Ultrasonographic Imaging in Hemiplegic Shoulders of Stroke Patients

Zusammenfassung

Ziel dieser Untersuchung war es, die Wertigkeit der Ultraschalluntersuchung zur Diagnostik schmerzhafter Veränderungen hemiplegischer Schultergelenke nach zerebrovaskulärem Insult zu evaluieren. Es wurden 41 Patienten untersucht, wobei jeweils die kontralaterale Schulter als Kontrollorgan diente. Ultrasonographisch pathologische Veränderungen fanden sich bei 33 hemiplegischen und bei 15 nicht hemiplegischen Schultern, meist als Bizepssehnentendinitis, daneben auch als Supraspinatuseinriss, Kalzifikation, Irregularität am Humeruskopf und Veränderung des AC-Gelenks. Die Ultrasonographie erwies sich dabei als nützliche und effektive Methode zur Diagnostik.

Abstract

Purpose: To assess the usefulness of ultrasound in diagnosing pathologies of shoulders in patients with painful hemiplegic shoulders caused by cerebro-vascular accident (C.V.A.). Methods: Ultrasound (U.S.) was used in forty-one patients with hemiplegic shoulders. Review of patients presenting at our musculo-skeletal orthopedic unit. The non-hemiplegic shoulders served as a control group. Results: Ultrasound pathologies were found in thirty-three hemiplegic shoulders and in fifteen non-hemiplegic shoulders. Bicipital tendonitis was the most common finding. Other pathologies included supraspinatus tear, calcification, humeral head irregularities and acromio-clavicular joint (A.C.J.) changes. Conclusions: As in many other soft tissue lesions ultrasonography is a useful and effective tool in evaluation of pathology of hemiplegic shoulders.

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