| Change of Ultrasonographic Findings according to the Treatment of Adhesive Capsulitis in Hemiplegic Shoulder. |
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Kim, Seung Taek , Seo, Hye Jin , Lee, Jae Hwan , Park, Jun Sung , Yi, Tae Im , Kim, Joo Sup , Kim, Dae Hwan , Ku, Hye Kyung |
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Department of Rehabilitation Medicine, Daejin Medical Center, Pundang Jesaeng General Hospital, Korea. hwanlee79@hanmail.net |
| 편마비 환자에서 유착성 견관절낭염의 치료에 따른 초음파 소견의 변화 |
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김승택, 서혜진, 이재환, 박준성, 이태임, 김주섭, 김대환, 구혜경 |
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분당제생병원 재활의학과 |
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| Abstract |
Objective
To evaluate the clinical importance of effusion in bicipital tendon sheath and the change of ultrasonographic findings according to the treatment.
Method
Thirty patients with hemiplegia, clinically diagnosed as adhesive capsulitis in hemiplegic shoulder, were investigated. To confirm the location and existence of effusion and to measure the largest diameter and cross sectional area (CSA) of bicipital tendon sheath, the longitudinal and transverse scan of the shoulder were used. Each patient was treated with a series of three intraarticular injections with triamcinolone under ultrasonographic guidance. After each intraarticular injection, the diameter and CSA of bicipital tendon sheath, and passive range of motion of the affected shoulder were measured and compared to the unaffected side.
Results
The initial ultrasonographic examination showed increased amount of effusion in the affected bicipital tendon sheath compared to the unaffected side (p＜0.01). After intraarticular injection, the amount of effusion was decreased (p＜0.01) and passive range of motion of the shoulder was increased (p＜0.05).
Conclusion
The ultrasonographic evaluation of effusion in the bicipital tendon sheath, and interval change of effusion according to the treatment, can be useful tool for diagnosis and follow-up of adhesive capsulitis in hemiplegic shoulder. (J Korean Acad Rehab Med 2006; 30: 639-645) |
| Key Words:
Ultrasonography, Bicipital tendon sheath, Adhesive capsulitis |
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