Research progress of ultrasound in diagnosis and treatment of shoulder joint diseases_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

XIE Yuxin ^1,2 ,  ZHANG Qiang ² , XIE Yuxin ^1,2 ,  ZHANG Qiang ²

1. Chinese PLA Medical School, Beijing, 100853, P. R. China;
2. Department of Orthopedic Surgery, Chinese PLA General Hospital, Beijing, 100853, P. R. China;

Corresponding author：

ZHANG Qiang, Email: 301zq@live.cn; ZHANG Qiang, Email: 301zq@live.cn

Keywords：

Ultrasound; shoulder joint; musculoskeletal ultrasound; real-time dynamic evaluation

DOI：

10.7507/1002-1892.202312095

Video：

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Objective To review the research progress of ultrasound in the diagnosis and treatment of shoulder diseases, in order to provide a theoretical basis for the further development of ultrasound in shoulder surgery. Methods The recent literature on the application of ultrasound in the shoulder joint was extensively reviewed. The application of ultrasound in the diagnosis and treatment of shoulder joint diseases, and the advantages and disadvantages of ultrasound were analysed, and the development trend of ultrasound technology in the shoulder joint area was prospected. Results At present, the diagnosis of shoulder joint diseases mainly relies on MRI, however, with the development of ultrasound technology, ultrasound with the characteristics of convenient, reliable, and real-time dynamic evaluation is more and more recognized in the diagnosis process of shoulder joint diseases, combined with three-dimensional ultrasound, ultrasound intervention, and elastography can improve the accuracy, sensitivity, and specificity of the diagnosis, and is suitable for the diagnosis and treatment of various shoulder joint diseases, which is expected to carry out early prevention of shoulder joint diseases in the future and achieve more refined and minimally invasive treatment. Conclusion Ultrasound technology has wide application prospect in shoulder joint diseases, but it is still in the developing stage, and the subjective dependence needs to be solved further.

Citation： XIE Yuxin, ZHANG Qiang. Research progress of ultrasound in diagnosis and treatment of shoulder joint diseases. Chinese Journal of Reparative and Reconstructive Surgery, 2024, 38(4): 505-510. doi: 10.7507/1002-1892.202312095 Copy

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1. Strakowski JA, Visco CJ. Diagnostic and therapeutic musculoskeletal ultrasound applications of the shoulder. Muscle Nerve, 2019, 60(1): 1-6.
2. Strakowski JA, Visco CJ. Diagnostic and therapeutic musculoskeletal ultrasound applications of the shoulder. Muscle Nerve, 2019, 60(1): 1-6.
3. Sconfienza LM, Adriaensen M, Albano D, et al. Clinical indications for image-guided interventional procedures in the musculoskeletal system: a Delphi-based consensus paper from the European Society of Musculoskeletal Radiology (ESSR)-part Ⅰ, shoulder. Eur Radiol, 2020, 30(2): 903-913.
4. Sconfienza LM, Adriaensen M, Albano D, et al. Clinical indications for image-guided interventional procedures in the musculoskeletal system: a Delphi-based consensus paper from the European Society of Musculoskeletal Radiology (ESSR)-part Ⅰ, shoulder. Eur Radiol, 2020, 30(2): 903-913.
5. Tortora S, Messina C, Gitto S, et al. Ultrasound-guided musculoskeletal interventional procedures around the shoulder. J Ultrason, 2021, 21(85): e162-e168.
6. Tortora S, Messina C, Gitto S, et al. Ultrasound-guided musculoskeletal interventional procedures around the shoulder. J Ultrason, 2021, 21(85): e162-e168.
7. Wang Y, Zhu Y, Zhang F, et al. The value of combined ultrasound contrast arthrography and subacromial-subdeltoid bursography for detecting and differentiating the rotator cuff tear subtypes in patients with the uncertain rotator cuff tear. Eur Radiol, 2023. doi: 10.1007/s00330-023-10183-4.
8. Wang Y, Zhu Y, Zhang F, et al. The value of combined ultrasound contrast arthrography and subacromial-subdeltoid bursography for detecting and differentiating the rotator cuff tear subtypes in patients with the uncertain rotator cuff tear. Eur Radiol, 2023. doi: 10.1007/s00330-023-10183-4.
9. Cay N, Ipek A, Isik C, et al. Strain ratio measurement of femoral cartilage by real-time elastosonography: preliminary results. Eur Radiol, 2015, 25(4): 987-993.
10. Cay N, Ipek A, Isik C, et al. Strain ratio measurement of femoral cartilage by real-time elastosonography: preliminary results. Eur Radiol, 2015, 25(4): 987-993.
11. Akkaya M, Cay N, Gursoy S, et al. Sonoelastography of the knee joint. Clin Anat, 2019, 32(1): 99-104.
12. Akkaya M, Cay N, Gursoy S, et al. Sonoelastography of the knee joint. Clin Anat, 2019, 32(1): 99-104.
13. Virén T, Saarakkala S, Kaleva E, et al. Minimally invasive ultrasound method for intra-articular diagnostics of cartilage degeneration. Ultrasound Med Biol, 2009, 35(9): 1546-1554.
14. Virén T, Saarakkala S, Kaleva E, et al. Minimally invasive ultrasound method for intra-articular diagnostics of cartilage degeneration. Ultrasound Med Biol, 2009, 35(9): 1546-1554.
15. Jacobson JA, Lancaster S, Prasad A, et al. Full-thickness and partial-thickness supraspinatus tendon tears: value of US signs in diagnosis. Radiology, 2004, 230(1): 234-242.
16. Jacobson JA, Lancaster S, Prasad A, et al. Full-thickness and partial-thickness supraspinatus tendon tears: value of US signs in diagnosis. Radiology, 2004, 230(1): 234-242.
17. Farooqi AS, Lee A, Novikov D, et al. Diagnostic accuracy of ultrasonography for rotator cuff tears: A systematic review and meta-analysis. Orthop J Sports Med, 2021, 9(10): 23259671211035106. doi: 10.1177/23259671211035106.
18. Farooqi AS, Lee A, Novikov D, et al. Diagnostic accuracy of ultrasonography for rotator cuff tears: A systematic review and meta-analysis. Orthop J Sports Med, 2021, 9(10): 23259671211035106. doi: 10.1177/23259671211035106.
19. Chang RF, Lee CC, Lo CM. Computer-aided diagnosis of different rotator cuff lesions using shoulder musculoskeletal ultrasound. Ultrasound Med Biol, 2016, 42(9): 2315-2322.
20. Chang RF, Lee CC, Lo CM. Computer-aided diagnosis of different rotator cuff lesions using shoulder musculoskeletal ultrasound. Ultrasound Med Biol, 2016, 42(9): 2315-2322.
21. Chen X, Wang Y, Chen J, et al. Clinical value of three-dimensional ultrasonography in the morphologic evaluation of rotator cuff tear: a prospective study. Eur Radiol, 2023, 33(4): 2331-2339.
22. Chen X, Wang Y, Chen J, et al. Clinical value of three-dimensional ultrasonography in the morphologic evaluation of rotator cuff tear: a prospective study. Eur Radiol, 2023, 33(4): 2331-2339.
23. 靳宝雍, 李焱, 马林, 等. 肩关节稳定机制再平衡理论在肩关节不稳和运动功能障碍治疗中的临床应用. 中国修复重建外科杂志, 2022, 36(3): 380-385.
24. 靳宝雍, 李焱, 马林, 等. 肩关节稳定机制再平衡理论在肩关节不稳和运动功能障碍治疗中的临床应用. 中国修复重建外科杂志, 2022, 36(3): 380-385.
25. 王洋, 孙广宏, 王慧, 等. 探讨高频超声测量盂肱关节下囊厚度与肩关节外展角度的关系. 宁夏医学杂志, 2022, 44(9): 793-795.
26. 王洋, 孙广宏, 王慧, 等. 探讨高频超声测量盂肱关节下囊厚度与肩关节外展角度的关系. 宁夏医学杂志, 2022, 44(9): 793-795.
27. Shrestha-Taylor S, Ginn K, Poulos A, et al. Ultrasound assessment of the inferior glenohumeral capsule in normal shoulders—a study of measurement variables and reliability. Br J Radiol, 2023, 96(1146): 20220858. doi: 10.1259/bjr.20220858.
28. Shrestha-Taylor S, Ginn K, Poulos A, et al. Ultrasound assessment of the inferior glenohumeral capsule in normal shoulders—a study of measurement variables and reliability. Br J Radiol, 2023, 96(1146): 20220858. doi: 10.1259/bjr.20220858.
29. Park GY, Lee JH, Kwon DG. Ultrasonographic measurement of the axillary recess thickness in an asymptomatic shoulder. Ultrasonography, 2017, 36(2): 139-143.
30. Park GY, Lee JH, Kwon DG. Ultrasonographic measurement of the axillary recess thickness in an asymptomatic shoulder. Ultrasonography, 2017, 36(2): 139-143.
31. Wu PY, Hsu PC, Chen TN, et al. Evaluating correlations of coracohumeral ligament thickness with restricted shoulder range of motion and clinical duration of adhesive capsulitis with ultrasound measurements. PM R, 2021, 13(5): 461-469.
32. Wu PY, Hsu PC, Chen TN, et al. Evaluating correlations of coracohumeral ligament thickness with restricted shoulder range of motion and clinical duration of adhesive capsulitis with ultrasound measurements. PM R, 2021, 13(5): 461-469.
33. Itoi E, Arce G, Bain GI, et al. Shoulder stiffness: Current concepts and concerns. Arthroscopy, 2016, 32(7): 1402-1414.
34. Itoi E, Arce G, Bain GI, et al. Shoulder stiffness: Current concepts and concerns. Arthroscopy, 2016, 32(7): 1402-1414.
35. Cho CH, Min BW, Bae KC, et al. A prospective double-blind randomized trial on ultrasound-guided versus blind intra-articular corticosteroid injections for primary frozen shoulder. Bone Joint J, 2021, 103-B(2): 353-359.
36. Cho CH, Min BW, Bae KC, et al. A prospective double-blind randomized trial on ultrasound-guided versus blind intra-articular corticosteroid injections for primary frozen shoulder. Bone Joint J, 2021, 103-B(2): 353-359.
37. 刘尧, 朱栋晓, 王米, 等. 超声引导下前路和后路穿刺行肩关节囊液压扩张治疗原发性冻结肩的疗效对比. 医学研究杂志, 2020, 49(11): 141-145.
38. 刘尧, 朱栋晓, 王米, 等. 超声引导下前路和后路穿刺行肩关节囊液压扩张治疗原发性冻结肩的疗效对比. 医学研究杂志, 2020, 49(11): 141-145.
39. Xu H, Zhang Y, Wang C. Ultrasound-guided hydrodilatation of glenohumeral joint combined with acupotomy for treatment of frozen shoulder. J Back Musculoskelet Rehabil, 2022, 35(5): 1153-1160.
40. Xu H, Zhang Y, Wang C. Ultrasound-guided hydrodilatation of glenohumeral joint combined with acupotomy for treatment of frozen shoulder. J Back Musculoskelet Rehabil, 2022, 35(5): 1153-1160.
41. Kimura H, Suda M, Kobayashi T, et al. Effectiveness of ultrasound-guided fascia hydrorelease on the coracohumeral ligament in patients with global limitation of the shoulder range of motion: a pilot study. Sci Rep, 2022, 12(1): 19782. doi: 10.1038/s41598-022-23362-y.
42. Kimura H, Suda M, Kobayashi T, et al. Effectiveness of ultrasound-guided fascia hydrorelease on the coracohumeral ligament in patients with global limitation of the shoulder range of motion: a pilot study. Sci Rep, 2022, 12(1): 19782. doi: 10.1038/s41598-022-23362-y.
43. Bae KH, Park KC, Jeong GM, et al. Proximal vs distal approach of ultrasound-guided suprascapular nerve block for patients with adhesive capsulitis of the shoulder: Prospective randomized controlled trial. Arch Phys Med Rehabil, 2021, 102(5): 819-827.
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Research progress of ultrasound in diagnosis and treatment of shoulder joint diseases

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