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Comparative Study
. 2008 Oct;68(1):174-9.
doi: 10.1016/j.ejrad.2007.11.002. Epub 2007 Dec 21.

Ultrasonography of symptomatic rotator cuff tears compared with MR imaging and surgery

Anastasia N Fotiadou  1 , Marianna Vlychou, Periklis Papadopoulos, Dimitrios S Karataglis, Panagiotis Palladas, Ioannis V Fezoulidis
Affiliations
Comparative Study

Ultrasonography of symptomatic rotator cuff tears compared with MR imaging and surgery

Anastasia N Fotiadou et al. Eur J Radiol. 2008 Oct.

Abstract

Purpose: To compare the accuracy of ultrasonography and magnetic resonance imaging in the detection of rotator cuff tears.

Materials and methods: Ninety-six patients with clinically suspected rotator cuff pathology underwent ultrasonography and magnetic resonance imaging of the shoulder. The findings in 88 patients were compared with arthroscopy or open surgery.

Results: Full-thickness tear was confirmed in 57 cases, partial-thickness tear in 30 cases and degenerative changes without tear in 1. In all 57 cases of full-thickness tear and in 28 out of 30 cases of partial-thickness tear the supraspinatus tendon was involved. The accuracy in the detection of full-thickness tears was 98 and 100% for ultrasonography and magnetic resonance imaging, respectively. The accuracy in the detection of bursal or articular partial-thickness tears was 87 and 90% for ultrasonography and magnetic resonance imaging, respectively.

Conclusions: In experienced hands ultrasonography should be considered as an accurate modality for the initial investigation of rotator cuff, especially supraspinatus, tears.

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