Ultrasound peculiarities of anatomic structures of adults shoulder joint depending upon age and gender
DOI:
https://doi.org/10.15674/0030-59872015443-48Keywords:
shoulder joint, ultrasonography, adults, age-related changesAbstract
Goal: to reveal peculiarities of ultrasound picture of antomic structure of shoulder joint depending upon the age in relatively health people. Methods: 85 relatively health people at the age from 18 to 60 y.o. underwent ultrasonographic investigation. They were devided on four groups according to their age: I — 18–30 years, II — 31–40 years, III — 41–50 years, IV — 51–60 years. The investigation was performed using ultrasonographic system Simens G-50 and Toshiba Aplio-500. Results. I group – ultrasnograpfic investigation of shoulder joint revealed homogenous structure of tendons without changes of echogenic properties and inclusions in soft tissues structure. Contour of humeral head and articular surfaces was clear and even. II group — heterogenity of tendons structure and increase of their echogenic properties was revealed in 2 of 20 examined people, but inclusions in soft tissue structures were not identified. Contour of humeral head is clear and even. Contour of acromio-clavicular joint was notched in 1 case.III group — heterogenity of tendons structure and increase of echogenic properties was revealed in 7 cases. Hyperechogenic single inclusions in tendon structures were visualised in 1 case. Tendons thinning were noticed in 3 cases. Contour of humeral head was clear and even in all cases. Contour of acromio-clavicular joint was notched in 12 cases. IV group — heterogenity of tendons structure and increase of echogenic properties was revealed in 9 cases. Hyperechogenic inclusions in tendon structures were identified in
4 cases, tendons thinning — in 3 cases. Notched contour of humeral head was in 6 cases, acromio-clavicular — in 13 cases. Tendons and muscles were thicker by 3–28 % in men, comparing with women, in all age groups. Conclusion: the changes develop with aging in structure of soft tissues and cartilage of shoulder joints without regard to gender and do not accompany with clinical manifestation.
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