study of choice because of it has many advantages; relatively inexpensive, may be used for patients with metallic implants; possible to exam dynamic technique; no ionizing radiation; offers better spatial resolution than MRI, and may be used for local anesthetic or corticosteroid injections into the biceps tendon sheath.…”

Section: )mentioning

confidence: 99%

Diagnostic Consistency between Sonoelastography and Conventional Sonography of Long Head of the Biceps

Yoon¹,

Seo²,

Yoo³

et al. 2014

Clin Shoulder Elbow

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Background: Sonoelastography (SE) is a new technique that can assess differences in tissue stiffness, the purpose of this study was to evaluate the ability of SE to assess the long head of biceps tendon alteration. Methods: Forty shoulders of 36 consecutively registered patients with clinical symptoms and conventional ultrasonography findings of biceps tendinitis or tendinosis, and 40 asymptomatic shoulders of 20 healthy volunteers were assessed with SE. Transverse and longitudinal images of long head of biceps tendon were obtained using SE. SE images were performed by one orthopedic surgeon and evaluated by two orthopedic surgeons using an experimentally proven color grading system. Results: The transverse images of SE showed a sensitivity of 87.5%, a specificity of 95.0% and a accuracy of 91.3%, the longitudinal images of SE showed a sensitivity of 92.5%, a specificity of 90.0% and a accuracy of 91.3%. Inter-observer reliability of SE was in 'almost perfect agreement' with a weighted kappa coefficient of 0.83. Conclusions: SE is valuable in the detection of the intratendinous and peritendinous alterations of biceps tendon, and has excellent accuracy and excellent correlation with conventional ultrasound findings. (Clin Shoulder Elb 2014;17(3):107-113)

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“…The most common sonographic findings in biceps tendinopathy are: alterations of the fibrillar pattern with diffuse or focal hypoechogenicity, the presence of fluid in the bicipital groove, the thickening of the tendon, the presence of calcifications and the pathological vascularisation or dislocation of the tendon [6,16]. Despite the advances in imaging techniques, the role of ultrasound in the diagnosis of LHBT pathology is still unclear and constitutes a subject of debate [2,19].…”

Section: Introductionmentioning

confidence: 99%

Sonography in the instability of the long head of the biceps tendon confronted with histopathologic and arthroscopic findings

Zabrzyński¹,

Paczesny²,

Zabrzyńska³

et al. 2018

Folia Morphol

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The efficacy of ultrasound in the diagnosis of long head of the biceps tendon pathology

Cited by 125 publications

References 25 publications

Ultrasound appearance and dynamic evaluation of variant long head of the biceps tendon anatomy with MRI correlation

Ultrasound appearance and dynamic evaluation of variant long head of the biceps tendon anatomy with MRI correlation

Diagnostic Consistency between Sonoelastography and Conventional Sonography of Long Head of the Biceps

Sonography in the instability of the long head of the biceps tendon confronted with histopathologic and arthroscopic findings

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