title: Sonoelastography findings of biceps tendinitis and tendinosis.
abstract: OBJECTIVE
  The purpose of this study was to evaluate sonoelastography (SE) in the assessment of the long head of biceps tendon (LHBT) in patients with symptoms of biceps tendinitis or tendinosis and in patients without biceps lesion. The findings were compared with those obtained at clinical examination, using ultrasonography (US).
  
  
  METHODS
  36 shoulders of 34 consecutively registered patients with clinical symptoms and US findings of biceps tendinitis or tendinosis, and 114 shoulders of 98 patients without biceps lesions were assessed with SE. Transverse and longitudinal images of LHBT were obtained using SE. SE images were evaluated by reviewers using an experimentally proven color grading system.
  
  
  RESULTS
  The transverse images of SE showed a mean sensitivity of 69.4 %, a mean specificity of 95.6 % and a mean accuracy of 89.3 %. Good correlation of conventional ultrasound findings was found (p < 0.001, r = 0.763). The longitudinal images of SE showed a mean sensitivity of 94.4 %, a mean specificity of 92.1 % and a mean accuracy of 92.7 %. Good correlation of conventional ultrasound findings was found (p < 0.001, r = 0.585). Inter-observer reliability of SE was in "almost perfect agreement" with a weighted kappa coefficient of 0.84.
  
  
  CONCLUSIONS
  SE has potential to be clinically useful in the detection of the intratendinous and peritendinous alterations of LHBT and has excellent accuracy and excellent correlation with conventional ultrasound findings.
authors.affiliation: Department of Orthopaedic Surgery, Dankook University College of Medicine, 119, Dandae-ro Dongnam-gu, Cheonan, Chungnam 330-715 Republic of Korea.
authors.forename: Joong-Bae
authors.initials: JB
authors.lastname: Seo
authors.affiliation: Department of Orthopaedic Surgery, Dankook University College of Medicine, 119, Dandae-ro Dongnam-gu, Cheonan, Chungnam 330-715 Republic of Korea.
authors.forename: Jae-Sung
authors.initials: JS
authors.lastname: Yoo
authors.affiliation: Department of Orthopaedic Surgery, Dankook University College of Medicine, 119, Dandae-ro Dongnam-gu, Cheonan, Chungnam 330-715 Republic of Korea.
authors.forename: Jee-Won
authors.initials: JW
authors.lastname: Ryu
keywords: Biceps; Sonoelastography; Tendinitis; Tendinosis