Feasibility assessment of shear wave elastography to rotator cuff muscle

Yoshiaki Itoigawa, John W. Sperling, Scott P. Steinmann, Qingshan Chen, Pengfei Song, Shigao Chen, Eiji Itoi, Taku Hatta, Kai Nan An

Research output: Contribution to journalArticlepeer-review

35 Scopus citations


Pre-surgical measurement of supraspinatus muscle extensibility is important for rotator cuff repair. The purpose of the present study was to explore the potential feasibility of a shear wave ultrasound elastography (SWE)-based method, combined with B-mode ultrasound, to measure the in vivo stiffness of the supraspinatus muscle non-invasively and thus obtain key information about supraspinatus muscle extensibility. Our investigation comprised two steps. First, we determined the orientation of the supraspinatus muscle fibers in cadaveric shoulders without rotator cuff tear in order to optimize the ultrasound probe positions for SWE imaging. Second, we investigated the feasibility of quantifying the stiffness of the normal supraspinatus muscle by SWE in vivo. The supraspinatus muscle was divided into four anatomical regions: anterior superficial (AS), posterior superficial (PS), anterior deep (AD), and posterior deep (PD). Each region was examined by SWE. The SWE stiffnesses of AD, AS, PD, and PS were 40.0 ± 12.4, 34.0 ± 9.9, 32.7 ± 12.7, 39.1 ± 15.7 kPa, respectively. SWE combined with B-Mode ultrasound imaging could be a feasible method for quantifying the local stiffness of the rotator cuff muscles.

Original languageEnglish (US)
Pages (from-to)213-218
Number of pages6
JournalClinical Anatomy
Issue number2
StatePublished - Mar 1 2015


  • imaging
  • muscle
  • rotator cuff
  • shear wave elastography
  • supraspinatus
  • tendon
  • ultrasound

ASJC Scopus subject areas

  • Anatomy
  • Histology


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