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Volume 20, Issue 1
  • ISSN: 1573-4056
  • E-ISSN: 1875-6603
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Abstract

Aims

This study is aimed to explore the characteristics and clinical application of ultrasonic elastography in peripheral soft tissue in patients with poststroke complex regional pain syndrome (CRPS).

Background

Complex regional pain syndrome (CRPS) type I is also known as shoulder hand syndrome (SHS). Its main symptoms include shoulder pain, limited activity, upper arm, wrist, and knuckle joint pain. Ultrasonic elastic imaging technology is gradually being applied to musculoskeletal system evaluation, primarily for the elastic examination of superficial tissue, as a result of the continual advancements in ultrasound technology. To make up for the absence of conventional imaging, functional state evaluation of the motor system can offer conventional ultrasonic tissue elasticity and hardness data.

Objectives

The purpose of this study was to objectively quantify the soft tissue surrounding the shoulder joint of stroke patients with CRPS using ultrasonic elastic imaging and to determine the diagnostic usefulness of ultrasonic elastic imaging for CRPS in stroke in order to promote its usage in clinical practice.

Materials and Methods

Patients diagnosed with CRPS following a stroke and admitted to the rehabilitation unit at Shanxi Bethune Hospital between January, 2021 to June, 2021 were included in the analysis. The control group consisted of people without pain in their shoulder joints. Each group consisted of 30 patients. A high-frequency wire array probe (frequency = 8-16 Hz) was employed in conjunction with an ultrasonic diagnostic apparatus. A quantitative analytic system determined Young's modulus of the tissue, while the tracking of the shear wave provided an elastin map in real-time. An excitation pulse of acoustic radiation force was used to cause shear waves in the tissue.

Results

The Young's modulus of supraspinatus muscle in the study and control groups was 289.16±22.07 Kpa and 231.99±23.61 Kpa, respectively (P <0.01). Young's modulus values of the study group's subscapular biceps were compared to those of the control group (P > 0.05). The supraspinatus shear wave elastographic (SWE) imaging value was 10.01±0.49 m/s in the study group and 7.92±0.50 in the control group (P <0.05). The study and control groups had subscapular muscle SWE values of 15.99±1.95 and 8.64±0.56 m/s, respectively (P <0.05). The average biceps tendon SWE value in the study and control groups was 6.39±0.42 and 4.69±0.36 m/s, respectively (P <0.05).

Conclusion test12

In conclusion, the SWE assessed by ultrasound elastography is useful for early diagnosis and evaluation of the superior shoulder tendon, subscapular tendon, and biceps tendon of CRPS following stroke test.

© 2024 The Author(s). Published by Bentham Science Publisher.
This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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2023-09-06
2024-11-23

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References

  1. BorchersA.T. GershwinM.E. Complex regional pain syndrome: A comprehensive and critical review.Autoimmun. Rev.201413324226510.1016/j.autrev.2013.10.00624161450
     [Google Scholar]
  2. DunkunS. Rehabilitation Medicine.3rd ed.BeijingPeople’s Health Publishing2005208209
     [Google Scholar]
  3. HuiminX. XiuqinZ. ShuoW. NingW. LuW. ShengjieL. LeninZ. ZishanJ. Diagnosis characteristics of shoulder joint MRI in patients with hemiplegia and shoulder pain in stroke.J. Med. Coll. PLA20189376379
     [Google Scholar]
  4. GoldsteinB. YoungJ. EscobedoE.M. Rotator cuff repairs in individuals with paraplegia.Am. J. Phys. Med. Rehabil.199776431632210.1097/00002060‑199707000‑000119267192
     [Google Scholar]
  5. YiY. ShimJ.S. KimK. BaekS.R. JungS.H. KimW. HanT.R. Prevalence of the rotator cuff tear increases with weakness in hemiplegic shoulder.Ann. Rehabil. Med.201337447147810.5535/arm.2013.37.4.47124020027
     [Google Scholar]
  6. GilmoreP.E. SpauldingS.J. VandervoortA.A. Hemiplegic shoulder pain: Implications for occupational therapy treatment.Can. J. Occup. Ther.2004711364610.1177/00084174040710010815015899
     [Google Scholar]
  7. DrakonakiE.E. AllenG.M. WilsonD.J. Ultrasound elastography for musculoskeletal applications.Br. J. Radiol.20128510191435144510.1259/bjr/9304286723091287
     [Google Scholar]
  8. Okechukwu EronduF. Perspective chapter: Recent advances in musculo-skeletal ultrasound.Ultrasound ImagingIntechOpen202110.5772/intechopen.101338
     [Google Scholar]
  9. BalabanM. CilengirA.H. IdilmanI.S. Evaluation of tendon disorders with ultrasonography and elastography.J. Ultrasound Med.20214071267128610.1002/jum.1552033078869
     [Google Scholar]
  10. SigristR.M.S. LiauJ. KaffasA.E. ChammasM.C. WillmannJ.K. Ultrasound elastography: Review of techniques and clinical applications.Theranostics2017751303132910.7150/thno.1865028435467
     [Google Scholar]
  11. WellsP.N.T. LiangH.D. Medical ultrasound: Imaging of soft tissue strain and elasticity.J. R. Soc. Interface20118641521154910.1098/rsif.2011.005421680780
     [Google Scholar]
  12. NishidaY. SaitoY. YokotaT. KandaT. MizusawaH. Skeletal muscle MRI in complex regional pain syndrome.Intern. Med.200948420921210.2169/internalmedicine.48.161119218770
     [Google Scholar]
  13. KimY.W. KimY. KimJ.M. HongJ.S. LimH.S. KimH.S. Is poststroke complex regional pain syndrome the combination of shoulder pain and soft tissue injury of the wrist?Medicine20169531e438810.1097/MD.000000000000438827495051
     [Google Scholar]
  14. El-SonbatyH.A.E. Abou ElmaatyA.A. ZaradC.A. El-BahnasawyA.S. Clinical and radiological assessment of hemiplegic shoulder pain in stroke patients.Egypt. J. Neurol. Psychiat. Neurosurg.20225814110.1186/s41983‑022‑00474‑w
     [Google Scholar]
  15. ShinS.H. KimS.J. Bone scintigraphy in patients with pain.Korean J. Pain201730316517510.3344/kjp.2017.30.3.16528757916
     [Google Scholar]
  16. RyuJ. JeongW.K. Current status of musculoskeletal application of shear wave elastography.Ultrasonography201736318519710.14366/usg.1605328292005
     [Google Scholar]
  17. DavisL.C. BaumerT.G. BeyM.J. HolsbeeckM. Clinical utilization of shear wave elastography in the musculoskeletal system.Ultrasonography201938121210.14366/usg.1803930343557
     [Google Scholar]
  18. HongxiaD. ShunshiY. QianG. JianxinL. Application value of ultrasonic elasticography in diagnosis and prognosis evaluation of tendonitis.Radiol. Res. Pract.20193410341039
     [Google Scholar]
  19. YunS.J. JinW. ChoN.S. RyuK.N. YoonY.C. ChaJ.G. ParkJ.S. ParkS.Y. ChoiN.Y. Shear-wave and strain ultrasound elastography of the supraspinatus and infraspinatus tendons in patients with idiopathic adhesive capsulitis of the shoulder: A prospective case-control study.Korean J. Radiol.20192071176118510.3348/kjr.2018.091831270981
     [Google Scholar]
  20. MatsonA KonowN MillerS KonowPP RobertsTJ Tendon material properties vary and are interdependent among turkey hindlimb muscles.J. Exp. Biol.2012215Pt 203552355810.1242/jeb.072728
     [Google Scholar]
  21. HodgsonR.J. O’ConnorP.J. GraingerA.J. Tendon and ligament imaging.Br. J. Radiol.20128510161157117210.1259/bjr/3478647022553301
     [Google Scholar]
  22. PedersenM. FredbergU. LangbergH. Sonoelastography as a diagnostic tool in the assessment of musculoskeletal alterations: A systematic review.Ultraschall Med.201233544144610.1055/s‑0032‑131292322744444
     [Google Scholar]
  23. WeinrebJ.H. ShethC. ApostolakosJ. McCarthyM.B. BardenB. CoteM.P. MazzoccaA.D. Tendon structure, disease, and imaging.Muscles Ligaments Tendons J.201941667310.32098/mltj.01.2014.1224932450
     [Google Scholar]
  24. XiaoxiaR. XiaopingD. BoL. ShichangX. WenyunZ. Application of ultrasonic elastic imaging technology in the diagnosis of tendon diseases.J. Med. Ultrasound201916176180
     [Google Scholar]
  25. ZhengT.D. ChangshengC. ZhengD. Application of action observation based on mirror neuron theory in pain recovery of shoulder and hand syndrome after stroke.Chinese J. Rehabilitation Med.201631145149
     [Google Scholar]
/content/journals/cmir/10.2174/1573405620666230801121419
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Clinical Application of Ultrasound Elastic Imaging in Assessing Poststroke Complex Regional Pain Syndrome (CRPS)
Curr. Med. Imaging 20, E010823219335 (2024); https://doi.org/10.2174/1573405620666230801121419
/content/journals/cmir/10.2174/1573405620666230801121419
/content/journals/cmir/10.2174/1573405620666230801121419
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  • Article Type:     Research Article
Keyword(s): Complex regional pain syndrome (CRPS); Shear rotator sleeve; Shear wave elastography; Stroke; SWE; Ultrasound elastic imaging

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