Volume 25, Issue 11 (2-2019)
RJMS 2019, 25(11): 98-107 |
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Saadat Mostafavi S R, Hosseini M. Comparison of ultrasound and MRI of the shoulder in determining the location and severity of rupture of the main tendon of the rotator cuff. RJMS 2019; 25 (11) :98-107
URL: http://rjms.iums.ac.ir/article-1-5290-en.html
URL: http://rjms.iums.ac.ir/article-1-5290-en.html
Iran University of Medical Sciences, Tehran, Iran , amin.mr.hoseini@gmail.com
Abstract: (7235 Views)
Background: The study of shoulder pathologies as one of the most common orthopedic injuries due to the lack of sensitivity of clinical findings is one of the topics discussed in radiology papers. Traditionally, MRI is a selective diagnostic modality of choice. However, due to its limitations, such as high cost and unavailability, simple and cheaper methods seems to be valuable. Sonography can be a good alternative in this field that examines soft tissue pathologies. This study evaluated the magnitude of ultrasound and MRI matching in cases of partial and complete tear of cuff muscles and accompanying findings such as subacromial bursal effusion and degenerative changes of shoulder joint.
Methods: In this study 85 patients who referred to the radiology department of Hazrat-e-Rasool Akram Hospital were asked for simultaneous sonographic examination of the shoulder. The degree of ultrasound and MRI correlation in localizing the tear as well as the severity of tear based on complete or partial was evaluated for each rotator cuff muscle individually. Also the degree of subacromial bursa effusion and acromioclavicular join hypertrophy were also compared.
Results: A total of 85 patients (30 males and 55 females) with different injuries in supraspinatus, infraspinatus, subscapularis and long head of biceps tendon, sonography was in acceptable agreement with the findings of MRI in the diagnosis of complete and partial tear and in determining their location. However, the tendency of tendon retraction is less than predicted by MRI.
Conclusion: Shoulder ultrasound can be used as an alternative modality to MRI, especially in cases where it is not available, to examine the rupture of cuff tendons, as well as the extent and severity of subacromial bursa effusion and acromioclavicular joint hypertrophy.
Methods: In this study 85 patients who referred to the radiology department of Hazrat-e-Rasool Akram Hospital were asked for simultaneous sonographic examination of the shoulder. The degree of ultrasound and MRI correlation in localizing the tear as well as the severity of tear based on complete or partial was evaluated for each rotator cuff muscle individually. Also the degree of subacromial bursa effusion and acromioclavicular join hypertrophy were also compared.
Results: A total of 85 patients (30 males and 55 females) with different injuries in supraspinatus, infraspinatus, subscapularis and long head of biceps tendon, sonography was in acceptable agreement with the findings of MRI in the diagnosis of complete and partial tear and in determining their location. However, the tendency of tendon retraction is less than predicted by MRI.
Conclusion: Shoulder ultrasound can be used as an alternative modality to MRI, especially in cases where it is not available, to examine the rupture of cuff tendons, as well as the extent and severity of subacromial bursa effusion and acromioclavicular joint hypertrophy.
Keywords: Clinical evaluation, Nursing, Direct observation of clinical skills (DOPS), Clinical skills
References
1. 1. Abbas Naqvi G, Jadaan M, Harrington P. Accuracy of ultrasonography and magnetic resonance imaging for detection of full thickness rotator cuff tears. Int J Shoulder Surg; 2009. 3:94-7.
2. 2. Matsen FA, Arntz CT. Subacromial impingement. In: Matsen FA, editor. The shoulder. Philadelphia: Saunders; 1990.
3. 3. Refior HJ, Krodel A, Melzer C. Examinations of the pathology of the rotator cuff. Arch Orthop Trauma Surg; 1987. 106:301-308.
4. 4. Raven PB. Asymptomatic tears of the rotator cuff are commonplace. Sports Med Diagn; 1995. 17:11-12.
5. 5. Harvie P, Ostlere SJ, Teh J, McNally EG, Clipsham K, Burston BJ, et al. Genetic influences in the aetiology of tears of the rotator cuff: sibling risk of a full-thickness tear. J Bone Joint Surg Br; 2004. 86:696-700.
6. 6. Keyes EL. Observations on rupture of the supraspinatus tendon: based upon a study of seventy-three cadavers. Ann Surg; 1933. 97:849-856.
7. 7. Mattieu JCM Rutten. Dettection of rotator cuff: the value of MRI following US. 2009 Sep 2.
8. 8. Nazarian ES. Accuracy of MRI MR arthrography and ultrasound in the diagnosis of rotator cuff tear. AJR Am J Roentgenol; 2009 Jun. 192(6):1701-7.
9. 9. Middleton WD. Status of rotator cuff sonography. Radiology; 1989. 173:307-09.
10. 10. Guerrini H, Fermand M, Godefroy D, Feydy A, Chevrot A, Morvan G, et al. US appearance of partial thickness supraspinatous tendon tear: application of the string theory. J Ultrasound; 2012 Feb. 15(1):7–15.
11. 11. Kassarjian A, Bencardino JT, Palmer WE. MR imaging of the rotator cuff. Radiol Clin North Am; 2006. 44:503-23.
12. 12. Mink JH, Harris E, Rappaport M. Rotator cuff tears: Evaluation using double-contrast shoulder arthrography. Radiology; 1985. 157:621-3.
13. 13. Mitchell C, Adebajo A, Hay E, Carr A. Shoulder pain: Diagnosis and management in primary care. BMJ; 2005. 331:1124–8.
14. 14. Macfarlane GJ, Hunt IM, Silman AJ. Predictors of chronic shoulder pain: A population based prospective study. J Rheumatol; 1998. ;25:1612–5.
15. 15. Iagnocco A, Coari G, Leone A, Valesini G. Sonographic study of painful shoulder. Clin Experim Rheumatol; 2003. 21(3):355-58.
16. 16. Naredo E, Iagnocco A, Valesini G, Uson J, Beneyto P, Crespo M. Ultrasonographic study of painful shoulder. Ann Rheum Dis; 2003. 62(10):1026-27.
17. 17. Roy JS, Braën C, Leblond J, Desmeules F, Dionne CE, MacDermid JC, et al. Diagnostic accuracy of ultrasonography, MRI and MR arthrography in the characterisation of rotator cuff disorders: a systematic review and meta-analysis. Br J Sports Med; 2015. 49(20):1316-28.
18. 18. Teefey SA, Rubin DA, Middleton WD, Hildebolt CF, Leibold RA, Yamaguchi K. Detection and quantification of rotator cuff tears. J Bone Joint Surg Am; 2004. 86:708–16.
19. 19. Swen WA, Jacobs JW, Algra PR, Manoliu RA, Rijkmans J, Willems WJ, et al. Sonography and magnetic resonance imaging equivalent for the assessment of full-thickness rotator cuff tears. Arthritis Rheum; 1999. 42:2231–8.
20. 20. Teefey SA, Rubin DA, Middleton WD, Hildebolt CF, Leibold RA, Yamaguchi K. Detection and quantification of rotator cuff tears. Comparison of ultrasonographic, magnetic resonance imaging, and arthroscopic findings in seventy-one consecutive cases. J Bone Joint Surg Am; 2004. 86-A:708–16.
21. 21. Fischer CA, Weber MA. Ultrasound vs. MRI in the assessment of rotator cuff structure prior to shoulder arthroplasty. J Orthop; 2015 Mar. 12(1):23–30.
22. 22. Hollister MS, Mack LA, Patten RM. Winter 3rd TC, Matsen 3rd FA, Veith RR. Association of sonographically detected subacromial/ subdeltoid bursal effusion and intraarticular fluid with rotator cuff tear. Am J Roentgenol; 1995. 165(3):605-08.
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