门诊部肩周炎的超声表现

M. Ibraheem, Md. Ahsanul Hoque, Md Farhad Parvez, A. Z. Sadeque, M. Emran, Fatama Sharmin
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摘要

背景:对肩关节周围病变的检测,肌肉骨骼超声是非常有用的。最近超声技术的进步使肌肉骨骼超声的灵敏度和准确性更高。目的:探讨肩周炎临床诊断患者的肩部超声检查表现的分布和代表性。材料与方法:在达卡BSMMU物理医学与康复科门诊进行单中心横断面描述性研究,对35例临床诊断为肩周炎的患者进行研究。数据收集采用访谈管理问卷。所有基线调查均已完成。超声检查是由经验丰富的超声医师完成的,他们不知道临床数据。结果:85%出现肩周炎超声改变的患者达到了主要终点。最常累及的结构是二头肌腱炎(32%)和冈上肌腱炎(28%)。肩峰下滑囊炎(14%)和肩锁骨关节炎(11%)也参与其中。约15%的个体无异常。在不同的结构中发现了不同种类的变化。结论:正确识别和评估肩周炎的关节周围结构改变有助于肩周炎的治疗和康复,从而减少残疾。KYAMC杂志第13卷,第03期,2022年10月:134-138
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Ultrasonographic Findings of Periarthritis of Shoulder Joint in the Out Patients Department
Background: To detect periarticular lesions around the shoulder, musculoskeletal ultrasonography is very much useful. Recent improvements in Ultrasonographic technology have led to a higher sensitivity and accuracy of musculoskeletal sonography. Objective: To present the distribution and representation of shoulder ultrasonographic (US) examination findings in patients with clinical diagnosis of shoulder periarthritis. Materials and Methods: A cross sectional descriptive type of study at Single center setting conducted in OPD of department of Physical Medicine& Rehabilitation, BSMMU, Dhaka on thirty-five patients with the clinical diagnosis of periarthritis of shoulder. Data was collected using an interview- administered questionnaire. All baseline investigations were done. Ultrasonogram was done by experienced Sonologists who were unaware about clinical data. Results: The primary end point was reached in 85 percent of patient presented sonographic alteration suffering from periathritis of shoulder. The structure most frequently involved was bicipital tendinitis (32%) and Supraspinatus tendinitis (28%). Sub acromial Bursitis (14%) and Acromioclavicular Osteoathritis (11%) were also involved. About 15% individual presents no abnormalities. Different varieties of changes in the various structures had been detected. Conclusion: Proper identification and assessment of the alteration of periarticular structure helps to approach for management and rehabilitation of Periarthritis of shoulder thus disability can be reduced. KYAMC Journal Vol. 13, No. 03, October 2022: 134-138
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