Detailed Search Results

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

Role of ultrasound and MRI in patients with shoulder pathologies: a correlation study

Singh P, Kaur A, Bhagat S, Singh GB, Gupta N

European Journal of Molecular and Clinical Medicine 2021 Jan 30;8(3):2890-2899

primary study

INTRODUCTION: The rotator cuff disorders constitute the most common cause of shoulder pathologies. Ultrasonography and MRI are widely used in evaluating various shoulder pathologies. USG of shoulder is simple, cheap, fast and non-invasive imaging technology for detection of rotator cuff and non-rotator cuff abnormalities. In this study we have assessed the usefulness of USG in diagnosing the shoulder pathologies and have correlated with the MRI. AIM(S): Evaluation of a patient with shoulder pathology with ultrasonography as the initial line of imaging technique as compared to MRI, assessing the accuracy of ultrasonography in diagnosing shoulder joint pathologies, especially rotator cuff abnormalities, using MRI as a reference standard and correlating findings wherever possible. MATERIAL(S) AND METHOD(S): Hundred patients were studied prospectively over a period of two years. Study subjects included both men and women in all age groups with suspected shoulder pathology, suspected to have musculo-tendinous origin. All patients underwent USG evaluation of the shoulder joint followed by MRI of the affected shoulder. RESULT(S): USG showed a sensitivity of 85%, specificity of 100%, PPV of 100% and NPV of 97% in diagnosing full thickness tear of rotator cuff using MRI as reference. For partial thickness tears, it showed a sensitivity of 71%, specificity of 69%, PPV of 82% and NPV of 54%. Overall accuracy of USG in detection of any tear of rotator cuff with MRI as reference was 82%. The strength of agreement between USG and MRI for the diagnosis of any tear of rotator cuff is considered to be 'substantial' in our study (Kappa = 0.635). CONCLUSION(S): USG showed comparable results to MRI in assessment of rotator cuff abnormality and should be used as first line of investigation in patients presenting with shoulder pathologies. It proved to have high sensitivity and specificity for full thickness tears with relatively less sensitivity and specificity in detection of partial thickness tear.

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

publisher