Annals of Rehabilitation Medicine

"Ultrasonogram"

Original Articles

Local Botulinum Toxin Type A Injection for the Management of Congenital Muscular Torticollis.: Jo, Ho Sung , Kang, Yoon Kyoo , Paik, Kyung Woo , Kim, Dong Hwee , Hwang, Mi Ryoung , Kim, Ki Hoon; J Korean Acad Rehabil Med 2002;26(6):699-703.

Abstract
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Objective
To evaluate the effectiveness of local intramuscular botulinum toxin type A injection in patients with congenital muscular torticollis. Method: Six patients (mean age, 13.3 months) with congenital muscular torticollis who did not respond to physical therapy were participated with the informed consent of their parents. Twenty-five to fifty Speywood units of Dysport(Beaufour Ipsen, France) were injected into the palpated mass of the sternocleidomastoid muscle. The angle of tilt and range of motion of the neck in sitting position were obtained before and after injection. The size of the mass within the sternocleidomastoid muscle was measured with ultrasonogram. Results: Satisfactory improvement of 3 parameters at post- injection 6-month follow-up was achieved in all patients. The tilting angle and range of motion of the neck to rotation were normalized in 5 patients. The size of the mass within the sternocleidomastoid muscle was decreased significantly with ultrasonographic evaluation. Conclusion: Local intramuscular BTA injection might be effective for patients with congenital muscular torticollis who do not respond to conservative management. (J Korean Acad Rehab Med 2002; 26: 699-703)

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Evaluation of Shoulder Impingement Syndrome Using Ultrasonography.: Lee, Kang Woo , Kim, Jae Wook; J Korean Acad Rehabil Med 1999;23(6):1242-1248.

Abstract
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Objective: The purpose of this study was to find out the usefulness of ultrasonographic evaluation in shoulder impingement syndrome.

Method: The patients with positive impingement sign (49 patients) at shoulder joint were evaluated. The Ultrasonograms of shoulder were performed at first visit and 4 weeks later. The patients who showed abnormal findings were treated with subacromial steroid injection. In order to check the efficacy of injection, we also used questionnair which consist of active range of motion, shoulder pain score, and visual analogue scale.

Results: 16 among 49 patients (32.7%) had abnormal ultrasonograms as follows; only fluid collection in subacromial bursa was shown in 3 patients (6.1%), only fluid collection in biceps long head tendon sheath in 4 (8.2%), partial thickness tear of supraspinatus tendon (SSP) in 6 (12.2%), and full thickness tear of SSP in 3 (6.1%). Follow-up ultrasonograms were performed after subacromial steroid injection on 4 patients and 3 among the 4 patients showed marked improvement ultrasonographically. 23 among 49 patients were recruited and showed marked improvement in each questionnaire.

Conclusion: Ultrasonography gave good information in management of impingement syndrome furthermore it could be used as a primary imaging technique evaluating rotator cuff disease.