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Category: Volume 07 Issue 05 May 2019
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Title: Role of USG in Measurement of the Thickness of Axillary Recess in Asymptomatic Shoulder and Various Shoulder Pathology

Authors: Poonma Ram, R. N. Gehlot, Kirti Chaturvedy, Neeraj Mehta, K. Raichandani, Prateek Sihag, Vipin Choudhary

 DOI: https://dx.doi.org/10.18535/jmscr/v7i5.56

Abstract

Purpose: Measuring the ART in asymptomatic shoulder and various shoulder pathology by USG and to analyze the factors affecting it.  

Methods: One hundred  patients (50 volunteers healthy in which 30 males and 20 females and 50 with various shoulder pathology) and age >20 yrs.Two physiatrists (novice and experienced ratter) measured the AR thickness independently in an upright sitting position with elbow flexed and  forearms in neutral position with transducer was placed longitudinally on the mid-axillary line .

Results: Mean AR thickness in asymptomatic shoulders 2.00± 0.36 mm and in males was significantly greater (2.21± 0.33 mm) than that in females (1.69±0.04 mm) (P<0.05.).In our study adhesive capsulitis with DM mean ART 4.36±0.00 mm which is greater than without DM (3.86±0.22 mm). No difference between the dominant and the non-dominant sides shoulders and between the left and the right sides for sex   in ART measurement. Mean AR thickness correlated positively with anthropometric variables, height (r=0.136) and the weight (r=0.140).

Conclusion: Mean AR thickness in healthy subjects correlated positively with anthropometric variables. The mean AR thickness in males was significantly greater than females. In symptomatic there is significant difference in AR thickness between novice and experience rater. Adhesive capsulitis with DM have ART is greater than without DM. No difference in ART in left and the right side for sex and dominant and the non-dominant sides shoulders.

Keywords: Shoulder, Axilla, Ultrasonography.

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Corresponding Author

Dr Poonma Ram

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