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Journal of the Korean Academy of Rehabilitation Medicine 1999;23(6):1242-1248.
Evaluation of Shoulder Impingement Syndrome Using Ultrasonography.
Lee, Kang Woo , Kim, Jae Wook
Department of Physical Medicine and Rehabilitation, Samsung Medical Center, Sungkyunkwan University, School of Medicine.
견관절 Impingement Syndrome의 초음파를 이용한 평가
이강우, 김재욱
성균관대학교 의과대학 삼성서울병원 재활의학과
Abstract

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.

Key Words: Ultrasonogram, Ultrasonography, Impingement syndrome


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