Ultrasound Imaging of Acute Biceps Tendon Changes After Wheelchair Sports

Abstract

van Drongelen S, Boninger ML, Impink BG, Khalaf T. Ultrasound imaging of acute biceps tendon changes after wheelchair sports. Objectives To investigate acute changes in the biceps tendon after a high-intensity wheelchair propulsion activity and to determine whether these changes are related to subject characteristics. Design The biceps tendon was imaged with ultrasound before and after wheelchair basketball or quad rugby. The average diameter of the tendon was calculated as well as the echogenicity ratio (the pixel intensity ratio of the biceps tendon to a reference just superficial to the tendon sheath). Setting National Veterans Wheelchair Games in 2004 and 2005. Participants Forty-two subjects who participated in wheelchair basketball or quad rugby at the Veterans Games. Interventions Not applicable. Main Outcome Measures Biceps tendon diameter and biceps echogenicity. Results The echogenicity ratio of the tendon significantly decreased from 1.97 to 1.73 after the event ( P=.038). The diameter of the biceps tendon increased from 4.60 to 4.82mm ( P=.178). Also, it was found that the change in tendon diameter positively correlated with the time of play ( P=.004). Conclusions Acute changes in biceps tendon properties after exercise were found and likely represent edema, a first sign of overuse injury. The significance of continuous activity was shown by the fact that subjects who had more playing time showed a larger increase in tendon diameter.