Keywords
Diabetic nephropathy
Medial tibial stress syndrome
Submitted : 2023-08-26
Accepted : 2023-09-10
Published : 2023-09-25
Abstract
Objective: To explore the feasibility of two-dimensional shear wave elastography in evaluating calf skeletal muscle stiffness in diabetic nephropathy patients with medial tibial stress syndrome. Methods: A total of 48 diabetic nephropathy patients with medial tibial stress syndrome from January 2020 to December 2022 were included as the study group, and 48 patients with diabetic nephropathy during the same period were included as the control group. Both groups were detected by two-dimensional shear wave elastography with ultrasonic equipment, and Young‘s modulus of the tibialis anterior muscle, tibialis posterior muscle, and gastrocnemius muscle were observed and analyzed in the two groups. Results: The Young‘s modulus values of tibialis anterior muscle, tibialis posterior muscle, and gastrocnemius muscle in the study group were significantly lower than those in the control group (P < 0.05). Conclusion: Two-dimensional shear wave elastography is feasible for the evaluation of calf skeletal muscle stiffness in diabetic nephropathy patients with medial tibial stress syndrome, and has high accuracy and repeatability. This technique can be used to diagnose, treat and monitor muscle lesions in patients with diabetic nephropathy, and can also be used to assess muscle fatigue and exercise capacity, which has broad application prospects.
References
Sun L, Sun N, Zhang Y, et al., 2020, Research Progress in the Clinical Application of Shear Wave Elastography. Journal of Mudanjiang Medical College, 41(4): 93–96.
Shang Y, Chen S, 2020, Application Status of Shear Wave Elastography in Muscle Evaluation. Practical Clinical Medicine, 21(6): 100–103.
Du H, Li L, Li Y, et al., 2020, Research on the Diagnostic Accuracy and Stability of Two-Dimensional Shear Wave Ultrasound Elastography. Journal of Qiqihar Medical College, 41(8): 979–982.
Zhang B, Zhang G, Liu Y, et al., 2019, The Value of Imaging in the Diagnosis of Medial Tibial Stress Syndrome. Journal of Clinical Radiology, 38(12): 2392–2395.
Li M, Jiang J, He X, et al., 2019, The Diagnostic Value of Shear Wave Elastography in Young Infants with Congenital Muscular Torticollis. Journal of Zunyi Medical College, 42(3): 301–305.
Ren X, Deng H, Lu B, et al., 2019, Application of Ultrasound Elastography in the Diagnosis of Tendon Diseases. Chinese Journal of Medical Ultrasound (Electronic Edition), 16(3): 176–180.
Feng S, Liu B, 2021, Current Status and Challenges of Research on Biomarkers of Diabetic Nephropathy Progression. Biomedical Transformation, 2(1): 28–32 + 38.
Feng L, Liu H, Zhao Y, 2022, Application Status of Ultrasound Technology in Diabetic Nephropathy. Imaging Research and Medical Application, 6(23): 7–9.
Yang H, Li Y, 2022, Research Status of Traditional Chinese Medicine in the Treatment of Diabetic Nephropathy. Chinese Folk Therapy, 30(21): 106–109.
Zhang J, Zhou Z, Pan J, et al., 2022, Investigation and Research on the Status Quo of Self-Management of Patients with Diabetic Nephropathy. Yunnan Medicine, 43(5): 87–89.
Pan Q, Hu W, Li X, et al., 2022, Research Status of Risk Prediction Models for Diabetic Nephropathy. Medical Information, 35(8): 43–46.
Cai C, Wang S, Gu Y, 2022, Research Status of Chinese and Western Medicine in the Treatment of Diabetic Nephropathy. Modern Diagnosis and Treatment, 33(4): 486–488.
Shi X, 2021, Research Status and Mechanism of Chinese and Western Medicine Treatment of Diabetic Nephropathy. Inner Mongolia Traditional Chinese Medicine, 40(10): 155–157.
Yan X, 2019, Research Progress of New Ultrasound Technology in Critical Care Medicine. Journal of Practical Medical Imaging, 20(6): 622–624.
Cao G, 2021, Application of MRI in the Diagnosis of Patients with Medial Tibial Stress Syndrome and Analysis of Image Features. Heilongjiang Medical Science, 44(6): 96–97.
Feng G, Zhang Y, Fan F, et al., 2022, Clinical Research on Acupuncture Combined with Acupoint Massage in the Treatment of Medial Tibial Stress Syndrome. Practical Integrative Medicine, 22(20): 26–28 + 32.