A Retrospective Investigation of Ultrasound Findings in Patients with Shoulder Pain from One Center in Northern Taiwan

沈 明忠(Min-Chung Shen), 張 德明(Deh-Ming Chang), 侯 宗昀(Tsung-Yun Hou), 劉 峰誠(Feng-Cheng Liu), 陳 相成(Hsiang-Cheng Cen), 朱 士傑(Shi-Jye Chu), 郭 三元(San-Yuan Kuo), 陳 政宏(Chen-Hung Chen), 張 棋楨(Chi-Ching Chang)

Research output: Contribution to journalArticle

Abstract

Objective: Research has shown that 15-30% of adults experience shoulder pain at some point during the course of their lives. The sensitivity and specificity of musculoskeletal ultrasound (MSUS) have been validated, showing that this tool can complement surgical findings and magnetic resonance imaging. We report ultrasound findings of patients with shoulder pain in rheumatological daily practice. Methods: The subject population for this retrospective study included 240 patients complaining of shoulder pain at the MSUS department of our rheumatology service between January 2010 and December 2012. The ultrasound examination included views of the rotator cuff, the long head of the biceps tendon, the subacromial-subdeltoid bursa, the acromioclavicular joint, and the glenohumeral joint. Results: Of the 240 patients, 140 were women and 100 were men, with ages ranging from 17 to 89 years and a mean age of 54.31 ± 14.64 years. Alterations of shoulder structures were detected in the supraspinatus tendon (76.2%), biceps tendon (62.4%), subscapularis tendon (22.9%), glenohumeral joint (20.4%), acromioclavicular joint (15.3%), subacromial-subdeltoid bursa (13.3%), and infraspinatous tendon (9.2%). Impingement (14.1%) and calcifications (8.2%) were also detected. Eight patients (3.3%) exhibited no sonographic evidence of any alteration. The sensitivity of the technique was confirmed by the finding of alterations in 96.7% of the cases. Conclusion: Although physical examination allows for a diagnostic approach in the treatment of shoulder pain, the technique is typically not accurate enough to ensure that the correct diagnosis is made. MSUS offered the precision necessary to detect the underlying pathology in 97% of the cases.
Original languageEnglish
Pages (from-to)37-43
Number of pages7
JournalFormosan Journal of Rheumatology
Volume27
Issue number2
Publication statusPublished - 2013

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Pain Clinics
Shoulder Pain
Taiwan
Tendons
Rotator Cuff
Acromioclavicular Joint
Shoulder Joint
Rheumatology
Physical Examination
Retrospective Studies
Magnetic Resonance Imaging
Pathology
Sensitivity and Specificity
Research
Population

Keywords

  • 骨骼關節超音波
  • 肩膀疼痛
  • Musculoskeletal ultrasound
  • painful shoulder

Cite this

沈明忠(Min-Chung S, 張德明(Deh-Ming C, 侯宗昀(Tsung-Yun H, 劉峰誠(Feng-Cheng L, 陳相成(Hsiang-Cheng C, 朱士傑(Shi-Jye C, ... 張棋楨(Chi-Ching C (2013). A Retrospective Investigation of Ultrasound Findings in Patients with Shoulder Pain from One Center in Northern Taiwan. Formosan Journal of Rheumatology, 27(2), 37-43.

A Retrospective Investigation of Ultrasound Findings in Patients with Shoulder Pain from One Center in Northern Taiwan. / 沈明忠(Min-Chung Shen); 張德明(Deh-Ming Chang); 侯宗昀(Tsung-Yun Hou); 劉峰誠(Feng-Cheng Liu); 陳相成(Hsiang-Cheng Cen); 朱士傑(Shi-Jye Chu); 郭三元(San-Yuan Kuo); 陳政宏(Chen-Hung Chen); 張棋楨(Chi-Ching Chang).

In: Formosan Journal of Rheumatology, Vol. 27, No. 2, 2013, p. 37-43.

Research output: Contribution to journalArticle

沈明忠(Min-ChungS, 張德明(Deh-MingC, 侯宗昀(Tsung-YunH, 劉峰誠(Feng-ChengL, 陳相成(Hsiang-ChengC, 朱士傑(Shi-JyeC, 郭三元(San-YuanK, 陳政宏(Chen-HungC & 張棋楨(Chi-ChingC 2013, 'A Retrospective Investigation of Ultrasound Findings in Patients with Shoulder Pain from One Center in Northern Taiwan', Formosan Journal of Rheumatology, vol. 27, no. 2, pp. 37-43.
沈明忠(Min-ChungS, 張德明(Deh-MingC, 侯宗昀(Tsung-YunH, 劉峰誠(Feng-ChengL, 陳相成(Hsiang-ChengC, 朱士傑(Shi-JyeC et al. A Retrospective Investigation of Ultrasound Findings in Patients with Shoulder Pain from One Center in Northern Taiwan. Formosan Journal of Rheumatology. 2013;27(2):37-43.
沈明忠(Min-Chung Shen) ; 張德明(Deh-Ming Chang) ; 侯宗昀(Tsung-Yun Hou) ; 劉峰誠(Feng-Cheng Liu) ; 陳相成(Hsiang-Cheng Cen) ; 朱士傑(Shi-Jye Chu) ; 郭三元(San-Yuan Kuo) ; 陳政宏(Chen-Hung Chen) ; 張棋楨(Chi-Ching Chang). / A Retrospective Investigation of Ultrasound Findings in Patients with Shoulder Pain from One Center in Northern Taiwan. In: Formosan Journal of Rheumatology. 2013 ; Vol. 27, No. 2. pp. 37-43.
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abstract = "Objective: Research has shown that 15-30{\%} of adults experience shoulder pain at some point during the course of their lives. The sensitivity and specificity of musculoskeletal ultrasound (MSUS) have been validated, showing that this tool can complement surgical findings and magnetic resonance imaging. We report ultrasound findings of patients with shoulder pain in rheumatological daily practice. Methods: The subject population for this retrospective study included 240 patients complaining of shoulder pain at the MSUS department of our rheumatology service between January 2010 and December 2012. The ultrasound examination included views of the rotator cuff, the long head of the biceps tendon, the subacromial-subdeltoid bursa, the acromioclavicular joint, and the glenohumeral joint. Results: Of the 240 patients, 140 were women and 100 were men, with ages ranging from 17 to 89 years and a mean age of 54.31 ± 14.64 years. Alterations of shoulder structures were detected in the supraspinatus tendon (76.2{\%}), biceps tendon (62.4{\%}), subscapularis tendon (22.9{\%}), glenohumeral joint (20.4{\%}), acromioclavicular joint (15.3{\%}), subacromial-subdeltoid bursa (13.3{\%}), and infraspinatous tendon (9.2{\%}). Impingement (14.1{\%}) and calcifications (8.2{\%}) were also detected. Eight patients (3.3{\%}) exhibited no sonographic evidence of any alteration. The sensitivity of the technique was confirmed by the finding of alterations in 96.7{\%} of the cases. Conclusion: Although physical examination allows for a diagnostic approach in the treatment of shoulder pain, the technique is typically not accurate enough to ensure that the correct diagnosis is made. MSUS offered the precision necessary to detect the underlying pathology in 97{\%} of the cases.",
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author = "沈, {明忠(Min-Chung Shen)} and 張, {德明(Deh-Ming Chang)} and 侯, {宗昀(Tsung-Yun Hou)} and 劉, {峰誠(Feng-Cheng Liu)} and 陳, {相成(Hsiang-Cheng Cen)} and 朱, {士傑(Shi-Jye Chu)} and 郭, {三元(San-Yuan Kuo)} and 陳, {政宏(Chen-Hung Chen)} and 張, {棋楨(Chi-Ching Chang)}",
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T1 - A Retrospective Investigation of Ultrasound Findings in Patients with Shoulder Pain from One Center in Northern Taiwan

AU - 沈, 明忠(Min-Chung Shen)

AU - 張, 德明(Deh-Ming Chang)

AU - 侯, 宗昀(Tsung-Yun Hou)

AU - 劉, 峰誠(Feng-Cheng Liu)

AU - 陳, 相成(Hsiang-Cheng Cen)

AU - 朱, 士傑(Shi-Jye Chu)

AU - 郭, 三元(San-Yuan Kuo)

AU - 陳, 政宏(Chen-Hung Chen)

AU - 張, 棋楨(Chi-Ching Chang)

PY - 2013

Y1 - 2013

N2 - Objective: Research has shown that 15-30% of adults experience shoulder pain at some point during the course of their lives. The sensitivity and specificity of musculoskeletal ultrasound (MSUS) have been validated, showing that this tool can complement surgical findings and magnetic resonance imaging. We report ultrasound findings of patients with shoulder pain in rheumatological daily practice. Methods: The subject population for this retrospective study included 240 patients complaining of shoulder pain at the MSUS department of our rheumatology service between January 2010 and December 2012. The ultrasound examination included views of the rotator cuff, the long head of the biceps tendon, the subacromial-subdeltoid bursa, the acromioclavicular joint, and the glenohumeral joint. Results: Of the 240 patients, 140 were women and 100 were men, with ages ranging from 17 to 89 years and a mean age of 54.31 ± 14.64 years. Alterations of shoulder structures were detected in the supraspinatus tendon (76.2%), biceps tendon (62.4%), subscapularis tendon (22.9%), glenohumeral joint (20.4%), acromioclavicular joint (15.3%), subacromial-subdeltoid bursa (13.3%), and infraspinatous tendon (9.2%). Impingement (14.1%) and calcifications (8.2%) were also detected. Eight patients (3.3%) exhibited no sonographic evidence of any alteration. The sensitivity of the technique was confirmed by the finding of alterations in 96.7% of the cases. Conclusion: Although physical examination allows for a diagnostic approach in the treatment of shoulder pain, the technique is typically not accurate enough to ensure that the correct diagnosis is made. MSUS offered the precision necessary to detect the underlying pathology in 97% of the cases.

AB - Objective: Research has shown that 15-30% of adults experience shoulder pain at some point during the course of their lives. The sensitivity and specificity of musculoskeletal ultrasound (MSUS) have been validated, showing that this tool can complement surgical findings and magnetic resonance imaging. We report ultrasound findings of patients with shoulder pain in rheumatological daily practice. Methods: The subject population for this retrospective study included 240 patients complaining of shoulder pain at the MSUS department of our rheumatology service between January 2010 and December 2012. The ultrasound examination included views of the rotator cuff, the long head of the biceps tendon, the subacromial-subdeltoid bursa, the acromioclavicular joint, and the glenohumeral joint. Results: Of the 240 patients, 140 were women and 100 were men, with ages ranging from 17 to 89 years and a mean age of 54.31 ± 14.64 years. Alterations of shoulder structures were detected in the supraspinatus tendon (76.2%), biceps tendon (62.4%), subscapularis tendon (22.9%), glenohumeral joint (20.4%), acromioclavicular joint (15.3%), subacromial-subdeltoid bursa (13.3%), and infraspinatous tendon (9.2%). Impingement (14.1%) and calcifications (8.2%) were also detected. Eight patients (3.3%) exhibited no sonographic evidence of any alteration. The sensitivity of the technique was confirmed by the finding of alterations in 96.7% of the cases. Conclusion: Although physical examination allows for a diagnostic approach in the treatment of shoulder pain, the technique is typically not accurate enough to ensure that the correct diagnosis is made. MSUS offered the precision necessary to detect the underlying pathology in 97% of the cases.

KW - 骨骼關節超音波

KW - 肩膀疼痛

KW - Musculoskeletal ultrasound

KW - painful shoulder

M3 - Article

VL - 27

SP - 37

EP - 43

JO - Formosan Journal of Rheumatology

JF - Formosan Journal of Rheumatology

SN - 2075-0374

IS - 2

ER -