Detailed Search Results

Use the Back button in your browser to see the other results of your search or to select another record.

A comparative assessment between high-resolution ultrasonography and field magnetic resonance imaging in supraspinatus tear cases and its arthroscopic correlation

Sabharwal T, Khanduri S, Khan S, Husain M, Singh A, Khan AU, Abbas SZ, Singh H

Cureus 2019 Sep;11(9):e5627

primary study

BACKGROUND: Diagnosis of a supraspinatus tear in patients presenting with shoulder pain is a difficult task and often requires the help of an MRI. However, in recent years, high-resolution ultrasonography (USG) has been utilized as a cheaper yet sensitive alternative. The aim of the study is to provide a comparative assessment of supraspinatus tears between USG and MRI in relation to arthroscopic results. METHODS: A total of 60 patients with shoulder pain for the last three months or more scheduled to undergo arthroscopic surgery for their shoulder disorder were enrolled; those having any congenital deformity of the shoulder or having any contradiction to an MRI were excluded from the assessment. All the patients underwent high-resolution ultrasonography (HRUSG) and MRI evaluation. Both the USG and MRI findings were correlated with the arthroscopic findings. RESULTS: On ultrasonography, 34 (56.67%) full-thickness tears and 22 (36.67%) partial-thickness tears of the supraspinatus were detected. On MRI, 36 (60.0%) were diagnosed as a full-thickness tear and 20 (33.33%) as a partial-thickness tear. After arthroscopy, 36 (60.00%) were confirmed as a full-thickness tear and 20 (33.33%) as a partial-thickness tear of the supraspinatus. For a full-thickness tear, the sensitivity and specificity of USG and MRI were 95.0% and 92.5%, and 85% and 92.5%, respectively. For a full-thickness tear, the sensitivity and specificity of the modalities were 94.4% and 100%, respectively. CONCLUSION: HRUSG and MRI both had high comparable accuracy for detection of a supraspinatus tear, however, HRUSG had an edge over MRI in the detection of a partial tear.

Full text (sometimes free) may be available at these link(s): help