Rotator cuff sonography: a reassessment.

Brandt, Thomas; Cardone, B W; Grant, Thomas; Post, Michelle; Weiss, C A

doi:10.1148/radiology.173.2.2678248

Cited by 121 publications

(55 citation statements)

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“…22,31 The sensitivity and specificity of US for the diagnosis of rotator cuff injuries has been reported to vary from 57-100% and from 76-94%, respectively. 12,14,23,32 Only 2 studies have used US to examine hemiplegic shoulders. 5,15 In a study conducted by Aras et al, 5 54 patients (mean age, 61.5 years; mean 15 84 patients (age range, 20-87 years; median age, 61 years) were enrolled.…”

Section: Discussionmentioning

confidence: 99%

Sonography of the shoulder in hemiplegic patients undergoing rehabilitation after a recent stroke

Pong

Wang

et al. 2009

J of Clinical Ultrasound

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Section: Discussionmentioning

confidence: 99%

Sonography of the shoulder in hemiplegic patients undergoing rehabilitation after a recent stroke

Pong

Wang

et al. 2009

J of Clinical Ultrasound

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“…These were patients with clinical suspicion of a cuff tear, [34][35][36][37][38] heterogeneous rotator cuff symptoms, 39 and non-specific shoulder pain. 40 The mean age, where recorded, was 50.4…”

Section: Ultrasonographymentioning

confidence: 99%

Dead Men and Radiologists Don't Lie: A Review of Cadaveric and Radiological Studies of Rotator Cuff Tear Prevalence

Reilly

MacLeod

Macfarlane

et al. 2006

annals

247

143

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Ann R Coll Surg Engl 2006; 88: 116-121 116Rotator cuff tears are a common problem causing significant morbidity in terms of pain, activity limitation and sleep disturbance. A wide variation in the prevalence of cuff tears have been reported in cadaveric and radiological studies; as with other tendon failure, it is likely that this increases with age. The population in cadaveric studies tends to be older than the general population; consequently, a higher prevalence of cuff tears is likely. Furthermore, as no clinical data are available for the cadaveric population, it is reasonable to assume that, as in any large sample, some had symptomatic shoulders. The prevalence of rotator cuff tear in asymptomatic subjects determined by magnetic resonance imaging (MRI) and ultrasonography should be lower than the cadaveric population. Conversely, the radiological prevalence of rotator cuff tears in a population with symptomatic shoulders should be higher. This study reviewed the literature in an attempt to test this hypothesis. Patients and MethodsA Medline search was performed using the key words: rotator cuff tear, prevalence, cadaver, MRI and ultrasound. The search was widened using references from these articles. All publications up to the time of the search were used.The results were split into the following categories: cadaveric studies, ultrasound studies and MRI studies. The radiological studies were further categorised into asymptomatic and symptomatic.Data were collected on the total number of shoulders, the mean age of the group, the sex distribution, the number TRAUMA/ORTHOPAEDICS

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“…Initial sonographic results in the detection of rotator cuff tears varied. (4) probably due to the use of low frequency and low resolution 5MHz transducers and limited experience with the examination procedure. Subsequently, technical improvements such as 7.5-14MHz linear array broadbandwidth transducers and better penetration of the ultrasound beam as well as increased experience and detailed knowledge of shoulder anatomy and pathology significantly improved sonographic results and reliability.…”

Section: Discussionmentioning

confidence: 99%

Imaging of Rotator Cuff Pathology - Is Ultrasound as Good as Mri

Alagappan¹,

Prabhu²,

Moorthy³

et al. 2015

jemds

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Aim of this study is to compare the diagnostic accuracy of ultrasound versus MRI in detecting rotator cuff pathology. Rotator cuff pathology involves group of disorder, which progresses from bursitis to tendinitis to partial tear and full thickenss tear. The most commonly affected tendon is the supraspinatus tendon. In our prospective study of 35 patients as initial ultrasound was followed by MRI sensitivity, specificity and accuracy for diagnosis of full thickness tear of supraspinatus when USG was compared to MRI was 100%, whereas sensitivity, specificity and accuracy of diagnosing partial thickness tear using ultrasound compared to MRI are 100%, 78% and 84%. There is no significant p value difference on comparing ultrasound with MRI on detecting tears. Ultrasound and MRI showed almost similar diagnostic accuracy in associated findings like tendon retraction, muscle atrophy, bursal effusion. Ultrasound also has additional value of dynamic evaluation, which is useful in evaluating subacromial and subcoracoid impingement. Modality choice for the evaluation of rotator cuff pathology should be based on several factors like availability, patient preference and clinical information being sought. The high resolution sonography is an attractive screening modality for rotator cuff in patients presenting with painful shoulder. A well performed ultrasound examination in most cases obviates the need for more invasive diagnostic tests like arthrography and cumbersome and expensive MRI examinations. KEYWORDSRotator Cuff, Magnetic Resonance Imaging, Ultrasound, Shoulder. HOW TO CITE THIS ARTICLE: INTRODUCTIONThe shoulder joint is an incongruous ball and socket joint without any fixed axis of rotation, which has wider range of motion in multiple planes, hence stability is compromised for mobility. To compensate for this unstable bone anatomy the shoulder is protected anteriorly, posteriorly and superiorly by a capsule and rotator cuff tendons. These tendons are subjected to wear and tear during day-to-day activities giving rise to shoulder pain. The rotator cuff muscles are namely supraspinatus, infraspinatus, subscapularis and teres minor. The common disorders involving the rotator cuff tendons include impingement, tendinopathy and tear.It is a dynamic process leading on from degeneration to tears in these tendons. The most commonly affected rotator cuff tendon is the supraspinatus. The factors which aid on to this progress includes age, occupation, trauma, acromion type,

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Rotator cuff sonography: a reassessment.

Cited by 121 publications

References 0 publications

Sonography of the shoulder in hemiplegic patients undergoing rehabilitation after a recent stroke

Sonography of the shoulder in hemiplegic patients undergoing rehabilitation after a recent stroke

Dead Men and Radiologists Don't Lie: A Review of Cadaveric and Radiological Studies of Rotator Cuff Tear Prevalence

Imaging of Rotator Cuff Pathology - Is Ultrasound as Good as Mri

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