Introduction: Ultrasound is the imaging technique of choice for the study of rotator cuff lesions. However, in the case of shoulder trauma, it is rarely requested in our context. This study aimed to show ultrasound lesions of the rotator cuff in cases of non-fracture shoulder trauma at the CHUYO in Ouagadougou. Methodology: This was a prospective descriptive cross-sectional study running from August 1 to November 30, 2017, in the medical imaging department of CHUYO. The study population consisted of patients received in the department for ultrasound in the context of non-fracture shoulder trauma. Results: We collected 20 cases (66.67%) of rotator cuff lesions out of 30 non-fracture shoulder injuries. The mean age of the patients was 27.6 years. Road traffic accidents accounted for 60% of injuries, sports accidents for 30%, and domestic accidents for 10%. Ultrasound lesions were mainly tendon ruptures (36.67%) and tendinitis (23.33%). Ruptures were non-transfixing in 90.90% of cases. The supraspinatus was the most affected (81.81%). Conclusion: Ultrasound can help diagnose rotator cuff injuries, particularly in non-fractured shoulder trauma.
References
[1]
Rambert, E. (2015) Utilité de l’échographie articulaire post-traumatique du membre supérieur et de la cheville: à partir d'une série monocentrique, continue et prospective de 87 cas. Ph.D. Dissertation, Université Grenoble Alpes, Saint-Martin-d’Hères. https://dumas.ccsd.cnrs.fr/dumas-01259467
[2]
Kocher, M.S. and Feagin Jr, J.A. (1996) Shoulder Injuries during Alpine Skiing.The American Journal of Sports Medicine, 24, 665-669. https://doi.org/10.1177/036354659602400
[3]
Neguesson, D. (2002) Etude des aspects épidémiologiques, lésionnels et thérapeutiques des traumatismes ostéo-articulaires de janvier en décembre 2000: À propos de 5127 cas. Ph.D. Dissertation, Université des Sciences, des Techniques et des Technologies, Bamako.
[4]
Ouédraogo, F. (2016) Les lésions ostéo-articulaires post traumatiques de l'épaule au center hospitalier universitaire Yalgado Ouédraogo. Ph.D. Dissertation, Université Joseph Ki-Zerbo, Ouaga.
[5]
Rutten, M.J., Collins, J.M., de Waal Malefijt, M.C., Kiemeney, L.A. and Jager, G.J. (2010) Unsuspected Sonographic Findings in Patients with Posttraumatic Shoulder Complaints.Journal of Clinical Ultrasound, 38, 457-465. https://doi.org/10.1002/jcu.20745
[6]
Badr, E. (2011) Les traumatismes de l'épaule à propos de 374 cas. Ph.D. Dissertation, Université Sidi Mohammed Ben Abdellah, Fès.
[7]
Bianchi, S., Noomane, M., Keller, A., Khan, H.G. and Garcia, J. (2000) Échographie des ruptures tendineuses. Médecine et Hygiène, 58, 1491-1494.
[8]
Bianchi, S., Cohen, M. and Jacob, D. (2005) Les tendons: Lésions traumatiques. Journal de Radiologie, 86, 1845-1856. https://doi.org/10.1016/S0221-0363(05)81534-3
[9]
Kaplan, L.D., Flanigan, D.C., Norwig, J., Jost, P. and Bradley, J. (2005) Prevalence and Variance of Shoulder Injuries in Elite Collegiate Football Players. The American Journal of Sports Medicine, 33, 1142-1146. https://doi.org/10.1177/0363546505274718
[10]
Mall, N.A., Lee, A.S., Chahal, J., Sherman, S.L., Romeo, A.A., Verma, N.N. and Cole, B.J. (2013) An Evidenced-Based Examination of the Epidemiology and Outcomes of Traumatic Rotator Cuff Tears. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 29, 366-376. https://doi.org/10.1016/j.arthro.2012.06.024
[11]
Walcott, M.E., Daniels, S.D., Sinz, N.J., Field, L.D. and Higgins, L.D. (2017) Traumatic Full-Thickness Transtendinous Rotator Cuff Tears: A Case Series. Journal of Shoulder and Elbow Surgery, 26, 62-67. https://doi.org/10.1016/j.jse.2016.04.023
[12]
Farron, A. (2000) Traitement chirurgical des ruptures de la coiffe des rotateurs. SchweizerischeZeitschriftfürSportmedizin und Sporttraumatologie, 48, 24-27.
[13]
Nové-Josserand, L. (2009) L’épaule traumatique: Quelle épidémiologie, quelle lésion? La Lettre du Rhumatologue, 356, 26-28.
[14]
Flurin, P.H., Guillemette, C., Guillo, S., Baudot, C., Nové-Josserand, L., Landreau, P. and Fontes, D. (2007) Ruptures traumatiques de la coiffe des rotateurs chez le rugbyman. Journal de Traumatologie du Sport, 24, 203-206. https://doi.org/10.1016/j.jts.2007.06.012-206.
[15]
Guidah, S., Souna, B., Mamoudou, A. and Gana, A.A. (2013) La radiographie standard dans le bilan des traumatismes de l’epaule: A propos de 213 cas a l'hopital national de Niamey (Niger). Mali Médical, 28, 41-45.
[16]
Guérini, H., Fermand, M., Godefroy, D., Feydy, A., Chevrot, A., Morvan, G. and Drapé, J. L. (2010) Aspect échographique des lésions non transfixiantes du tendon supra-épineux. Revue du Rhumatisme Monographies, 77, 213-218. https://doi.org/10.1016/j.monrhu.2010.04.010
[17]
Nicolas, S., Franck, L. and Denis, J. (2014) Echographie Musculo Squelettique. 2nd Edition, Elsevier Masson, Amsterdam, 381.
[18]
Beggs, I. (2011) Shoulder Ultrasound. Seminars in Ultrasound, CT and MRI, 32, 101-113. https://doi.org/10.1053/j.sult.2010.10.003
[19]
Peetrons, P., Lemone, M. and Jeanmart, L. (1990) Echographie et pathologie traumatique de l’épaule: Coiffe des rotateurs et tendon de la longue portion du biceps. Radiologie (Berlin), 10, 177-181.
