Cargando…

Sonographic detection of inferior subluxation in post-stroke hemiplegic shoulders

AIM OF THE STUDY: To evaluate the usefulness of ultrasonographic acromion-greater tuberosity distance measurement and Shoulder ratio in detecting post-stroke inferior shoulder subluxation. MATERIAL AND METHODS: Forty-five hemiplegic stroke patients and 45 controls underwent shoulder sonography to me...

Descripción completa

Detalles Bibliográficos
Autores principales: Idowu, Bukunmi M., Ayoola, Oluwagbemiga O., Adetiloye, Victor A., Komolafe, Morenikeji A., Afolabi, Babalola I.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medical Communications Sp. z o.o. 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5516080/
https://www.ncbi.nlm.nih.gov/pubmed/28856018
http://dx.doi.org/10.15557/JoU.2017.0015
_version_ 1783251096054005760
author Idowu, Bukunmi M.
Ayoola, Oluwagbemiga O.
Adetiloye, Victor A.
Komolafe, Morenikeji A.
Afolabi, Babalola I.
author_facet Idowu, Bukunmi M.
Ayoola, Oluwagbemiga O.
Adetiloye, Victor A.
Komolafe, Morenikeji A.
Afolabi, Babalola I.
author_sort Idowu, Bukunmi M.
collection PubMed
description AIM OF THE STUDY: To evaluate the usefulness of ultrasonographic acromion-greater tuberosity distance measurement and Shoulder ratio in detecting post-stroke inferior shoulder subluxation. MATERIAL AND METHODS: Forty-five hemiplegic stroke patients and 45 controls underwent shoulder sonography to measure their acromion-greater tuberosity distance. Side-to-side acromion-greater tuberosity distance differences and Shoulder ratios were derived from the acromion-greater tuberosity distance values. The long head of biceps tendon, subscapularis tendon, supraspinatus tendon, and the infraspinatus tendon were also evaluated to exclude full thickness tendon tears. Data were analyzed using the Statistical Package for Social Sciences version 20.0 for windows. Normality of data distribution was checked using the Kolmogorov–Smirnov test. Mann–Whitney U test and Chi-square tests were utilized. RESULTS: Hemiplegic and control shoulders’ acromion-greater tuberosity distance values were 2.8 ± 0.6 cm and 2.4 ± 0.4 cm, respectively (p = 0.001). Hemiplegic and control shoulder ratios were 1.3 ± 0.3 and 1.1 ± 0.1, respectively; p < 0.001. Point biserial correlation showed that the presence of subluxation correlated moderately with higher shoulder ratios in all the hemiplegics (r(pb) = 0.520; p < 0.001). CONCLUSION: Our results suggest that acromion-greater tuberosity distance measurement is useful for detecting inferior shoulder subluxation. Shoulder ratio may be of complementary or supplemental value to acromion-greater tuberosity distance difference.
format Online
Article
Text
id pubmed-5516080
institution National Center for Biotechnology Information
language English
publishDate 2017
publisher Medical Communications Sp. z o.o.
record_format MEDLINE/PubMed
spelling pubmed-55160802017-08-30 Sonographic detection of inferior subluxation in post-stroke hemiplegic shoulders Idowu, Bukunmi M. Ayoola, Oluwagbemiga O. Adetiloye, Victor A. Komolafe, Morenikeji A. Afolabi, Babalola I. J Ultrason Original Paper AIM OF THE STUDY: To evaluate the usefulness of ultrasonographic acromion-greater tuberosity distance measurement and Shoulder ratio in detecting post-stroke inferior shoulder subluxation. MATERIAL AND METHODS: Forty-five hemiplegic stroke patients and 45 controls underwent shoulder sonography to measure their acromion-greater tuberosity distance. Side-to-side acromion-greater tuberosity distance differences and Shoulder ratios were derived from the acromion-greater tuberosity distance values. The long head of biceps tendon, subscapularis tendon, supraspinatus tendon, and the infraspinatus tendon were also evaluated to exclude full thickness tendon tears. Data were analyzed using the Statistical Package for Social Sciences version 20.0 for windows. Normality of data distribution was checked using the Kolmogorov–Smirnov test. Mann–Whitney U test and Chi-square tests were utilized. RESULTS: Hemiplegic and control shoulders’ acromion-greater tuberosity distance values were 2.8 ± 0.6 cm and 2.4 ± 0.4 cm, respectively (p = 0.001). Hemiplegic and control shoulder ratios were 1.3 ± 0.3 and 1.1 ± 0.1, respectively; p < 0.001. Point biserial correlation showed that the presence of subluxation correlated moderately with higher shoulder ratios in all the hemiplegics (r(pb) = 0.520; p < 0.001). CONCLUSION: Our results suggest that acromion-greater tuberosity distance measurement is useful for detecting inferior shoulder subluxation. Shoulder ratio may be of complementary or supplemental value to acromion-greater tuberosity distance difference. Medical Communications Sp. z o.o. 2017-06-30 2017-06 /pmc/articles/PMC5516080/ /pubmed/28856018 http://dx.doi.org/10.15557/JoU.2017.0015 Text en 2017 Polish Ultrasound Society. Published by Medical Communications Sp. z o.o. All rights reserved. http://creativecommons.org/licenses/by-nc-nd This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (CC BY-NC-ND). Reproduction is permitted for personal, educational, non-commercial use, provided that the original article is in whole, unmodified, and properly cited.
spellingShingle Original Paper
Idowu, Bukunmi M.
Ayoola, Oluwagbemiga O.
Adetiloye, Victor A.
Komolafe, Morenikeji A.
Afolabi, Babalola I.
Sonographic detection of inferior subluxation in post-stroke hemiplegic shoulders
title Sonographic detection of inferior subluxation in post-stroke hemiplegic shoulders
title_full Sonographic detection of inferior subluxation in post-stroke hemiplegic shoulders
title_fullStr Sonographic detection of inferior subluxation in post-stroke hemiplegic shoulders
title_full_unstemmed Sonographic detection of inferior subluxation in post-stroke hemiplegic shoulders
title_short Sonographic detection of inferior subluxation in post-stroke hemiplegic shoulders
title_sort sonographic detection of inferior subluxation in post-stroke hemiplegic shoulders
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5516080/
https://www.ncbi.nlm.nih.gov/pubmed/28856018
http://dx.doi.org/10.15557/JoU.2017.0015
work_keys_str_mv AT idowubukunmim sonographicdetectionofinferiorsubluxationinpoststrokehemiplegicshoulders
AT ayoolaoluwagbemigao sonographicdetectionofinferiorsubluxationinpoststrokehemiplegicshoulders
AT adetiloyevictora sonographicdetectionofinferiorsubluxationinpoststrokehemiplegicshoulders
AT komolafemorenikejia sonographicdetectionofinferiorsubluxationinpoststrokehemiplegicshoulders
AT afolabibabalolai sonographicdetectionofinferiorsubluxationinpoststrokehemiplegicshoulders