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Acta Ortopédica Mexicana

ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología
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2016, Number 2

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Acta Ortop Mex 2016; 30 (2)

Precision of arthroscopic surgeons using ultrasound for the first time to measure tendon structures

Erquicia JI, Tey M, Doreste JL, Monllau JC, Centenera JM, Altisench JM
Full text How to cite this article

Language: Spanish
References: 6
Page: 81-84
PDF size: 174.20 Kb.


Key words:

Ultrasound, detection, shoulder, hip, experience.

ABSTRACT

Background: The precision of a group of arthroscopic surgeons using ultrasound for the first time was assessed when measuring shoulder and hip tendon structures. Methods: Twenty-two students and 3 professors participated in a one-day theoretical-practical course. Two measurement rounds were conducted, during which each student identified the greater and lesser axes and the cross-sectional area of the biceps tendon, the supraspinous depth, as well as the lesser and greater axes and the cross-sectional area of the iliac psoas. The mean of the two measurements made by each of the course professors was considered as the reference value. Results: When the 2 measurements made by each of the students of each of the structures were assessed, no significant correlation was found in any of the cases, with a p › 0.05. With the exception of the cross-sectional area of the biceps, where there was a significant undersizing of the structure, in the remaining 7 measurements a marked trend to oversize the structures was seen in both the first and second measurements, with a high statistical significance (p ‹ 0.05). Conclusions: Ultrasound is a useful method through which arthroscopic surgeons can identify structures. However, the marked trend to oversize structures compared to the reference values leads to think that the training courses and the daily practice are essential to improve the method.


REFERENCES

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  2. Ozçakar L, Palamar D, Carl AB, Aksakal FN: Precision of novice sonographers concerning median nerve and Achilles tendon measurements. Am J Phys Med Rehabil. 2011; 90(11): 913-6.

  3. Hunter SA, Brimble J, Weatherall M, Galletly DC: Agreement of clinical measurements of liver size with ultrasound when performed by medical students. N Z Med J. 2014; 127(1405): 61-9.

  4. Papatzika F, Papandreou M, Ekizos A, Panteli C, Arampatzis A: Reliability and limits of agreement of the supraspinatus muscle anatomical cross-sectional area assessment by ultrasonography. Ultrasound Med Biol. 2015; 41(7): 1821-6.

  5. Sampson MJ, Rezaian N, Hopkins JM: Ultrasound-guided percutaneous tenotomy for the treatment of iliopsoas impingement: a description of technique and case study. J Med Imaging Radiat Oncol. 2015; 59(2): 195-9.

  6. Ozçakar L, Kara M, Tekin L, Karanfil Y, Esen E, Utku B, et al: Effect of supervision on ultrasonographic measurements. A blinded randomized cross-over study. Eur J Phys Rehabil Med. 2013; 49(4): 527-31.




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Acta Ortop Mex. 2016 Mar-Abr;30