Influence of tendon tears on ultrasound echo intensity in response to loading

JOURNAL OF BIOMECHANICS

卷:47

Article

Frisch, Kayt E.¹  Marcu, David²  Baer, Geoffrey S.³  Thelen, Darryl G.⁴  Vanderby, Ray^3,5 

[1] Dordt Coll, Dept Engn, Sioux Ctr, IA 51250 USA

[2] Sauk Prairie Mem Hosp, Prairie Du Sac, WI USA

[3] Univ Wisconsin, Dept Orthoped & Rehabil, Madison, WI USA

[4] Univ Wisconsin, Dept Mech Engn, Dept Biomed Engn, Madison, WI 53706 USA

[5] Univ Wisconsin, Dept Biomed Engn, Madison, WI USA

关键词: Tendon;    Mechanics;    Ultrasound;    Acoustoelastic;    Damage;    Tear;   

DOI  :  10.1016/j.jbiomech.2014.10.026

来源: Elsevier

【 摘 要 】

Acoustoelastic (AE) ultrasound image analysis is a promising non-invasive approach that uses load-dependent echo intensity changes to characterize stiffness of tendinous tissue. The purpose of this study was to investigate whether AE can detect localized changes in tendon stiffness due to partial and full-thickness tendon tears. Ovine infraspinatus tendons with different levels of damage (Intact, 33%, 66% and full thickness cuts initiated on the articular and bursal sides) were cyclically loaded in a mechanical testing system while cine ultrasound images were recorded. The load-induced changes in echo intensity on the bursal and articular side of the tendon were determined. Consistent with AE theory, the undamaged tendons exhibited an increase in echo intensity with tendon loading, reflecting the strain-stiffening behavior of the tissue. In the intact condition, the articular region demonstrated a significantly greater increase in echo intensity during loading than the bursal region. Cuts initiated on the bursal side resulted in a progressive decrease in echo intensity of the adjacent tissue, likely reflecting the reduced load transmission through that region. However, image intensity information was less sensitive for identifying load transmission changes that result from partial thickness cuts initiated on the articular side. We conclude that AE approaches may be useful to quantitatively assess load-dependent changes in tendon stiffness, and that disruption of AE behavior may be indicative of substantial tendon damage. (C) 2014 Elsevier Ltd. All rights reserved.

【 授权许可】

Free