Comparing Efficacy of Shoulder Ultrasound and Magnetic Resonance Imaging in Shoulder Impingement.

Refaat, Medhat; Torky, Ahmed; Deen, Waleed Salah El; Soliman, Sally

doi:10.21608/bmfj.2020.130630

Cited by 5 publications

(7 citation statements)

References 10 publications

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“…Acromioclavicular joint (ACJ) osteoarthritis was the second cause of pain after rotator cuff pathology in this study 37(61.7%). This finding is alignment with Refaat et al (19) in which 21 out of 30 (70%) had ACJ osteoarthritis as the most observed non-rotator cuffrelated pathology.…”

Section: Discussionsupporting

confidence: 90%

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Study of Role of Magnetic Resonance Imaging in Evaluation of Non-Traumatic Chronic Shoulder Pain in Adults

Almolla

Elmohamady²,

Khater³

et al. 2022

The Egyptian Journal of Hospital Medicine

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Background: A highly helpful diagnostic technique for determining the cause of shoulder pain is magnetic resonance imaging (MRI). Objective: To study the role of MRI in the diagnosis of chronic non-traumatic shoulder pain. Subjects and methods: In this cross-sectional observational research, 60 patients (32 males and 28 females) presented with chronic shoulder pain and limitation of movement. All cases were recruited from the Orthopedic Surgery and Radiodiagnosis Departments at Zagazig University Hospitals. All cases were assessed by Magnetic Resonance Imaging. Results: Fifty-three cases had rotator cuff pathologies, thirty-seven cases had acromioclavicular osteoarthritis, twentynine cases had bursitis, fifteen cases had biceps pathologies and nine cases had miscellaneous conditions. A study; 16 (35%) Sub coracoid, 10(16.7%) in Sub-acromial sub deltoid and (5%) Subscapular. Among the current study, 9 (15%) of cases were miscellaneous. Four cases were suffering from interosseous cystic lesions (6.7%) of all cases. Lipoma was seen in 3(5%) of cases. Ganglion cyst was seen in 2(3.3%) of cases. Conclusion: MRI of the shoulders aided in understanding different underlying pathology of chronic shoulder pain and revealed that dependence on only clinical findings and diagnosis could delay their management as well as chronicity development.

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Section: Discussionsupporting

confidence: 90%

“…This study included 60 patients, 32(53.3%) male and 28(46.7%) female aged from 19 Thirty-eight (63.3%) of the studied cases had a lesion on the Rt side and 22 (36.7%) of the cases had a lesion on the Lt side. All cases had pain and in 29 (48.3%) of the cases, it was associated with limitation of movement.…”

Section: Resultsmentioning

confidence: 99%

Study of Role of Magnetic Resonance Imaging in Evaluation of Non-Traumatic Chronic Shoulder Pain in Adults

Almolla

Elmohamady²,

Khater³

et al. 2022

The Egyptian Journal of Hospital Medicine

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“…This is supported by 15 that found that ultrasonography had a high sensitivity (approximately 83 percent) in detecting rotator cuff tendinosis. In comparison, 14 found that ultrasonography had 78.6 percent sensitivity and 87.4 percent specificity for detecting rotator cuff tendinosis. Both ultrasonography and MRI revealed calcific tendinitis in two patients in this study.…”

Section: Discussionmentioning

confidence: 93%

Comparative study of Ultrasound and MRI in diagnosis and assessment of shoulder impingement syndrome

Abbass

Fahim

Ibrahim

2022

Al-Azhar International Medical Journal

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Background: When the arm sometimes lifted, the rotator cuff, subacromial bursa, and biceps tendon pressed on the underside of the acromion and coracoacromial ligament, causing shoulder impingement. There are two sorts of impingements: intrinsic and extrinsic. As a result of the degenerative process brought on by excessive strain, intrinsic impingement produces a partial or full rupture of the rotator cuff tendons. Extrinsic impingement occurs when outside causes apply mechanical pressure on the tendons, causing irritation or degeneration. Aim of The Work: Using MR imaging as a gold standard, assess and compare the effectiveness of high-resolution ultrasonography and magnetic resonance imaging in identifying subacromial impingement disorders.Patients and Methods: The study has been carried out on 50 patients, based on age range 20-60 years, having pain at the shoulder for three months and more with a clinically confirmed diagnosis of subacromial impingement, excluding cases having a history of shoulder dislocation, fractures, surgical intervention, or neoplastic lesions. All patients had ultrasonography and conventional MR exams. Results: Intrinsic impingement reasons were more common in patients under the age of 40. Those above the age of 40, on the other hand, showed a greater incidence of extrinsic factors, particularly hypertrophic osteoarthritic changes of the acromioclavicular joint, with full-thickness rotator cuff tendon tears. Conclusion: Ultrasonography was proven to be a fairly sensitive diagnostic technique for subacromial impingement in this study.

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“…Matthieu et al 13 showed 65% specificity for USG which is low as compared to our study. Roy et al [14][15][16][17] reported 91% sensitivity and 86% specificity for USG. For USG, the finding of his study is consistent with our study.…”

Section: Resultsmentioning

confidence: 99%

“…Such limitation with MRI can be avoided with better knowledge and training of USG amongst orthopedic surgeon. Butterfly IQ diagnostic ultrasound which is new handy device is changing the way of medical practice in diagnosis of RCT without radiations [16][17][18][19][20] . This will change the practice of ionizing radiation exposure and expensive MRI for diagnosis of RCT.…”

Section: Resultsmentioning

confidence: 99%

Accuracy of High Resolution Ultrasonography for Diagnosis of Rotator Cuff Tears Con-sidering Magnetic Resonance Imaging as Gold Standard

Nadeem¹,

Yousaf²,

Yusuf³

et al. 2021

Annals KEMU

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Objective: To determine the diagnostic accuracy of high-resolution ultrasonography for the diagnosis of rotator cuff tears considering magnetic resonance imaging as gold standard. Methodology: This correlational study was done using non-probability consecutive sampling technique, at the Department of Orthopaedic Surgery and the Department of Radiology, Services Hospital Lahore from 15th July 2013 till 14th January 2016. All the patients, age between 40 to 70 years, who presented with shoulder pain for last three month, that was not settled with oral analgesic, and were positive for Hawkin’s -Kennedy test, Jobe’s test and drop arm were included in the study. Patients who had fracture of the clavicle, scapula or proximal end of humerus, and patients with prosthetic implants and pacemakers were excluded in the study. All clinical test positive patients underwent ultrasonography (USG) and magnetic resonance imaging (MRI). We calculated specificity, sensitivity, positive predictive value (PPV), negative predictive value (NPV), accuracy and likelihood ratio for ultrasonography. Results: Out of the total 92 patients, on MRI there were 68 (73.9%) complete and 24 (26.1%) partial Rotator Cuff Tears. USG diagnosed 62 out of 68 complete tears accurately. There were 21 true negative and 03 false positive complete tears. USG showed sensitivity of 91%, specificity of 87% (p-value

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Comparing Efficacy of Shoulder Ultrasound and Magnetic Resonance Imaging in Shoulder Impingement.

Cited by 5 publications

References 10 publications

Study of Role of Magnetic Resonance Imaging in Evaluation of Non-Traumatic Chronic Shoulder Pain in Adults

Study of Role of Magnetic Resonance Imaging in Evaluation of Non-Traumatic Chronic Shoulder Pain in Adults

Comparative study of Ultrasound and MRI in diagnosis and assessment of shoulder impingement syndrome

Accuracy of High Resolution Ultrasonography for Diagnosis of Rotator Cuff Tears Con-sidering Magnetic Resonance Imaging as Gold Standard

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