Detailed Search Results

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

Sonoelastography, conventional ultrasound and magnetic resonance imaging in detection of rotator cuff lesions in patients with chronic shoulder pain

Frere R, Libda I, Tantawy F, Sakr H, el-Alfy A

The Egyptian Rheumatologist 2021 Jan;43(1):17-21

primary study

AIM OF THE WORK: To assess the role of sonoelastography (SE) and conventional ultrasound (US) in detection of rotator cuff (RC) lesions as compared to magnetic resonance imaging (MRI). PATIENTS AND METHODS: This study included 36 patients with > 3 months (chronic) shoulder pain and limitation of movement examined by US, SE and MRI. US and SE findings of RC tendinopathy and tears were compared to MRI as a gold standard. RESULT(S): The mean age of the patients was 47.8 +/- 10.04 years, 20 males and 16 females. The mean duration of symptoms was 6 +/- 2.9 months. On MRI, 16 (44.4%) were diagnosed as RC tendinopathy, 10 (27.8%) showed partial tears and 10 (27.8%) full thickness tears. On US, tendinopathy was detected in 15 (41.7%), partial tears in 8 (22.2%) and full tears in 9 (25%). SE could identify tendinopathy in 15 (41.7%), partial and full tears in 9 (25%) cases each. Compared to MRI, US sensitivity for tendinopathy detection was 81.3% with 95% specificity and 88.9% accuracy while for partial tears, its sensitivity, specificity and accuracy were 80%, 92.3% and 88.9% respectively. In full thickness tears its sensitivity, specificity, accuracy were 90%, 100% and 97.2% respectively. Compared to MRI, SE sensitivity for tendinopathy detection was 93.8%, 95% specificity and 94.4% accuracy while for partial tears, its sensitivity, specificity and accuracy were 90%, 92.3% and 91.7% respectively and in full tears were 90%, 100%, 97.2% respectively. CONCLUSION(S): SE is more sensitive than conventional US in detection of rotator cuff tendinopathy and partial thickness tears as compared to MRI.

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