Ultrasonographic features in pathological changes of shoulder joint’s periarticular tissues in patients with different manifestations of pain syndrome
DOI:
https://doi.org/10.15674/0030-59872019418-25Keywords:
shoulder joint, pathological changes, ultrasound examination, pain syndromeAbstract
Tendonitis of muscles which provide movements in the shoulder joint (SJ), osteochondrosis of cervical or thoracic spine, secondary vertebrogenic radiculopathy commonly is cause pain and limitation of motor activity in the shoulder girdle area. Objective: to identify the peculiarities of pathological changes in anatomical structures of SJ at pain syndrome at various nosology. Methods: 206 patients (18–65 years old) were examined and divided into three groups: I — control, II — shoulder impingement syndrome (SIS) at spinal degenerative disc disease, III — SIS of unknown etiology. Ultrasound data were analyzed. Results: it was found that in healthy people there were age-related ultrasound changes in the structure of tendons, ligaments, muscles and SJ cartilages which did not cause discomfort. Changes were found in 10 % of people in a subgroup of 30–40 years of age, and in 30–45 % in older ones. Thicknesses of the capsule, tendons, ligaments and muscles were almost equal (symmetrical) on contralateral joints. The absolute difference in soft-tissue structures’ thickness did not exceed 0.2 mm, the asymmetry coefficient was 0.96. In group II, there were almost no changes in the structure of SJ’s periarticular tissues. The absolute difference in anatomical structures’ thickness was 0.2 mm, the asymmetry coefficient of thickness of the affected and intact joints’ anatomical structures was more than 0.95. In group III, the largest disorders were observed: the echogenicity of affected SJ structures was reduced in more than 90 % of patients; in one third — a heterogeneous structure with hyperechoic inclusions was observed. The absolute difference in thickness of anatomical structures on affected limb comparing with those on the healthy one was more than 0.5 mm, the asymmetry coefficient was less than 0.95. Conclusions: using obtained data, we divided the group with SIS during initial examination, according to the presence of structural changes in the SJ’s periarticular tissues, in order to choose the treatment tactics subsequently.
References
- Isaikin, A. I. & Chernenko, A. A. (2013). Causes and treatment of shoulder pain. Medical Council, 12, 20–26. [in Russian]
- Shirokov V. A. & Kudryavtseva, V. S. (2013). Pain syndromes of the shoulder girdle: diagnosis and treatment. Neurology and Psychiatry, 1, 46–51. [in Russian]
- Lutsik, A. A., Prokhorenko, V. M., Tregub, I. S. & [et al.] (2015). The connection of the shoulder girdle periarthrosis with degenerative diseases of the spine. Orthopedics genius, 3, 50–54. [in Russian]
- Dolgova, L. N. & Krasivina, I. G. (2017). Pain in the shoulder and neck: interdisciplinary aspects of treatment. Medical advice, 17, 50–57. doi: 10.18019 / 1028-4427-2015-3-50-54. [in Russian]
- Khandur, S., Raja, A., Meha, T. & [et al.] (2016). Comparative study of the diagnostic ability of ultrasonography and magnetic resonance imaging in the evaluation of chronic shoulder pain. International Journal of Scientific Study, 4 (1), 266–272.
- Shostak N. A. & Klimenko, A. A. (2013). Pain in the shoulder joint — approaches to diagnosis and treatment. Clinician, 1, 60–63. [in Russian]
- Firsov, A. A. & Shmyrev, V. I. (2014). Pain in the shoulder girdle region: clinical aspects of diagnosis and treatment. Archive of Internal Medicine, 2 (16), 28–32. [in Russian]
- Mikhailov, A. N. & Domantsevich, V. A. (2017). Radiation imaging methods for calcifying tendinosis of the shoulder joint. Problems of health and ecology, 2, 26–31. [in Russian]
- Abdullaev, R. Ya., Kerimov, S. G., Khvisyuk, A. N. & Marchenko, V. G. (2012). Ultrasonography of soft tissues of the musculoskeletal system. Training Benefit. Kharkov: Nove Slovo. [in Russian]
- Sencha A. N. & Belyaev, D. V. (2014). Ultrasound diagnosis. Shoulder joint. VIDAR. [in Russian]
- Abdulaev, R. Ya. & Dudnik, T. A. (2009). Ultrasonography of the shoulder girdle: methodical aspects and normal anatomy. URZh, 17, P. 140–145. [in Ukrainian]
- Abdullaev, R. Ya. & Dzyak, G. V., Dudnik, T. A. (2010). Ultrasonography of the shoulder joint. Training Benefit. Kharkov: Nove Slovo. [in Russian]
- Park, G., Lee, J. H., & Kwon, D. G. (2017). Ultrasonographic measurement of the axillary recess thickness in an asymptomatic shoulder. Ultrasonography, 36 (2), 139–143. doi:10.14366/usg.16032
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