Shear wave elastography of the supraspinatus tendon with early degeneration in asymptomatic type II diabetes mellitus patients: a multicenter study
Abstract Objectives This study aimed to explore conventional ultrasound sonography and shear wave elastography (SWE) changes in the supraspinatus tendon in type 2 diabetes patients (T2DM) without shoulder pain. The factors influencing supraspinatus tendon thickness and shear wave velocity (SWV), whi...
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BMC
2025-07-01
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| Series: | BMC Musculoskeletal Disorders |
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| Online Access: | https://doi.org/10.1186/s12891-025-08864-w |
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| author | Tong Wang Yanni He Wenhong Yi Huiyu Xie Dan Wang Jie Zeng Jinying Liang Yufan Chen Qiuyan Mo Meijun Zhou Sushu Li Feifei Huang Shaoming Liu Liya Ma Xueling Liu Hongmei Liu |
| author_facet | Tong Wang Yanni He Wenhong Yi Huiyu Xie Dan Wang Jie Zeng Jinying Liang Yufan Chen Qiuyan Mo Meijun Zhou Sushu Li Feifei Huang Shaoming Liu Liya Ma Xueling Liu Hongmei Liu |
| author_sort | Tong Wang |
| collection | DOAJ |
| description | Abstract Objectives This study aimed to explore conventional ultrasound sonography and shear wave elastography (SWE) changes in the supraspinatus tendon in type 2 diabetes patients (T2DM) without shoulder pain. The factors influencing supraspinatus tendon thickness and shear wave velocity (SWV), which are measured by SWE, were also explored. Methods This multicenter study recruited nonshoulder pain individuals, including healthy and diabetic patients from March 2021 to October 2022. Propensity score matching was used to overcome selection bias. The thickness and SWV of the bilateral supraspinatus tendons were measured, and their influencing factors were evaluated via regression analysis. The sonography and blood flow signals were observed and compared via χ2 tests. Results A total of 107 T2DM patients and 270 healthy people were enrolled (mean age, 42 years ± 14, 162 men). Although 59.8% of T2DM patients without shoulder pain, they were likely to have degenerative ultrasonic image and a lower SWV (-0.529 [-0.827, -0.232] vs. 1; p = 0.001) than healthy people, but no difference was detected for uneven thickening of the tendon (p = 0.055) or blood flow signals (p = 0.060). Furthermore, subjects > 50 years old, with a BMI ≥ 25.0 and who were of Chinese Zhuang population had thicker supraspinatus tendons than did the controls. Chinese Han population and regular upper limb exercise subjects had greater tendon SWV than did controls. Conclusions SWE is a repeatable and early tool for assessing supraspinatus tendon degeneration in asymptomatic patients with T2DM. Active control of the condition of diabetes patients and regular upper limb exercise might help delay the degeneration of supraspinatus tendons. |
| format | Article |
| id | doaj-art-13ee8a23421141f680ab5f902a8a85ac |
| institution | Kabale University |
| issn | 1471-2474 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj-art-13ee8a23421141f680ab5f902a8a85ac2025-08-20T03:50:11ZengBMCBMC Musculoskeletal Disorders1471-24742025-07-0126111210.1186/s12891-025-08864-wShear wave elastography of the supraspinatus tendon with early degeneration in asymptomatic type II diabetes mellitus patients: a multicenter studyTong Wang0Yanni He1Wenhong Yi2Huiyu Xie3Dan Wang4Jie Zeng5Jinying Liang6Yufan Chen7Qiuyan Mo8Meijun Zhou9Sushu Li10Feifei Huang11Shaoming Liu12Liya Ma13Xueling Liu14Hongmei Liu15Department of Ultrasound, Institute of Ultrasound in Musculoskeletal Sports Medicine, Guangdong Engineering Technology Research Center of Emergency Medicine, The Affiliated Guangdong Second Provincial General Hospital of Jinan UniversityDepartment of Ultrasound, Institute of Ultrasound in Musculoskeletal Sports Medicine, Guangdong Engineering Technology Research Center of Emergency Medicine, The Affiliated Guangdong Second Provincial General Hospital of Jinan UniversityDepartment of Ultrasound, Institute of Ultrasound in Musculoskeletal Sports Medicine, Guangdong Engineering Technology Research Center of Emergency Medicine, The Affiliated Guangdong Second Provincial General Hospital of Jinan UniversityDepartment of Ultrasound, Chongzuo People’s HospitalDepartment of Ultrasound, The First Affiliated Hospital of Guangxi University of Traditional Chinese MedicineDepartment of Ultrasound, Institute of Ultrasound in Musculoskeletal Sports Medicine, Guangdong Engineering Technology Research Center of Emergency Medicine, The Affiliated Guangdong Second Provincial General Hospital of Jinan UniversityDepartment of Ultrasound, Chongzuo People’s HospitalDepartment of Ultrasound, Institute of Ultrasound in Musculoskeletal Sports Medicine, Guangdong Engineering Technology Research Center of Emergency Medicine, The Affiliated Guangdong Second Provincial General Hospital of Jinan UniversityDepartment of Ultrasound, The First Affiliated Hospital of Guangxi University of Traditional Chinese MedicineDepartment of Ultrasound, Institute of Ultrasound in Musculoskeletal Sports Medicine, Guangdong Engineering Technology Research Center of Emergency Medicine, The Affiliated Guangdong Second Provincial General Hospital of Jinan UniversityDepartment of Ultrasound, Institute of Ultrasound in Musculoskeletal Sports Medicine, Guangdong Engineering Technology Research Center of Emergency Medicine, The Affiliated Guangdong Second Provincial General Hospital of Jinan UniversityDepartment of Ultrasound, The First Affiliated Hospital of Guangxi University of Traditional Chinese MedicineDepartment of Ultrasound, Affiliated Dongguan Hospital, Southern Medical University Dongguan People’s HospitalDepartment of Ultrasound, Affiliated Dongguan Hospital, Southern Medical University Dongguan People’s HospitalDepartment of Ultrasound, The First Affiliated Hospital of Guangxi University of Traditional Chinese MedicineDepartment of Ultrasound, Institute of Ultrasound in Musculoskeletal Sports Medicine, Guangdong Engineering Technology Research Center of Emergency Medicine, The Affiliated Guangdong Second Provincial General Hospital of Jinan UniversityAbstract Objectives This study aimed to explore conventional ultrasound sonography and shear wave elastography (SWE) changes in the supraspinatus tendon in type 2 diabetes patients (T2DM) without shoulder pain. The factors influencing supraspinatus tendon thickness and shear wave velocity (SWV), which are measured by SWE, were also explored. Methods This multicenter study recruited nonshoulder pain individuals, including healthy and diabetic patients from March 2021 to October 2022. Propensity score matching was used to overcome selection bias. The thickness and SWV of the bilateral supraspinatus tendons were measured, and their influencing factors were evaluated via regression analysis. The sonography and blood flow signals were observed and compared via χ2 tests. Results A total of 107 T2DM patients and 270 healthy people were enrolled (mean age, 42 years ± 14, 162 men). Although 59.8% of T2DM patients without shoulder pain, they were likely to have degenerative ultrasonic image and a lower SWV (-0.529 [-0.827, -0.232] vs. 1; p = 0.001) than healthy people, but no difference was detected for uneven thickening of the tendon (p = 0.055) or blood flow signals (p = 0.060). Furthermore, subjects > 50 years old, with a BMI ≥ 25.0 and who were of Chinese Zhuang population had thicker supraspinatus tendons than did the controls. Chinese Han population and regular upper limb exercise subjects had greater tendon SWV than did controls. Conclusions SWE is a repeatable and early tool for assessing supraspinatus tendon degeneration in asymptomatic patients with T2DM. Active control of the condition of diabetes patients and regular upper limb exercise might help delay the degeneration of supraspinatus tendons.https://doi.org/10.1186/s12891-025-08864-wSupraspinatus tendonRotator cuffType II diabetes mellitusShear wave elastographyTendinopathy |
| spellingShingle | Tong Wang Yanni He Wenhong Yi Huiyu Xie Dan Wang Jie Zeng Jinying Liang Yufan Chen Qiuyan Mo Meijun Zhou Sushu Li Feifei Huang Shaoming Liu Liya Ma Xueling Liu Hongmei Liu Shear wave elastography of the supraspinatus tendon with early degeneration in asymptomatic type II diabetes mellitus patients: a multicenter study BMC Musculoskeletal Disorders Supraspinatus tendon Rotator cuff Type II diabetes mellitus Shear wave elastography Tendinopathy |
| title | Shear wave elastography of the supraspinatus tendon with early degeneration in asymptomatic type II diabetes mellitus patients: a multicenter study |
| title_full | Shear wave elastography of the supraspinatus tendon with early degeneration in asymptomatic type II diabetes mellitus patients: a multicenter study |
| title_fullStr | Shear wave elastography of the supraspinatus tendon with early degeneration in asymptomatic type II diabetes mellitus patients: a multicenter study |
| title_full_unstemmed | Shear wave elastography of the supraspinatus tendon with early degeneration in asymptomatic type II diabetes mellitus patients: a multicenter study |
| title_short | Shear wave elastography of the supraspinatus tendon with early degeneration in asymptomatic type II diabetes mellitus patients: a multicenter study |
| title_sort | shear wave elastography of the supraspinatus tendon with early degeneration in asymptomatic type ii diabetes mellitus patients a multicenter study |
| topic | Supraspinatus tendon Rotator cuff Type II diabetes mellitus Shear wave elastography Tendinopathy |
| url | https://doi.org/10.1186/s12891-025-08864-w |
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