EVALUATION OF THE LONG HEAD OF THE BICEPS TENDON USING SHEAR WAVE ELASTOGRAPHY AND SUPERB MICROVASCULAR IMAGING IN CASES OF BICEPS TENDINOPATHY
OBJECTIVE: To evaluate biceps tendon long head (LHBT) tendinopathy cases with shear wave elastography (SWE) and superb microvascular imaging (SMI) methods, to compare the findings with magnetic resonance imaging (MRI) findings and make an early diagnosis of tendinopathy.
MATERIAL and METHODS: 20 patients diagnosed with LHBT tendinopathy on MRI and 20 healthy volunteers with normal LHBT on MRI were prospectively evaluated using SWE and SMI methods. Quantitative measurements of LHBT hardness by SWE were determined in kilopascals (kPa). SMI values were determined using a rating system. A 4-stage grading system was used as follows: grade 0 (no significant vascularity focus), grade 1 (1-2 focal vascularity focus), grade 2 (1 linear or more than 2 focal vascularity focus), grade 3 (more than 1 linear vascularity focus).
RESULTS: While the average SWE values for the biceps tendon with tendinopathy were measured as 38.715 kPa and 37.685 kPa in the longitudinal and transverse planes, respectively, the average SWE values of the control group were measured as 19.385 kPa and 18.41 kPa in the longitudinal and transverse planes. This shows that there is a statistically significant difference (p
Key words: Biceps tendinopathy, Biceps tendon long head tendinopathy, Shear wave elastography, Superb microvascular imaging
Biceps tendon uzun başı tendinopatisi, Shear wave elastografi, Süperb mikrovasküler görüntüleme
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