https://scholars.lib.ntu.edu.tw/handle/123456789/641872
標題: | A systematic review on sonoelastography for post-repair rotator cuff assessment | 作者: | Lin, Ting-Yu KE-VIN CHANG WEI-TING WU Özçakar, Levent |
關鍵字: | Arthroscopy; Shear wave; Shoulder; Supraspinatus; Tear; Tendon; Ultrasound | 公開日期: | 20-二月-2024 | 來源出版物: | Asian journal of surgery | 摘要: | Surgical repair of rotator cuff tears is performed routinely; however, the risks of re-tears and the associated consequences are significant. Sonoelastography, an imaging modality that evaluates the mechanical properties of tissues, can examine the dynamic transitions in rotator cuff stiffness following retear and investigate the relationship between these changes and the occurrences of retears. This systematic review aimed to summarize the role of perioperative sonoelastography in repaired rotator cuffs. A comprehensive search of the PubMed, Embase, and Cochrane databases was conducted, covering studies published until June 19, 2023. The Newcastle-Ottawa scale was used for quality assessment. The key information extracted from each study included the injury/surgery type, follow-up duration, sonoelastography mode, and main sonoelastographic findings. Eleven eligible studies comprising 355 patients were included. All studies focused on supraspinatus muscles and tendons with previous arthroscopic repairs. During the postoperative 1st - 6th months, muscle stiffness increased in the supraspinatus and decreased in the ipsilateral deltoid. Failure to recover supraspinatus muscle elasticity might be indicative of potential tendon re-tear; however, it is imperative to first establish correlations with other imaging modalities. Conflicting findings have been observed regarding stiffening or softening of the supraspinatus tendon after surgical repair. The preoperative stiffness of the supraspinatus tendon did not correlate with postoperative tendon integrity or function. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/641872 | ISSN: | 10159584 | DOI: | 10.1016/j.asjsur.2024.02.094 |
顯示於: | 醫學系 |
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