PURPOSE OF THE STUDY: In this study, we aimed to evaluate acromiohumeral distance (AHD) and supraspinatus tendon (ST) thickness measurements and their relationship with pain and function in ST pathologies. MATERIAL AND METHODS: The study included 111 patients and 25 healthy controls (HC). Patients were divided into 3 groups according to their diagnosis: non-tear tendinopathy (NTT), partial thickness tear (PTT), and full thickness tear (FTT). The AHD and ST thickness of the participants were measured with ultrasound. The pain and functional status of the patients were evaluated with the Numeric Rating Scale (NRS), The QuickDASH shortened version of the DASH Outcome Measure - Disabilities of the Arm Shoulder and Hand (QDASH), and Simple Shoulder Test (SST). RESULTS: The AHD value was significantly higher in the NTT group (p=0.000). The AHD value was significantly lower in the FTT group (p=0.000). ST thickness value was significantly lower in the PTT group compared to the NTT group (p=0.000). There was a positive correlation between ST thickness and BMI (r=0.553,p<0.01). There was a negative correlation between ST thickness and SST and a positive correlation between ST thickness (r=-0.223,p<0.05) and QDASH (r=0.276,p<0.05). CONCLUSIONS: We found that AHD and SST thicknesses significantly differed in the NTT, PTT, FTT, and HC groups. This difference may be important for diagnosis. In addition, the effect of obesity on ST thickness and the relationship between ST thickness and functional scores may be considered. Weight control may be effective at this point. KEY WORDS: acromiohumeral distance, supraspinatus tendon thickness, ultrasound.
- MeSH
- akromion diagnostické zobrazování MeSH
- bolest ramene etiologie diagnostické zobrazování patofyziologie MeSH
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- měření bolesti metody MeSH
- poranění rotátorové manžety * diagnostické zobrazování patofyziologie MeSH
- rotátorová manžeta * diagnostické zobrazování patofyziologie MeSH
- studie případů a kontrol MeSH
- tendinopatie diagnostické zobrazování patofyziologie MeSH
- ultrasonografie * metody MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
The assessment of the six-week influence of Kinesio Taping combined with a rehabilitation on selected ultrasonography measurements, the level of disability, and the quality of life in patients with rotator cuff lesions. 60 participants were randomly assigned into a taping group (KT combined with a six-week rehabilitating protocol) and a control group (only rehabilitation protocol). In all patients the following assessments were performed twice: USG, UEFI and NHP questionnaires. In the examination of the subacromial space and the subacromial bursa in the taping group, no statistical significance was observed. A statistically significant change in the thickness of the muscles was obtained only for the thickness of the infraspinatus in the taping group. A statistically significant change was obtained in the assessment of tendinopathy only for the supraspinatus muscle in both groups. Within both groups a statistically significant difference was observed in the average UEFI and NHP scores; however, the differences in the scores obtained between the groups were not statistically significant. The use of KT with a rehabilitation program did not yield statistically significantly better results in the improvement of selected shoulder region indicators, the function of the upper limb and the quality of life.
- MeSH
- bolest ramene patofyziologie MeSH
- dospělí MeSH
- kosterní svaly patofyziologie MeSH
- kvalita života MeSH
- lidé středního věku MeSH
- lidé MeSH
- měření bolesti metody MeSH
- poranění rotátorové manžety patofyziologie MeSH
- rameno patofyziologie MeSH
- rotátorová manžeta patofyziologie MeSH
- rozsah kloubních pohybů fyziologie MeSH
- tejpovací páska MeSH
- tendinopatie patofyziologie MeSH
- ultrasonografie metody MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
Je popsán případ jedenáctileté dívky s vnitřní lupavou kyčlí. Je diskutována anatomie musculus iliopsoas, diagnostika a léčba vnitřní lupavé kyčle. Je hodnocen rozhodující přínos dynamické magnetické rezonance, podle které se odvíjela další léčebná taktika.
The case reports the eleven-years-old girl suffering from internal snapping hip syndrome from the diagnostic and therapeutic point of view. The contribution of the magnetic resonance performed in the neutral and flection position is evaluated.
- Klíčová slova
- lupavá kyčel, musculus iliopsoas, dynamická magnetická resonance, tenotomie iliopsoatu,
- MeSH
- artralgie diagnóza etiologie terapie MeSH
- bederní svaly chirurgie patofyziologie patologie MeSH
- chůze (způsob) MeSH
- diagnostické techniky a postupy využití MeSH
- dítě MeSH
- kyčelní kloub anatomie a histologie patofyziologie patologie MeSH
- lidé MeSH
- magnetická rezonanční tomografie metody využití MeSH
- ortopedické výkony metody využití MeSH
- tendinopatie diagnóza chirurgie patofyziologie MeSH
- Check Tag
- dítě MeSH
- lidé MeSH
- ženské pohlaví MeSH
- Publikační typ
- kazuistiky MeSH
Purpose of review: The present article reviews the most recent research into the anatomy, pathophysiology, and treatments, including nonsurgical and surgical options, of lateral epicondylitis. Recent findings: Despite numerous studies of lateral epicondylitis, much regarding the pathophysiology and best treatment options remains uncertain. Recent research has improved understanding of the etiology of lateral epicondylitis, suggesting anatomic and vascular components of its development. Additionally, research in nonsurgical treatment has indicated that the short-term benefit of corticosteroids might be reversed in the long term, has suggested that physical therapy might be the best of the established options, and has presented several novel treatments. It is clear that all common surgical approaches yield good-to-excellent results, but it remains unclear which surgical treatment is best. Summary: Lateral epicondylitis is a common cause of lateral elbow pain, first described more than 100 years ago. The condition has not been well characterized, although it has been frequently studied. Recent research has shed more light on the complex etiology of this disorder, which is helping to elucidate the best method of treatment.
- MeSH
- artralgie etiologie terapie MeSH
- chirurgie operační metody využití MeSH
- diagnostické zobrazování metody využití MeSH
- farmakoterapie metody využití MeSH
- lidé MeSH
- loketní kloub patologie MeSH
- medicína založená na důkazech MeSH
- nervus radialis patofyziologie MeSH
- ortopedické výkony metody využití MeSH
- sportovní úrazy patofyziologie prevence a kontrola terapie MeSH
- techniky fyzikální terapie využití MeSH
- tendinopatie etiologie komplikace patofyziologie MeSH
- tenisový loket diagnóza patofyziologie terapie MeSH
- výsledek terapie MeSH
- výsledky a postupy - zhodnocení (zdravotní péče) MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- přehledy MeSH
