Quantitative Measurement of Muscle Atrophy and Fat Infiltration of the Supraspinatus Muscle Using Ultrasonography After Arthroscopic Rotator Cuff Repair
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objective To investigate the utility of ultrasonography to objectively examine morphological changes (i.e., muscle atrophy and fatty infiltration) of the supraspinatus muscle. Methods Thirty-four patients were prospectively enrolled in this study. The degrees of muscle atrophy and fat infiltration were measured using ultrasonography 3–4 months after arthroscopic supraspinatus tendon repair. Shoulder function (i.e., shoulder active range of motion, visual analogue scale, and constant score) was examined. Using the symmetricity of the muscles in the human body, the degrees of morphological changes of the supraspinatus muscle were quantitatively measured. The associations between the morphological changes of the supraspinatus muscle and shoulder function were identified. Results There were statistically significant differences in the cross-sectional area (CSA) and echogenicity between the surgery and non-surgery sides (p<0.001). The CSA ratio, which represents the degree of muscle atrophy, was associated with shoulder forward flexion, external rotation, and constant score; however, the echogenicity ratio, which represents the degree of fat infiltration, was not associated with shoulder function after surgery. Conclusion This study demonstrated that shoulder function could be predicted by evaluating the morphological changes of the supraspinatus muscle using ultrasonography and that objective evaluation is possible through quantitative measurement using the symmetricity of the human body.
Abstract
Objective To investigate the utility of ultrasonography to objectively examine morphological changes (i.e., muscle atrophy and fatty infiltration) of the supraspinatus muscle. Methods Thirty-four patients were prospectively enrolled in this study. The degrees of muscle atrophy and fat infiltration were measured using ultrasonography 3–4 months after arthroscopic supraspinatus tendon repair. Shoulder function (i.e., shoulder active range of motion, visual analogue scale, and constant score) was examined. Using the symmetricity of the muscles in the human body, the degrees of morphological changes of the supraspinatus muscle were quantitatively measured. The associations between the morphological changes of the supraspinatus muscle and shoulder function were identified. Results There were statistically significant differences in the cross-sectional area (CSA) and echogenicity between the surgery and non-surgery sides (p<0.001). The CSA ratio, which represents the degree of muscle atrophy, was associated with shoulder forward flexion, external rotation, and constant score; however, the echogenicity ratio, which represents the degree of fat infiltration, was not associated with shoulder function after surgery. Conclusion This study demonstrated that shoulder function could be predicted by evaluating the morphological changes of the supraspinatus muscle using ultrasonography and that objective evaluation is possible through quantitative measurement using the symmetricity of the human body.
참고문헌 (34)
- Tashjian RZ, "Epidemiology, natural history, and indications for treatment of rotator cuff tears", Clin Sports Med, 31, pp.589~604 (2012)[DOI]
- Boszotta H, "Arthroscopically assisted rotator cuff repair", Arthroscopy, 20, pp.620~626 (2004)[DOI]
- Buess E, "Open versus arthroscopic rotator cuff repair: a comparative view of 96 cases", Arthroscopy, 21, pp.597~604 (2005)[DOI]
- Charousset C, "The time for functional recovery after arthroscopic rotator cuff repair: correlation with tendon healing controlled by computed tomography arthrography", Arthroscopy, 24, pp.25~33 (2008)[DOI]
- Goutallier D, "Fatty muscle degeneration in cuff ruptures: preand postoperative evaluation by CT scan", Clin Orthop Relat Res, 304, pp.78~83 (1994)
- Jost B, "Clinical outcome after structural failure of rotator cuff repairs", J Bone Joint Surg Am, 82, pp.304~314 (2000)
- Liem D, "Magnetic resonance imaging of arthroscopic supraspinatus tendon repair", J Bone Joint Surg Am, 89, pp.1770~1776 (2007)[DOI]
- Khoury V, "Atrophy and fatty infiltration of the supraspinatus muscle: sonography versus MRI", AJR Am J Roentgenol, 190, pp.1105~1111 (2008)[DOI]
- Wall LB, "Diagnostic performance and reliability of ultrasonography for fatty degeneration of the rotator cuff muscles", J Bone Joint Surg Am, 94, pp.e83~ (2012)[DOI]
- Watanabe T, "A pilot study to assess Fatty infiltration of the supraspinatus in patients with rotator cuff tears: comparison with magnetic resonance imaging", Ultrasound Med Biol, 41, pp.1779~1783 (2015)[DOI]
- Katayose M, "The cross-sectional area of supraspinatus as measured by diagnostic ultrasound", J Bone Joint Surg Br, 83, pp.565~568 (2001)[DOI]
- Karthikeyan S, "Ultrasound dimensions of the rotator cuff in young healthy adults", J Shoulder Elbow Surg, 23, pp.1107~1112 (2014)[DOI]
- Reimers K, "Skeletal muscle sonography: a correlative study of echogenicity and morphology", J Ultrasound Med, 12, pp.73~77 (1993)[DOI]
- De Ste Croix M, "Assessment and interpretation of isokinetic muscle strength during growth and maturation", Sports Med, 33, pp.727~743 (2003)[DOI]
- Yanagisawa O, "Appropriate slice location to assess maximal cross-sectional area of individual rotator cuff muscles in normal adults and athletes", Magn Reson Med Sci, 8, pp.65~71 (2009)[DOI]
- Papatzika F, "Reliability and limits of agreement of the supraspinatus muscle anatomical cross-sectional area assessment by ultrasonography", Ultrasound Med Biol, 41, pp.1821~1826 (2015)[DOI]
- Tae Im Yi, "Reliability of the Supraspinatus Muscle Thickness Measurement by Ultrasonography", Annals of Rehabilitation Medicine, 36(4), pp.488~495 (2012), 대한재활의학회
- Juul-Kristensen B, "Comparison of muscle sizes and moment arms of two rotator cuff muscles measured by ultrasonography and magnetic resonance imaging", Eur J Ultrasound, 11, pp.161~173 (2000)[DOI]
- Lee E, "Fatty degeneration of the rotator cuff muscles on pre- and postoperative CT arthrography (CTA): is the Goutallier grading system reliable?", Skeletal Radiol, 42, pp.1259~1267 (2013)[DOI]
- Matsumura N, "Quantitative assessment of fatty infiltration and muscle volume of the rotator cuff muscles using 3-dimensional 2-point Dixon magnetic resonance imaging", J Shoulder Elbow Surg, 26, pp.e309~e318 (2017)[DOI]
- Raz Y, "Patterns of age-associated degeneration differ in shoulder muscles", Front Aging Neurosci, 7, pp.236~ (2015)
- Hata Y, "Volume changes of supraspinatus and infraspinatus muscles after supraspinatus tendon repair: a magnetic resonance imaging study", J Shoulder Elbow Surg, 14, pp.631~635 (2005)[DOI]
- Gladstone JN, "Fatty infiltration and atrophy of the rotator cuff do not improve after rotator cuff repair and correlate with poor functional outcome", Am J Sports Med, 35, pp.719~728 (2007)[DOI]
- Seok Won Chung, "Is the Supraspinatus Muscle Atrophy Truly Irreversible after Surgical Repair of Rotator Cuff Tears?", Clinics in Orthopedic Surgery, 5(1), pp.55~65 (2013), 대한정형외과학회
- Jo CH, "Cross-sectional area of the supraspinatus muscle after rotator cuff repair: an anatomic measure of outcome", J Bone Joint Surg Am, 95, pp.1785~1791 (2013)[DOI]
- Kuzel BR, "Fatty infiltration and rotator cuff atrophy", J Am Acad Orthop Surg, 21, pp.613~623 (2013)[DOI]
- Spencer EE, "Interobserver agreement in the classification of rotator cuff tears using magnetic resonance imaging", Am J Sports Med, 36, pp.99~103 (2008)[DOI]
- Sofka CM, "Teres minor denervation on routine magnetic resonance imaging of the shoulder", Skeletal Radiol, 33, pp.514~518 (2004)
- Uhthoff HK, "Early reattachment does not reverse atrophy and fat accumulation of the supraspinatus: an experimental study in rabbits", J Orthop Res, 21, pp.386~392 (2003)[DOI]
- van de Sande MA, "Quantitative assessment of fatty degeneration in rotator cuff muscles determined with computed tomography", Invest Radiol, 40, pp.313~319 (2005)[DOI]
- Kenn W, "2D SPLASH: a new method to determine the fatty infiltration of the rotator cuff muscles", Eur Radiol, 14, pp.2331~2336 (2004)[DOI]
- Fuchs B, "Fatty degeneration of the muscles of the rotator cuff: assessment by computed tomography versus magnetic resonance imaging", J Shoulder Elbow Surg, 8, pp.599~605 (1999)[DOI]
- Zanetti M, "Quantitative assessment of the muscles of the rotator cuff with magnetic resonance imaging", Invest Radiol, 33, pp.163~170 (1998)[DOI]
- Manaka T, "Functional recovery period after arthroscopic rotator cuff repair: is it predictable before surgery?", Clin Orthop Relat Res, 469, pp.1660~1666 (2011)[DOI]