Increased Stiffness of Rotator Cuff Tendons in Frozen Shoulder on Shear Wave Elastography
Objectives To evaluate the stiffness and morphologic characteristics of the capsule, rotator cuff tendons and muscles, coracohumeral ligament (CHL), and long head of the biceps in patients with frozen shoulder using shear wave elastography (SWE) with B‐mode ultrasound. Methods Thirty‐two patients wi...
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| Veröffentlicht in: | Journal of ultrasound in medicine 2020-01, Vol.39 (1), p.89-97 |
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| creator | Wada, Tomoki Itoigawa, Yoshiaki Yoshida, Keiichi Kawasaki, Takayuki Maruyama, Yuichiro Kaneko, Kazuo |
| description | Objectives
To evaluate the stiffness and morphologic characteristics of the capsule, rotator cuff tendons and muscles, coracohumeral ligament (CHL), and long head of the biceps in patients with frozen shoulder using shear wave elastography (SWE) with B‐mode ultrasound.
Methods
Thirty‐two patients with frozen shoulder were divided into freezing and frozen phases. All patients had limitations of their range of motion without rotator cuff tears. Stiffness was measured by SWE in the supraspinatus (SSp) tendon, infraspinatus (ISp) tendon, SSp muscle, ISp muscle, teres minor muscle, upper and lower trapezius muscles, posterior capsule, CHL, and long head of the biceps. The posterior capsule and CHL thicknesses were also investigated with B‐mode ultrasound. All values were compared in the affected and unaffected shoulders in each phase.
Results
The SWE values for the SSp and ISp tendons in the freezing phase and the CHL in the frozen phase were significantly greater on the affected side than the unaffected side (mean ± SD, 280.4 ± 125.3 versus 178.1 ± 73.3, 318.4 ± 110.7 versus 240.8 ± 91.5, and 287.2 ± 135.3 versus 214.1 ± 91.1 kPa, respectively; P |
| doi_str_mv | 10.1002/jum.15078 |
| format | Article |
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To evaluate the stiffness and morphologic characteristics of the capsule, rotator cuff tendons and muscles, coracohumeral ligament (CHL), and long head of the biceps in patients with frozen shoulder using shear wave elastography (SWE) with B‐mode ultrasound.
Methods
Thirty‐two patients with frozen shoulder were divided into freezing and frozen phases. All patients had limitations of their range of motion without rotator cuff tears. Stiffness was measured by SWE in the supraspinatus (SSp) tendon, infraspinatus (ISp) tendon, SSp muscle, ISp muscle, teres minor muscle, upper and lower trapezius muscles, posterior capsule, CHL, and long head of the biceps. The posterior capsule and CHL thicknesses were also investigated with B‐mode ultrasound. All values were compared in the affected and unaffected shoulders in each phase.
Results
The SWE values for the SSp and ISp tendons in the freezing phase and the CHL in the frozen phase were significantly greater on the affected side than the unaffected side (mean ± SD, 280.4 ± 125.3 versus 178.1 ± 73.3, 318.4 ± 110.7 versus 240.8 ± 91.5, and 287.2 ± 135.3 versus 214.1 ± 91.1 kPa, respectively; P < .05). The posterior capsule in both the freezing and frozen phases and the CHL in the frozen phase were significantly thicker on the affected side than the unaffected side (1.3 ± 0.2 versus 0.9 ± 0.3, 1.2 ± 0.4 versus 0.9 ± 0.3, and 4.4 ± 1.4 versus 3.3 ± 1.1 mm; P < .01).
Conclusions
The SWE values of the both SSp and ISp tendons increased in the freezing phase, and that of the CHL also increased in the frozen phase. Not only the change in thickness of the capsule but also the change in stiffness of the rotator cuff may correlate with frozen shoulder.</description><identifier>ISSN: 0278-4297</identifier><identifier>EISSN: 1550-9613</identifier><identifier>DOI: 10.1002/jum.15078</identifier><identifier>PMID: 31218712</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject>capsule ; frozen shoulder ; muscle ; rotator cuff ; shear wave elastography ; stiffness ; ultrasound</subject><ispartof>Journal of ultrasound in medicine, 2020-01, Vol.39 (1), p.89-97</ispartof><rights>2019 by the American Institute of Ultrasound in Medicine</rights><rights>2019 by the American Institute of Ultrasound in Medicine.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4558-c0edf98a450c29b9d17c4aa73a632ef8530e2130816cf5f2e641ff10f8515f33</citedby><cites>FETCH-LOGICAL-c4558-c0edf98a450c29b9d17c4aa73a632ef8530e2130816cf5f2e641ff10f8515f33</cites><orcidid>0000-0002-5793-9655</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fjum.15078$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fjum.15078$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1416,27923,27924,45573,45574</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31218712$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wada, Tomoki</creatorcontrib><creatorcontrib>Itoigawa, Yoshiaki</creatorcontrib><creatorcontrib>Yoshida, Keiichi</creatorcontrib><creatorcontrib>Kawasaki, Takayuki</creatorcontrib><creatorcontrib>Maruyama, Yuichiro</creatorcontrib><creatorcontrib>Kaneko, Kazuo</creatorcontrib><title>Increased Stiffness of Rotator Cuff Tendons in Frozen Shoulder on Shear Wave Elastography</title><title>Journal of ultrasound in medicine</title><addtitle>J Ultrasound Med</addtitle><description>Objectives
To evaluate the stiffness and morphologic characteristics of the capsule, rotator cuff tendons and muscles, coracohumeral ligament (CHL), and long head of the biceps in patients with frozen shoulder using shear wave elastography (SWE) with B‐mode ultrasound.
Methods
Thirty‐two patients with frozen shoulder were divided into freezing and frozen phases. All patients had limitations of their range of motion without rotator cuff tears. Stiffness was measured by SWE in the supraspinatus (SSp) tendon, infraspinatus (ISp) tendon, SSp muscle, ISp muscle, teres minor muscle, upper and lower trapezius muscles, posterior capsule, CHL, and long head of the biceps. The posterior capsule and CHL thicknesses were also investigated with B‐mode ultrasound. All values were compared in the affected and unaffected shoulders in each phase.
Results
The SWE values for the SSp and ISp tendons in the freezing phase and the CHL in the frozen phase were significantly greater on the affected side than the unaffected side (mean ± SD, 280.4 ± 125.3 versus 178.1 ± 73.3, 318.4 ± 110.7 versus 240.8 ± 91.5, and 287.2 ± 135.3 versus 214.1 ± 91.1 kPa, respectively; P < .05). The posterior capsule in both the freezing and frozen phases and the CHL in the frozen phase were significantly thicker on the affected side than the unaffected side (1.3 ± 0.2 versus 0.9 ± 0.3, 1.2 ± 0.4 versus 0.9 ± 0.3, and 4.4 ± 1.4 versus 3.3 ± 1.1 mm; P < .01).
Conclusions
The SWE values of the both SSp and ISp tendons increased in the freezing phase, and that of the CHL also increased in the frozen phase. Not only the change in thickness of the capsule but also the change in stiffness of the rotator cuff may correlate with frozen shoulder.</description><subject>capsule</subject><subject>frozen shoulder</subject><subject>muscle</subject><subject>rotator cuff</subject><subject>shear wave elastography</subject><subject>stiffness</subject><subject>ultrasound</subject><issn>0278-4297</issn><issn>1550-9613</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp1kL1OwzAURi0EoqUw8ALIIwxpfR07PyOqWigqQqJFiClyk2uaKomLnYDK05MSYGO6n3SPznAIOQc2BMb4aNOUQ5AsjA5IH6RkXhyAf0j6jIeRJ3gc9siJc5sWZRCKY9LzgUMUAu-Tl1mVWlQOM7qoc60rdI4aTR9NrWpj6bjRmi6xykzlaF7RqTWfWNHF2jRFhpaa_UZl6bN6RzoplKvNq1Xb9e6UHGlVODz7uQOynE6W41tv_nAzG1_PvVRIGXkpw0zHkRKSpTxexRmEqVAq9FXgc9SR9Bly8FkEQaql5hgI0BpY-wGpfX9ALjvt1pq3Bl2dlLlLsShUhaZxCedCgJCxjFr0qkNTa5yzqJOtzUtldwmwZB8yaUMm3yFb9uJH26xKzP7I33ItMOqAj7zA3f-m5O7pvlN-AWvUfHs</recordid><startdate>202001</startdate><enddate>202001</enddate><creator>Wada, Tomoki</creator><creator>Itoigawa, Yoshiaki</creator><creator>Yoshida, Keiichi</creator><creator>Kawasaki, Takayuki</creator><creator>Maruyama, Yuichiro</creator><creator>Kaneko, Kazuo</creator><general>John Wiley & Sons, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-5793-9655</orcidid></search><sort><creationdate>202001</creationdate><title>Increased Stiffness of Rotator Cuff Tendons in Frozen Shoulder on Shear Wave Elastography</title><author>Wada, Tomoki ; Itoigawa, Yoshiaki ; Yoshida, Keiichi ; Kawasaki, Takayuki ; Maruyama, Yuichiro ; Kaneko, Kazuo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4558-c0edf98a450c29b9d17c4aa73a632ef8530e2130816cf5f2e641ff10f8515f33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>capsule</topic><topic>frozen shoulder</topic><topic>muscle</topic><topic>rotator cuff</topic><topic>shear wave elastography</topic><topic>stiffness</topic><topic>ultrasound</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wada, Tomoki</creatorcontrib><creatorcontrib>Itoigawa, Yoshiaki</creatorcontrib><creatorcontrib>Yoshida, Keiichi</creatorcontrib><creatorcontrib>Kawasaki, Takayuki</creatorcontrib><creatorcontrib>Maruyama, Yuichiro</creatorcontrib><creatorcontrib>Kaneko, Kazuo</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of ultrasound in medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wada, Tomoki</au><au>Itoigawa, Yoshiaki</au><au>Yoshida, Keiichi</au><au>Kawasaki, Takayuki</au><au>Maruyama, Yuichiro</au><au>Kaneko, Kazuo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Increased Stiffness of Rotator Cuff Tendons in Frozen Shoulder on Shear Wave Elastography</atitle><jtitle>Journal of ultrasound in medicine</jtitle><addtitle>J Ultrasound Med</addtitle><date>2020-01</date><risdate>2020</risdate><volume>39</volume><issue>1</issue><spage>89</spage><epage>97</epage><pages>89-97</pages><issn>0278-4297</issn><eissn>1550-9613</eissn><abstract>Objectives
To evaluate the stiffness and morphologic characteristics of the capsule, rotator cuff tendons and muscles, coracohumeral ligament (CHL), and long head of the biceps in patients with frozen shoulder using shear wave elastography (SWE) with B‐mode ultrasound.
Methods
Thirty‐two patients with frozen shoulder were divided into freezing and frozen phases. All patients had limitations of their range of motion without rotator cuff tears. Stiffness was measured by SWE in the supraspinatus (SSp) tendon, infraspinatus (ISp) tendon, SSp muscle, ISp muscle, teres minor muscle, upper and lower trapezius muscles, posterior capsule, CHL, and long head of the biceps. The posterior capsule and CHL thicknesses were also investigated with B‐mode ultrasound. All values were compared in the affected and unaffected shoulders in each phase.
Results
The SWE values for the SSp and ISp tendons in the freezing phase and the CHL in the frozen phase were significantly greater on the affected side than the unaffected side (mean ± SD, 280.4 ± 125.3 versus 178.1 ± 73.3, 318.4 ± 110.7 versus 240.8 ± 91.5, and 287.2 ± 135.3 versus 214.1 ± 91.1 kPa, respectively; P < .05). The posterior capsule in both the freezing and frozen phases and the CHL in the frozen phase were significantly thicker on the affected side than the unaffected side (1.3 ± 0.2 versus 0.9 ± 0.3, 1.2 ± 0.4 versus 0.9 ± 0.3, and 4.4 ± 1.4 versus 3.3 ± 1.1 mm; P < .01).
Conclusions
The SWE values of the both SSp and ISp tendons increased in the freezing phase, and that of the CHL also increased in the frozen phase. Not only the change in thickness of the capsule but also the change in stiffness of the rotator cuff may correlate with frozen shoulder.</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>31218712</pmid><doi>10.1002/jum.15078</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-5793-9655</orcidid><oa>free_for_read</oa></addata></record> |
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| source | Wiley Online Library Journals Frontfile Complete |
| subjects | capsule frozen shoulder muscle rotator cuff shear wave elastography stiffness ultrasound |
| title | Increased Stiffness of Rotator Cuff Tendons in Frozen Shoulder on Shear Wave Elastography |
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