Usefulness of ultrasound in diagnosing long head of the biceps tendon malposition in patients with rotator cuff tears.

• 資料種別: 博士論文
• タイトル: Usefulness of ultrasound in diagnosing long head of the biceps tendon malposition in patients with rotator cuff tears.
• 著者・編者: Fujiwara, Yoshiko; Yamamoto, Syuichi; Kato, Yumi; Kurata, Shimpei; Fujii, Shuhei; Inoue, Kazuya; Inoue, Takashi; Mondori, Takamitsu; Nakagawa, Yoshiyuki; Tanaka, Yasuhito
• 著者標目: Fujiwara, Yoshiko; Yamamoto, Syuichi; Kato, Yumi; Kurata, Shimpei; Fujii, Shuhei; Inoue, Kazuya; Inoue, Takashi; Mondori, Takamitsu; Nakagawa, Yoshiyuki; Tanaka, Yasuhito
• 出版事項: Springer Nature
• 出版年月日等: 2022-04
• 出版年（W3CDTF）: 2022-04
• 並列タイトル等: 腱板断裂患者の上腕二頭筋腱長頭位置異常の診断における超音波診断の有用性
• タイトル（掲載誌）: Journal of medical ultrasonics
• 巻号年月日等（掲載誌）: 49 2
• 掲載巻: 49
• 掲載号: 2
• 掲載ページ: 289-295
• ISSN（掲載誌）: ISSN : 1346-4523
• 授与機関名: 奈良県立医科大学
• 授与年月日: 2022-06-29
• 報告番号: 甲第842号
• 学位: 博士（医学）
• 本文の言語コード: eng
• 件名標目: Shoulder ultrasonography; Long head of the biceps tendon; Intraoperative subscapularis tear
• 対象利用者: 一般
• 一般注記: type:Thesis; Purpose: This study aimed to determine the role of preoperative shoulder ultrasonography (SUS) in detecting positional abnormalities of the long head of the biceps tendon (LHBT) and predicting subscapularis (SSC) tears in patients with rotator cuff injuries. Methods: A total of 331 patients (365 shoulders) who had undergone arthroscopic shoulder surgery for the treatment of rotator cuff tears were included in the study. Their preoperative SUS and magnetic resonance imaging (MRI) findings were examined retrospectively to assess the presence of LHBT abnormalities at the bicipital groove. Using arthroscopic findings as the standard of reference, the sensitivity, specificity, and diagnostic accuracy of SUS and MRI were calculated for detection of LHBT malposition. Furthermore, the correlation between SSC rupture and preoperative LHBT condition was evaluated by MRI and SUS. Results: LHBT malposition was preoperatively diagnosed with a sensitivity of 92%, specificity of 90%, and accuracy of 91% with SUS, and a sensitivity of 74%, specificity of 84%, and accuracy of 80% with MRI. Preoperative SUS was significantly superior to MRI in terms of sensitivity, specificity, and accuracy (p < 0.001 each). Further, the preoperative SUS LHBT findings could predict well the presence or absence of intraoperative SSC rupture (odds ratio: 1.73, p < 0.001). Conclusion: SUS is a useful diagnostic modality for preoperative detection of LHBT malposition and prediction of SSC tears in patients with rotator cuff tears.; 博士（医学）・甲第842号・令和4年6月29日; © 2022. The Author(s), under exclusive licence to The Japan Society of Ultrasonics in Medicine.; This is a post-peer-review, pre-copyedit version of an article published in Journal of medical ultrasonics. The final authenticated version is available online at: https://doi.org/10.1007/s10396-022-01200-y.; identifier:Journal of medical ultrasonics Vol.49 No.2 p.289-295 (2022 Apr); identifier:13464523; identifier:http://ginmu.naramed-u.ac.jp/dspace/handle/10564/4063; identifier:Journal of medical ultrasonics, 49(2): 289-295
• オンライン閲覧公開範囲: インターネット公開
• 関連情報（DOI）: 10.1007/s10396-022-01200-y
• 連携機関・データベース: 国立情報学研究所 : 学術機関リポジトリデータベース（IRDB）（機関リポジトリ）; https://irdb.nii.ac.jp
• 提供元機関・データベース: 奈良県立医科大学 : 奈良県立医科大学機関リポジトリ GINMU

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http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/4063/1/01%e7%94%b2842%e6%9c%ac%e6%96%87%e3%81%ae%e8%a6%81%e6%97%a8.pdf fulltext

http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/4063/2/02%e7%94%b2842%e5%af%a9%e6%9f%bb%e8%a6%81%e6%97%a8.pdf fulltext

http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/4063/8/03%e7%94%b2842%e6%9c%ac%e6%96%87.pdf fulltext