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Power Doppler Presentation of Shoulders With Biceps Disorder

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Presentation on theme: "Power Doppler Presentation of Shoulders With Biceps Disorder"— Presentation transcript:

1 Power Doppler Presentation of Shoulders With Biceps Disorder
Ke-Vin Chang, MD, Shin-Han Wu, MD, Shih-Han Lin, MD, Jeng-Yi Shieh, MD, Tyng-Guey Wang, MD, Wen-Shiang Chen, MD, PhD  Archives of Physical Medicine and Rehabilitation  Volume 91, Issue 4, Pages (April 2010) DOI: /j.apmr Copyright © 2010 American Congress of Rehabilitation Medicine Terms and Conditions

2 Fig 1 The images present the position of our transducer and sonographic pictures of 3 planes and the methods to measure the PDS area. (A) The transverse plane (T plane) of the bicipital groove near the transverse humeral ligament. (B) The lateral edge of the bicipital groove (LL plane). (C) The medial edge of the bicipital groove (ML plane). (D and E) Image J is applied for measuring the PDS area and the cross-section area of biceps tendons. (F) The trace ball on the dashboard of the ultrasound machine is used to search for the view with the maximal amount of PDS. Archives of Physical Medicine and Rehabilitation  , DOI: ( /j.apmr ) Copyright © 2010 American Congress of Rehabilitation Medicine Terms and Conditions

3 Fig 2 The sonographic pictures of shoulders belonging to normal controls are presented. (A) The transverse plane (T plane) of the bicipital groove near the transverse humeral ligament. (B) The lateral edge of the bicipital groove (LL plane). (C) The medial edge of the bicipital groove (ML plane). Archives of Physical Medicine and Rehabilitation  , DOI: ( /j.apmr ) Copyright © 2010 American Congress of Rehabilitation Medicine Terms and Conditions

4 Fig 3 The images represent a different power Doppler pattern in the transverse planes in shoulders with biceps disorder. (A) It reveals the power Doppler signal at both sides of the biceps tendon. (B) The intratendinous flow is also observed, which is never seen in controls. (C) The power Doppler signal medial to the biceps tendon parallels bicipital peritendinous effusion. (D) Increased vascularity is noted at the medial edge of the bicipital groove in the longitudinal plane. Archives of Physical Medicine and Rehabilitation  , DOI: ( /j.apmr ) Copyright © 2010 American Congress of Rehabilitation Medicine Terms and Conditions

5 Fig 4 The images show the possible mechanism of a power Doppler signal medial to the biceps tendon in the transverse plane. (A) Normally, the anterior lateral branch of the anterior circumflex artery runs along the lateral edge of the bicipital groove, and there are several invisible vessels in power Doppler sonography medial to the biceps tendon. (B) Those vessels may become detectable if they dilate because of inflamed shoulder disorders. Archives of Physical Medicine and Rehabilitation  , DOI: ( /j.apmr ) Copyright © 2010 American Congress of Rehabilitation Medicine Terms and Conditions


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