Evaluation of stiffness of rotator cuff tendons, coracohumeral ligament, tendon of long head of biceps and posterior capsule by strain and shear wave elastography in frozen shoulder vs normal shoulder
Keywords:
stiffness, thickness, strain ratio, acoustic force, tendinitisAbstract
Background: Frozen shoulder is an idiopathic condition which presents with the loss of both active and passive movement at the shoulder joint over a period of time, associated with pain on movement. The wide range of clinical conditions with similar symptoms make the diagnosis difficult, hence making imaging studies mandatory. An increase in stiffness is noted by shear wave and strain ultrasound elastography of rotator cuff tendons, coracohumeral ligament, tendon of long head of biceps, posteriorcapsuleina patient affected with frozen shoulder. Objectives: To evaluate the stiffness of rotator cuff tendons, coracohumeral ligament, tendon of long head of biceps and posterior capsule in frozen shoulder by strain elastography and shear wave elastography and compare it with normal shoulder. Materials and Methods: The study was conducted with twenty-nine patients with frozen shoulder. Limited and painful motion without tendinitis or tendon tears were considered. in inclusion criteria. Strain and shear wave lastography were performed on rotator cuff tendons, coracohumer alligament, tendon of long head of biceps and posterior capsule on affected side and normal side to assess and compare the strain ratios and stiffness values on both sides. Receiveroperatingcharacteristiccurvaturewasplottedfortheobtainedvalues.
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