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Contemporary Advances in Musculoskeletal Ultrasonography: Clinical Outcomes and Treatment Implications

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A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Nuclear Medicine & Radiology".

Deadline for manuscript submissions: closed (25 September 2024) | Viewed by 3684

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Dr. Sebastian Klich

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Guest Editor

Department of Paralimpic Sports, University School of Physical Education, 51-612 Wrocław, Poland
Interests: ultrasonography; shear-wave elastography; muscles; physical therapy; orthopedic outcomes
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Prof. Dr. Marcos José Navarro-Santana

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Department of Radiology, Rehabilitation and Physiotherapy, Universidad Complutense de Madrid, Madrid, Spain
Interests: ultrasonography; physical therapy; orthopedics; muscle examination
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Special Issue Information

Dear Colleagues,

Musculoskeletal ultrasonography may provide many benefits for the diagnostics and monitoring of the human locomotor system. The main research goal for this Special Issue is to collect research papers based on clinical medicine outcomes and treatment implications, especially focused on contemporary advances and trends in medicine and rehabilitation.

This Special Issue topic “Contemporary Advances in Musculoskeletal Ultrasonography: Clinical Outcomes and Treatment Implications" determines the link between medicine and physical therapy.

Potential topics:

Literature review and meta-analysis proposing medical outcomes investigated by ultrasonography after different surgical interventions in the shoulder, elbow, knee, and ankle.
Novel applications for ultrasonography imagining in the shoulder, elbow, knee, and ankle. Original research and randomized-control trials based on analysis of ultrasonography after musculoskeletal surgical interventions.
Ultrasonographical evaluation of the musculoskeletal system during and/or after physical therapy intervention.
The future perspective of ultrasonography in medicine and physical therapy. Ultrasonography in other fields of medicine, e.g.: neurology, pediatrics, cardiology.

Dr. Sebastian Klich
Prof. Dr. Marcos José Navarro-Santana
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

ultrasonography
imaging
medicine
outcomes
physical therapy
orthopedics
treatment

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Published Papers (3 papers)

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10 pages, 890 KiB

Open AccessArticle

Metrology of Supraspinatus Tendon Thickness in Swimmers with Tendinopathy Using Ultrasound Imaging: An Intra- and Inter-Rater Reliability Study

by Sebastian Klich, Magdalena Podczarska-Głowacka, Juan Antonio Valera-Calero, José Luis Arias-Buría and Cesar Fernández-de-Las-Peñas

J. Clin. Med. 2024, 13(13), 3822; https://doi.org/10.3390/jcm13133822 - 29 Jun 2024

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Abstract

Objective: This study aimed to assess the relative and absolute intra- and inter-rater reliability of supraspinatus tendon (SST) thickness. Materials: Thirty adolescent swimmers with supraspinatus (SS) tendinopathy (n = 15) and a control-matched group (n = 15) were evaluated. Tendon thickness was measured according to four different measure procedures, i.e., (1) at 15 mm, (2) at 10, 20, and 30 mm, (3) at 10, 15, and 20 mm, and (4) 5 and 10 mm lateral to the most hyperechogenic reference point of the biceps tendon. Each examiner took two US images for the test measurements with a 10 min rest period. After 30 min, the subjects underwent retest measurements that were also repeated 1 week later. Results: SST thickness was greater in swimmers with SS tendinopathy compared with the matched control group for each procedure and rater (p < 0.001). Intra- and inter-rater reliability was good to excellent (ICC2.3: 0.78–0.98 and 0.83–0.97, respectively) in both groups. The lowest intra- and inter-rater reliability was found in procedures no. 2 and 4 (ICC2.3: 0.78 and 0.83). However, procedure no. 3 was the most reliable with the lowest error rate (ICC2.3: 0.92–0.97; SEM: 0.05–0.10 mm; MDC: 0.14–0.28 mm). Conclusions: The study confirmed the diagnostic value of ultrasound in SS tendinopathy. A multiple-reference-point procedure including a simple methodology (10, 15, and 20 mm from biceps tendon), was defined as the most reliable, expressed by the highest intra- and inter-rater ICCs. Full article

(This article belongs to the Special Issue Contemporary Advances in Musculoskeletal Ultrasonography: Clinical Outcomes and Treatment Implications)

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15 pages, 4512 KiB

Open AccessArticle

Effects of Adding Four Sessions of Ultrasound-Guided Percutaneous Electrical Nerve Stimulation to an Exercise Program in Patients with Shoulder Pain: A Randomized Controlled Trial

by Claudia Valenzuela-Rios, José L. Arias-Buría, Jorge Rodríguez-Jiménez, María Palacios-Ceña and César Fernández-de-las-Peñas

J. Clin. Med. 2024, 13(11), 3171; https://doi.org/10.3390/jcm13113171 - 28 May 2024

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Abstract

Objective: Percutaneous electrical nerve stimulation (PENS) appears to be effective for the treatment of musculoskeletal pain. The aim of this trial was to investigate the effects on disability and pain, as well as on the psychological aspects of adding PENS into an exercise program in patients with subacromial pain syndrome. Methods: A randomized, parallel-group clinical trial was conducted. Sixty patients with subacromial pain were allocated into exercise alone (n = 20), exercise plus PENS (n = 20), or exercise plus placebo PENS (n = 20) groups. Patients in all groups performed an exercise program twice daily for 3 weeks. Patients allocated to the PENS group also received four sessions of ultrasound-guided PENS targeting the axillar and suprascapular nerves. Patients allocated to the exercise plus placebo PENS received a sham PENS application. The primary outcome was related disability (Disabilities of the Arm, Shoulder, and Hand, DASH). Secondary outcomes included mean pain, anxiety levels, depressive symptoms, and sleep quality. They were assessed at baseline, one week after, and one and three months after. An analysis was performed using intention-to-treat with mixed-models ANCOVAs. Results: The results revealed no between-group differences for most outcomes (related disability: F = 0.292, p = 0.748, n²_p = 0.011; anxiety: F = 0.780, p = 0.463, n²_p = 0.027; depressive symptoms: F = 0.559, p = 0.575, n²_p = 0.02; or sleep quality: F = 0.294, p = 0.747, n²_p = 0.01); both groups experienced similar changes throughout the course of this study. Patients receiving exercise plus PENS exhibited greater improvement in shoulder pain at one month than those in the exercise (Δ −1.2, 95%CI −2.3 to −0.1) or the placebo (Δ −1.3, 95%CI −2.5 to −0.1) groups. Conclusions: The inclusion of four sessions of ultrasound-guided PENS targeting the axillar and suprascapular nerves into an exercise program did not result in better outcomes in our sample of patients with subacromial pain syndrome at one and three months after treatment. Full article

(This article belongs to the Special Issue Contemporary Advances in Musculoskeletal Ultrasonography: Clinical Outcomes and Treatment Implications)

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12 pages, 1931 KiB

Open AccessArticle

Cervical Multifidus and Longus Colli Ultrasound Differences among Patients with Cervical Disc Bulging, Protrusion and Extrusion and Asymptomatic Controls: A Cross-Sectional Study

by Khodabakhsh Javanshir, Payam Ghafouri-Rouzbehani, Amirhossein Zohrehvand, Arvin Naeimi, César Fernández-de-las-Peñas, Hossein-Ali Nikbakht, Seyedeh Roghayeh Mousavi-Khatir and Juan Antonio Valera-Calero

J. Clin. Med. 2024, 13(2), 624; https://doi.org/10.3390/jcm13020624 - 22 Jan 2024

Viewed by 1486

Abstract

The aim of this study was to analyze the differences in morphological and histological features of the cervical multifidus (CM) and longus colli (LC) muscles among patients with cervical disc bulging, protrusion, or extrusion. Fifteen patients with cervical disc bulging (20% male, mean age: 48.5, standard deviation (SD) 7.5 years), fifteen with cervical disc protrusion (6% male, mean age: 43, SD 7.8 years), and fifteen with cervical disc extrusion (40% male, mean age: 44, SD 8 years) diagnosed via clinical and imaging findings participated in this study. Additionally, fifteen asymptomatic controls (40% male, mean age: 40.4, SD 9.7 years) were also included. The following ultrasound measurements, cross-sectional area (CSA), anterior–posterior distance (APD), lateral dimension (LD), and mean echo-intensity (EI) of the CM and LC at C5-C6 level were examined by an assessor blinded to the subject’s condition. The results revealed no group ×side significant differences among the groups (p > 0. 00625). However, group effects were found for APD and MEI of the CM (p = 0.006 and p < 0.001, respectively) and CSA, APD and MEI of the LC (all, p < 0.001). The LD of the LC muscle and the APD and LD of the CM were negatively associated with related disability (p < 0.01; p < 0.05 and p < 0.01, respectively), and pain intensity was negatively associated with LC APD and LD (both p < 0.05). These results suggest that US can be used to detect bilateral morphological changes in deep cervical flexors and extensors to discriminate patients with cervical disc alterations. Full article

(This article belongs to the Special Issue Contemporary Advances in Musculoskeletal Ultrasonography: Clinical Outcomes and Treatment Implications)

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