J Korean Orthop Assoc.  2019 Oct;54(5):384-392. 10.4055/jkoa.2019.54.5.384.

Ultrasonography for Diagnosing Sports-Related Shoulder Pain

• Song HS

• KMID: 2461227
• DOI: http://doi.org/10.4055/jkoa.2019.54.5.384

Abstract

Ultrasonography is used for making the diagnosis and treatment decisions for those patients who complain of shoulder pain related with sports activity. Ultrasonography is especially helpful for diagnosing issues with the rotator cuff, the long head of biceps tendon and the acromio-clavicular joint. The medical decisions about shoulder pain can be promptly made when portable ultrasonography is used in the field of sports.

Keyword

sports injury; shoulder; ultrasonography

MeSH Terms

Athletic Injuries
Diagnosis
Head
Humans
Joints
Rotator Cuff
Shoulder Pain*
Shoulder*
Sports
Tendons
Ultrasonography*

Figure

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  Figure 1. Ultrasonography of the short axis of the SSP showing hyperechoic fluid in the tear (arrow). RT, right; SSP, supraspinatus.

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  Figure 2. Ultrasonography of the long axis of the SSP showing a medially retracted torn edge (arrow). RT, right; SSP, supraspinatus.

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  Figure 3. Ultrasonography of the short axis of the SPP showing cartilage interface sign’ with the hyperechoic line of the articular cartilage (arrows). LT, left; SSP, supraspinatus.

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  Figure 4. Ultrasonography of the long axis of the supraspinatus showing the ‘peribursal sagging sign’ (between two crosses) at the lateral corner of the greater tuberosity.

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  Figure 5. Partial thickness articular side supraspinatus tear. (A) Ultrasonography of the short axis of the supraspinatus showing the partial thickness tear with a hypoechoic defect (arrow). (B) Arthroscopic photo showing a partial thickness tear (arrow).

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  Figure 6. Ultrasonography of the long axis of the SSC showing hypoechoic defects (arrows). RT, right; SSC, subscapularis.

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  Figure 7. Ultrasonography of the long axis of the SSC showing a normal insertion pattern (LT) (A) and the parallel pattern of tear (RT) (B). Dotted lines show the fiber pattern. LT, left; RT, right; SSC, subscapularis.

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  Figure 8. Ultrasonography of the short axis of the long head of biceps tendon showing normal width (LT) (A) and narrow width (RT) (arrow) (B) of the bicipital groove. LT, left; RT, right.

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  Figure 9. Ultrasonography of the short axis of the long head of biceps tendon showing normal diameter (RT) (A) and the swollen tendon (LT) (arrows) (B). RT, right; LT, left.

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  Figure 10. Injury of the A-C JT. (A) Ultrasonography of the A-C JT showing a widened joint space (between two crosses) and fluid (arrow). (B) Intraoperative photo showing a torn acromio-clavicular ligament (arrow). RT, right; A-C JT, acromio-clavicular joint.

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  Figure 11. Injury of the anterior labrum. (A) Position of the probe lying on the anterior shoulder (in the supine position). (B) Ultrasonography of the axial plane of the ANT shoulder showing a torn anteroinferior labrum (Bankart lesion) (arrow). H, humeral head; G, glenoid; LT, left; ANT, anterior.

Reference

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