Ultrasound Features Associated With Shoulder Complaints: Calcifications Larger Than 6 mm in Young Patients and Positive Doppler Are Associated With Pain

Objectives: To identify ultrasound (US) features associated with the presence of shoulder complaints.Methods: This observational, case-control study, compared US findings between participants with and without shoulder complaints, matched for age, sex, and dominancy. Data was collected from February...

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Autores principales:	João Janeiro, Sofia C. Barreira, Patrícia Martins, Pedro Ninitas, Jorge Campos, João E. Fonseca
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	shoulder pain ultrasonography Doppler rotator cuff tendinopathy calcifications Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/511411fd3b5547099b0908780899d637
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spelling	oai:doaj.org-article:511411fd3b5547099b0908780899d6372021-11-19T04:44:35ZUltrasound Features Associated With Shoulder Complaints: Calcifications Larger Than 6 mm in Young Patients and Positive Doppler Are Associated With Pain2296-858X10.3389/fmed.2021.715423https://doaj.org/article/511411fd3b5547099b0908780899d6372021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fmed.2021.715423/fullhttps://doaj.org/toc/2296-858XObjectives: To identify ultrasound (US) features associated with the presence of shoulder complaints.Methods: This observational, case-control study, compared US findings between participants with and without shoulder complaints, matched for age, sex, and dominancy. Data was collected from February 2018 to June 2020. Two-tailed Fisher's and Mann-Whitney U-tests were used, with p-values < 0.05 considered significant.Results: A total of 202 participants were enrolled (median age 56 years, range 18–70, 155 women), comprising 140 cases and 62 controls. A calcification size ≥6 mm, when age < 56 (p = 0.02), and a distance to tendon insertion ≥6 mm, when age ≥56 (p = 0.009), were only found in symptomatic shoulders. Color Doppler in rotator cuff (RC) tendons predominated in the presence of symptoms (26/140 vs. 2/62, p = 0.003). An algorithm also combining the number of calcifications, tendon echotexture and insertional thickening, osseous irregularity, cuff tears, and subacromial effusion showed a 92% (57/62) specificity for shoulder pain on this study sample.Conclusion: Calcification diameter of 6 mm or more is associated with shoulder pain in patients younger than 56 years. A distance from calcification to tendon insertion of 6 mm or more is related to pain in older patients. Doppler signal also is associated with shoulder pain. An algorithm based on a set of specific ultrasonographic criteria have a strong association with the presence of symptoms.João JaneiroSofia C. BarreiraSofia C. BarreiraPatrícia MartinsPatrícia MartinsPedro NinitasJorge CamposJoão E. FonsecaJoão E. FonsecaFrontiers Media S.A.articleshoulder painultrasonographyDopplerrotator cufftendinopathycalcificationsMedicine (General)R5-920ENFrontiers in Medicine, Vol 8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	shoulder pain ultrasonography Doppler rotator cuff tendinopathy calcifications Medicine (General) R5-920
spellingShingle	shoulder pain ultrasonography Doppler rotator cuff tendinopathy calcifications Medicine (General) R5-920 João Janeiro Sofia C. Barreira Sofia C. Barreira Patrícia Martins Patrícia Martins Pedro Ninitas Jorge Campos João E. Fonseca João E. Fonseca Ultrasound Features Associated With Shoulder Complaints: Calcifications Larger Than 6 mm in Young Patients and Positive Doppler Are Associated With Pain
description	Objectives: To identify ultrasound (US) features associated with the presence of shoulder complaints.Methods: This observational, case-control study, compared US findings between participants with and without shoulder complaints, matched for age, sex, and dominancy. Data was collected from February 2018 to June 2020. Two-tailed Fisher's and Mann-Whitney U-tests were used, with p-values < 0.05 considered significant.Results: A total of 202 participants were enrolled (median age 56 years, range 18–70, 155 women), comprising 140 cases and 62 controls. A calcification size ≥6 mm, when age < 56 (p = 0.02), and a distance to tendon insertion ≥6 mm, when age ≥56 (p = 0.009), were only found in symptomatic shoulders. Color Doppler in rotator cuff (RC) tendons predominated in the presence of symptoms (26/140 vs. 2/62, p = 0.003). An algorithm also combining the number of calcifications, tendon echotexture and insertional thickening, osseous irregularity, cuff tears, and subacromial effusion showed a 92% (57/62) specificity for shoulder pain on this study sample.Conclusion: Calcification diameter of 6 mm or more is associated with shoulder pain in patients younger than 56 years. A distance from calcification to tendon insertion of 6 mm or more is related to pain in older patients. Doppler signal also is associated with shoulder pain. An algorithm based on a set of specific ultrasonographic criteria have a strong association with the presence of symptoms.
format	article
author	João Janeiro Sofia C. Barreira Sofia C. Barreira Patrícia Martins Patrícia Martins Pedro Ninitas Jorge Campos João E. Fonseca João E. Fonseca
author_facet	João Janeiro Sofia C. Barreira Sofia C. Barreira Patrícia Martins Patrícia Martins Pedro Ninitas Jorge Campos João E. Fonseca João E. Fonseca
author_sort	João Janeiro
title	Ultrasound Features Associated With Shoulder Complaints: Calcifications Larger Than 6 mm in Young Patients and Positive Doppler Are Associated With Pain
title_short	Ultrasound Features Associated With Shoulder Complaints: Calcifications Larger Than 6 mm in Young Patients and Positive Doppler Are Associated With Pain
title_full	Ultrasound Features Associated With Shoulder Complaints: Calcifications Larger Than 6 mm in Young Patients and Positive Doppler Are Associated With Pain
title_fullStr	Ultrasound Features Associated With Shoulder Complaints: Calcifications Larger Than 6 mm in Young Patients and Positive Doppler Are Associated With Pain
title_full_unstemmed	Ultrasound Features Associated With Shoulder Complaints: Calcifications Larger Than 6 mm in Young Patients and Positive Doppler Are Associated With Pain
title_sort	ultrasound features associated with shoulder complaints: calcifications larger than 6 mm in young patients and positive doppler are associated with pain
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/511411fd3b5547099b0908780899d637
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Ultrasound Features Associated With Shoulder Complaints: Calcifications Larger Than 6 mm in Young Patients and Positive Doppler Are Associated With Pain

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