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Ultrasonographic measurement of the axillary recess thickness in an asymptomatic shoulder
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논문 기본 정보

Type
Academic journal
Author
Gi-young Park (대구가톨릭대학교) Jin Hoon Lee (대구가톨릭대학교) KWON DAE GIL (대구가톨릭대학교)
Journal
대한초음파의학회 ULTRASONOGRAPHY ULTRASONOGRAPHY Vol.36 No.2 KCI Accredited Journals
Published
2017.1
Pages
139 - 143 (5page)

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Ultrasonographic measurement of the axillary recess thickness in an asymptomatic shoulder
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Abstract· Keywords

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Purpose: The purpose of this study was to measure the axillary recess (AR) thickness in an asymptomatic shoulder by using ultrasonography (US) and to analyze the factors affecting it. Methods: We recruited 141 patients (52 males; 89 females; age, 57.7±9.9 years) with unilateral shoulder pain and performed US on the unaffected shoulder. Two physiatrists measured the AR thickness of the unaffected shoulder independently. All patients were examined in an upright sitting position with 90° shoulder abduction. The ultrasonographic transducer was placed longitudinally on the mid-axillary line and along the long axis of the humeral shaft. The factors affecting the AR thickness values were analyzed, and intra-class correlation coefficients were used for assessing the reproducibility of each measurement. Results: The intrarater reliability values for the two physiatrists were 0.98 and 0.96, respectively. The inter-rater reliability of the mean AR thickness measurements was 0.91. The mean AR thickness in all subjects, males, and females was 2.8±0.6 mm, 3.1±0.6 mm, and 2.6±0.5 mm (P<0.01), respectively. No difference between the left and the right sides (males, P=0.086; females, P=0.535) or between the dominant and the non-dominant sides (males, P=0.173; female, P=0.244) was found. The AR thickness correlated positively with the height (r=0.313, P<0.01) and the weight (r=0.319, P<0.01). However, it did not correlate with the body mass index (r=0.152, P=0.077) or the age (r=-0.056, P=0.515). Conclusion: US measurements of the AR thickness in asymptomatic shoulders demonstrated excellent intrarater and inter-rater reliabilities. The AR thickness showed anatomical variation with sex, height, and weight.

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References (16)

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Hsu JE / 2011 / Current review of adhesive capsulitis / J Shoulder Elbow Surg 20:502~514 google schola Neviaser JS / 1945 / Adhesive capsulitis of the shoulder: a study of the pathological findings in periarthritis of the shoulder / J Bone Joint Surg Am 27:211~222 google schola Wiley AM / 1991 / Arthroscopic appearance of frozen shoulder / Arthroscopy 7:138~143 google schola Connell D / 2002 / Adhesive capsulitis: role of MR imaging in differential diagnosis / Eur Radiol 12:2100~2106 google schola Lee MH / 2003 / Adhesive capsulitis of the shoulder: diagnosis using magnetic resonance arthrography, with arthroscopic findings as the standard / J Comput Assist Tomogr 27:901~906 google schola

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