Acta Scientific Orthopaedics (ISSN: 2581-8635)

Research Article Volume 3 Issue 7

Objective Assessment of Tendinopathy by Ultrasound Elastography

Rajul Rastogi1*, Neha2, Vijai Pratap3 and GL Meena4

1Associate Professor, Department of Radiodiagnosis, Teerthanker Mahaveer Medical College and Research Center, Moradabad, Uttar Pradesh, India
2PG Resident, Department of Radiodiagnosis, Teerthanker Mahaveer Medical College and Research Center, Moradabad, Uttar Pradesh, India
3Professor, Department of Radiodiagnosis, Teerthanker Mahaveer Medical College and Research Center, Moradabad, Uttar Pradesh, India
4Professor, Department of Radiodiagnosis, S.N. Medical College and Hospital, Jodhpur, Rajasthan, India

*Corresponding Author: Rajul Rastogi, Associate Professor, Department of Radiodiagnosis, Teerthanker Mahaveer Medical College and Research Center, Moradabad, Uttar Pradesh, India.

Received: April 28, 2020; Published: June 12, 2020

×

Abstract

 Tendinopathy refers to an inflammatory condition of tendon usually secondary to overuse. In the tendons, edema leads to internal softening with consequent decrease in echogenicity and elasticity hence the tendon will appear hypoechoic on B-mode, gray-scale ultrasonography while appearing brighter on ultrasound elastography than its normal counterpart tendon. Ultrasound Elastography is a recent noninvasive technique that allows evaluation of the elasticity of human tissues. Acoustic radiation forced impulse is a special form of ultrasound elastography wherein an acoustic radiation impulse is sent to the human tissues and the strength of returning echo indicates the elasticity of tissues. The latter can be depicted in shades of gray or different colors. If the image is coded with shades of gray, harder tissues will appear black while softer tissues will show varying shades of gray. However, in color-coded maps red or blue is indicated for hard tissue and blue or red respectively indicating soft tissue. Majority of the studies in the recent literature focusses on ultrasound elastography of evaluation of larger tendons especially the Achilles tendon, rotator cuff, quadriceps tendon, etc. while very few studies have focused on smaller tendons of the human body. Hence, this study primarily focusses on objectively evaluating the role of ultrasound elastography in assessment of tendinopathy at wrist joint.

Keywords: Ultrasound Elastography; Tendinopathy; Wrist Joint; Tenomalacia

×

References

  1. Afandi R and Astawa P. “The Use of Elastography-Ultrasound in Diagnosing Tendinopathy Related Sport Injury: A 10 Years trend Systematic Review”. The Orthopaedic Journal of Sports Medicine11 (2019).
  2. Washburn N., et al. “Ultrasound elastography and ultrasound tissue characterisation for tendon evaluation”. Journal of Orthopaedic Translation 15 (2018): 9-20.
  3. Prado-Costa R., et al. “Ultrasound elastography: compression elastography and shear-wave elastography in the assessment of tendon injury”. Insights into Imaging5 (2018): 791-814.
  4. Khoury V and Cardinal E. ““Tenomalacia”: a new sonographic sign of tendinopathy?” European Radiology 1 (2009): 144-146.
  5. Kocyigit F., et al. “Investigation of biomechanical characteristics of intact supraspinatus tendons in subacromial impingement syndrome: a cross-sectional study with real-time Sonoelastography”. American Journal of Physical Medicine and Rehabilitation 8 (2016): 588-596.
  6. Elena Drakonaki. “Ultrasound elastography for imaging tendons and muscles”. Journal of Ultrasonography49 (2012): 214-225.
  7. Buck AR., et al. “Detection of small tendon lesions by sonoelastographic visualization of strain profile differences: initial experiences”. Skeletal Radiology 9 (2012): 1073-1079.
  8. Lalitha P., et al. “Musculoskeletal applications of elastography: a pictorial essay of our initial experience”. Korean Journal of Radiology 3 (2011): 365-375.
  9. Klauser AS., et al. “Sonoelastography: Musculoskeletal applications”. Radiology3 (2014): 622-633.
×

Citation

Citation: Rajul Rastogi., et al. “Objective Assessment of Tendinopathy by Ultrasound Elastography". Acta Scientific Orthopaedics 3.7 (2020): 20-22.




Metrics

Acceptance rate33%
Acceptance to publication20-30 days

Indexed In



News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is December 25, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"

Contact US