Contribution of Imaging to the Diagnosis of Non-Traumatic Tendinopathies of the Thoracic Limb in a Resource-Constrained Country  

作　　者：Sonia B. M. G. Adjadohoun Sessi M. H. G. Kiki Maurice M. W. D. Akanni Houlda Tossa Boris Vidégla Dossou-Yovo Hilaire Kofi-Mensa S. Savi de Tovè Patricia Yèkpè̀ Ahouansou Zavier C. Zomalheto Olivier Biaou Vicentia Boco Sonia B. M. G. Adjadohoun;Sessi M. H. G. Kiki;Maurice M. W. D. Akanni;Houlda Tossa;Boris Vidégla;Dossou-Yovo Hilaire;Kofi-Mensa S. Savi de Tovè;Patricia Yèkpè̀ Ahouansou;Zavier C. Zomalheto;Olivier Biaou;Vicentia Boco(Department of Medical Imaging, Faculty of Health Sciences, University of Abomey-Calavi, Cotonou, Benin;Department of Regional and Teaching Hospital of Borgou/Medical Imaging, Faculty of Medicine, University of Parakou, Parakou, Benin;Department of Rheumatology, Faculty of Health Sciences, University of Abomey-Calavi, Cotonou, Benin)

机构地区：[1]Department of Medical Imaging, Faculty of Health Sciences, University of Abomey-Calavi, Cotonou, Benin [2]Department of Regional and Teaching Hospital of Borgou/Medical Imaging, Faculty of Medicine, University of Parakou, Parakou, Benin [3]Department of Rheumatology, Faculty of Health Sciences, University of Abomey-Calavi, Cotonou, Benin

出　　处：《Open Journal of Radiology》2021年第4期204-217,共14页放射学期刊（英文）

摘　　要：<strong>Introduction:</strong> Tendinopathy of the thoracic limb (TMT) is frequent, and is responsible for an important socio-professional handicap. Medical imaging, in particular, ultrasound has a major role in contributing to the diagnosis. As the use of ultrasound is recent in osteoarticular pathology, especially in Africa, we proposed to determine the contribution of imaging in the diagnosis of tendinopathy of the thoracic limbs in a country with limited resources. <strong>Patients and Method:</strong> A descriptive and analytical cross-sectional study of patients with tendinopathy of the thoracic limb who consulted the rheumatology department of the CNHU-HKM of Cotonou from August 6, 2019 to October 6, 2019. We evaluated the concordance of thoracic limb tendinopathy between imaging (radiography and ultrasound) and the clinic on the one hand and then between radiography and ultrasound on the other hand. The analysis of the collected data was carried out with the Epi-info software version 7.2.1.0. Then the concordance was evaluated by the kappa coefficient. <strong>Results:</strong> Fifty- two (52) patients with 104 joints were evaluated. The average age was 54.92 ± 3.40 years. Clinically, rotator cuff tendinopathy was the most frequent abarticular pathology (45.19%). The clinical-ultrasound agreement was strong (k = 0.7527) for the shoulders, very strong (k = 0.9360) for the elbows and moderate for the wrists (k = 0.6695). The clinical-radiographic agreement was weak (k = 0.2316) at the shoulder level and very weak (k = 0.2087) at the elbow level. The radio-ultrasound agreement was very low in the shoulders (k = 0.1522), elbows (k = 0.1859) and wrists (k = 0.0001). <strong>Conclusion:</strong> The contribution of imaging in the diagnosis of TMT remains certain even in a country with limited resources like ours. Ultrasound is a reliable examination for the diagnosis of non-traumatic tendinopathy of the thoracic limb with a good clinical-ultra- sound concordance and a weak radio-clinical and radio-ultrasound c<strong>Introduction:</strong> Tendinopathy of the thoracic limb (TMT) is frequent, and is responsible for an important socio-professional handicap. Medical imaging, in particular, ultrasound has a major role in contributing to the diagnosis. As the use of ultrasound is recent in osteoarticular pathology, especially in Africa, we proposed to determine the contribution of imaging in the diagnosis of tendinopathy of the thoracic limbs in a country with limited resources. <strong>Patients and Method:</strong> A descriptive and analytical cross-sectional study of patients with tendinopathy of the thoracic limb who consulted the rheumatology department of the CNHU-HKM of Cotonou from August 6, 2019 to October 6, 2019. We evaluated the concordance of thoracic limb tendinopathy between imaging (radiography and ultrasound) and the clinic on the one hand and then between radiography and ultrasound on the other hand. The analysis of the collected data was carried out with the Epi-info software version 7.2.1.0. Then the concordance was evaluated by the kappa coefficient. <strong>Results:</strong> Fifty- two (52) patients with 104 joints were evaluated. The average age was 54.92 ± 3.40 years. Clinically, rotator cuff tendinopathy was the most frequent abarticular pathology (45.19%). The clinical-ultrasound agreement was strong (k = 0.7527) for the shoulders, very strong (k = 0.9360) for the elbows and moderate for the wrists (k = 0.6695). The clinical-radiographic agreement was weak (k = 0.2316) at the shoulder level and very weak (k = 0.2087) at the elbow level. The radio-ultrasound agreement was very low in the shoulders (k = 0.1522), elbows (k = 0.1859) and wrists (k = 0.0001). <strong>Conclusion:</strong> The contribution of imaging in the diagnosis of TMT remains certain even in a country with limited resources like ours. Ultrasound is a reliable examination for the diagnosis of non-traumatic tendinopathy of the thoracic limb with a good clinical-ultra- sound concordance and a weak radio-clinical and radio-ultrasound c

关 键 词：TENDINOPATHY Thoracic Limb Radio-Clinical Concordance Clinical-Ultrasound Concordance Benin 

分 类 号：R65[医药卫生—外科学]