Uber die bedeutung des halophanomens um die lange bizepssehne in der sonografie der schulter

Translated title of the contribution: The sign of hypoechoic area around the long biceps tendon in shoulder sonography - Underlying pathology

Stepan Rupp*, R. Seil, D. Kohn

*Corresponding author for this work

    Research output: Contribution to journalArticleResearchpeer-review

    7 Citations (Scopus)

    Abstract

    Objective: The objective was to evaluate the sonographic sign of a hypoechoic area ('halo-sign') around the long biceps tendon as an equivalent of intraarticular effusion. Methods: Part 1: Ten patients scheduled for shoulder arthroscopy underwent ultrasonography immediately before surgery. If there was no hypoechoic area around the long biceps tendon 30 ml of NaCl- solution (0.9%) were injected into the joint. After repetitive passive motion the patient underwent a second ultrasonography. Part 2: Ten consecutive patients with a hypoechoic area around the long biceps tendon underwent shoulder arthroscopy. During this procedure they were examined for intraarticular effusion. Patients with rheumatoid disease were excluded from the study. Results: Part 1: In 9 of 10 patients a hypoechoic area around the long biceps tendon was induced by injection into the joint. The area was 1,07±0,13 cm2. In one case we could not induce the described phenomenon. Part 2: In all patients with a hypoechoic area around the long biceps tendon an intraarticular effusion was found at arthroscopy. Conclusion: A hypoechoic area around the long biceps tendon correlates with fluid in the synovial sheet and indicates effusion within the glenohumeral joint.

    Translated title of the contributionThe sign of hypoechoic area around the long biceps tendon in shoulder sonography - Underlying pathology
    Original languageGerman
    Pages (from-to)7-9
    Number of pages3
    JournalZeitschrift fur Orthopadie und Ihre Grenzgebiete
    Volume137
    Issue number1
    DOIs
    Publication statusPublished - 1999

    Keywords

    • Hypoechoic area
    • Joint effusion
    • Long biceps tendon
    • Ultrasonography

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