Diagnostic Ultrasound in the Evaluation of Stiff Shoulder: Association of Axillary Recess Thickness With Standard Clinical Measures.
| Autor: | Yao B; From the Department of Rehabilitation Medicine, Peking University Third Hospital, Beijing, China (BY, YY, YZ, MZ); Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, California (SCR); and Department of Ultrasound, Peking University Third Hospital, Beijing, China (ZL, JJ)., Yang Y, Roll SC, Lin Z, Zhang Y, Jiang J, Zhou M |
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| Jazyk: | angličtina |
| Zdroj: | American journal of physical medicine & rehabilitation [Am J Phys Med Rehabil] 2024 Dec 01; Vol. 103 (12), pp. 1117-1122. Date of Electronic Publication: 2024 May 06. |
| DOI: | 10.1097/PHM.0000000000002517 |
| Abstrakt: | Objectives: Stiff shoulder, including primary and secondary types, poses diagnostic challenges due to vague definitions and criteria. This study evaluates the diagnostic potential of ultrasound-measured axillary recess thickness in shoulder stiffness. Designs: In this cross-sectional study, 35 patients with unilateral shoulder stiffness were assessed. Axillary recess thickness was measured using high-resolution ultrasound. Parameters like passive range of motion, Numerical Rating Scale, and Constant-Murley score were evaluated to find correlations with axillary recess thickness. Results: The average age was 50.7 yrs, and mean body mass index was 22.7. Axillary recess thickness in stiff shoulders (average 3.19 mm) was significantly higher than in unaffected shoulders (average 1.93 mm, P < 0.001). A cutoff of 3.0 mm for axillary recess thickness yielded 73.3% sensitivity and 84.6% specificity for primary stiffness; 2.6 mm cutoff resulted in 57.9% sensitivity and 88.2% specificity for secondary stiffness. Significant correlations were found between axillary recess thickness and passive range of motion, especially in shoulder external rotation and extension. Conclusions: Axillary recess thickness measured by ultrasound might serve as a valuable diagnostic and evaluation parameter in shoulder stiffness. Competing Interests: Statement of Financial Disclosure and Conflict of Interest: The authors declare no conflict of interest. Financial disclosure statements have been obtained, and no conflicts of interest have been reported by the authors or by any individuals in control of the content of this article. (Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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