Comparison of magnetic resonance arthrography with arthroscopy for imaging of shoulder injuries: retrospective study

Saqib, Rukhtam; Harris, James T.; Funk, Lennard

doi:10.1308/rcsann.2016.0249

Cited by 26 publications

(24 citation statements)

References 20 publications

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“…Of these shoulders, 27 were from studies of cadaveric specimens and 2,533 were from studies of clinical patients with anterior shoulder instability. When the articles were further broken down by the evaluated imaging modalities, there were 4 articles on ultrasound, 10,19,29,37 5 articles on radiographic imaging, 11,34,36,37,44 10 articles on MRI, 17,[21][22][23]30,35,38,[48][49][50] 12 articles on MRA, 15,24,25,[27][28][29][31][32][33]40,42,46 2 articles on 2D CT, 35,41 7 articles on CTA, 14,18,19,20,22,24,26 and 5 articles on 3D CT 16,39,43,45,47 (Table 2).…”

Section: Resultsmentioning

confidence: 99%

“…After the screening and selection process, there were 29 articles that determined the utility for diagnosing the presence of a Hill-Sachs lesion (Table 3). 10,11,14,15,[17][18][19][20][21][22][23]25,[27][28][29][30][31][32][33][34] Three of these articles specifically evaluated ultrasound. 10,19,29 In the detection of Hill-Sachs lesions, the reported range of sensitivity was 74% to 96%; specificity, 60% to 95%; and accuracy, 94% to 95%.…”

Section: Diagnosing Presence Of Hill-sachs Lesionsmentioning

confidence: 99%

“…MRI and MRA. Six articles evaluated MRI 17,[21][22][23]30,34 and 10 articles evaluated MRA 15,[25][26][27][28][29][31][32][33] for utility in detecting Hill-Sachs lesions. The range of sensitivity and specificity for MRI was 60% to 97% and 54% to 100%, respectively.…”

Section: Diagnosing Presence Of Hill-sachs Lesionsmentioning

confidence: 99%

“…Farin et al,19 1996 91.0 95.0 94.0d d d d Pancione et al,10 1997 95.6 92.8 95.0d d d d Simão et al,29 2012 74.0 60.0 d 76.0 62.0 dk ¼ 0.4Radiographic imaging Charousset et al,11 2010d d d d d k ¼ 0.705 k ¼ 0.30Workman et al,34 1992 84.0 83.0 83.0d d d d CTA Callaghan et al,14 1998 50.0 100.0 93.0d d d d Fanelli et al,18 2007 100.0 100.0d d d d d Fogerty et al,20 2011 d d d d d d k ¼ 0.37 Farin et al, 1996 94.0 91.0.0 91.0 d d d d Jahnke et al, 22 1992 51.0 91.0 66.0 d d d d Mahmoud et al, 24 2013 100.0 100.0 100.0 100.0 100.0 d d Oh et al, 26 2010 93.0 90.0 90.0 67.0 98.0 d d 3D CT Cho et al, 16 2011 d d d d d ICC ¼ 0.916-0.999 ICC ¼ 0.772-0.996 MRI Denti et al, 17 1995 60.0 100.0 87.0 100.0 55.0 d d Hayes et al, 21 2010 96.3 90.6 d d d d d Jahnke et al, 1992 76.0 54.0 79.0 d d d d Kirkley et al, 23 2003 d d d d d d k ¼ 1.0 Suder et al, 30 1995 80.0 100.0 88.0 d d d d Workman et al, 1992 97.0 91.0 94.0 d d d d MRA Chauvin et al, 15 2013 100.0 94.0 d 97.0 d d Mahmoud et al, 2013 81.1 95.2 90.6 90.0 91.0 d d O'Brien et al, 25 2012 d d d d d ICC ¼ 1 ICC ¼ 0.964 Oh et al, 2010 75 98 d 86 97.0 d d Probyn et al, 27 2007 100 0 93.0 93.0 d d Saqib et al,28 2017 91.0 91.0 d 68.0 98.0 d d Simão et al, 2012 100.0 78.0 d 88.0 100.0 d k ¼ 0.64 Tirman et al, 31 1993 69.0 87.0 d d d d d Van Grinsven et al, 32 2007 70.0 72.0 d 45.0 88.0 d d Willemsen et al, 33 1998 95.0 50.0 81.0 d d d d CT, computed tomography; CTA, computed tomography arthrography; ICC, intraclass correlation coefficient; MRA, magnetic resonance arthrography; MRI, magnetic resonance imaging; NPV, negative predictive value; PPV, positive predictive value; 3D, 3-dimensional.IMAGING OF HILL-SACHS LESIONS…”

mentioning

confidence: 99%

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Accuracy and Reliability of Imaging Modalities for the Diagnosis and Quantification of Hill-Sachs Lesions: A Systematic Review

Vopat

Peebles

McBride

et al. 2021

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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Purpose: To determine the reliability and accuracy of different imaging modalities in assessing Hill-Sachs lesions within the setting of anterior shoulder instability. Methods: A systematic review was performed according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) guidelines using the PubMed, Scopus, Embase, and Cochrane Library databases. The inclusion criteria were clinical trials or cadaveric studies that assessed the accuracy of humeral head bone loss imaging or reliability and English-language articles. The exclusion criteria were animal studies; imaging studies without measures of accuracy, reliability, or clinical predictive power; studies of shoulder injuries without humeral head bone loss; editorials; abstracts; reviews; case reports; and surveys. The search terms included "imaging" OR "radiographic" OR "CT" OR "MRI" AND "Hill-Sachs" OR "humeral head bone loss." Assessment of the methodologic quality of the included studies was performed using the original Quality Assessment of Diagnostic Accuracy Studies (QUADAS) tool. Results: Forty studies (2,560 shoulders) met the inclusion criteria and were assessed. For diagnosing the presence of Hill-Sachs lesions, computed tomography (CT) arthrography had the highest reported accuracy (median, 91%; range, 66%-100%). For the same assessment, CT arthrography also had the greatest reported sensitivity (median, 94%; range, 50%-100%). For the quantification of Hill-Sachs lesion parameters, reported intraobserver reliabilities were highest for 3-dimensional (3D) CT (intraclass correlation coefficient [ICC] range, 0.916-0.999), followed by 2-dimensional CT (ICC range, 0.858-0.861) and magnetic resonance imaging (MRI) (ICC range, 0.28-0.97). For the same quantification parameters, interobserver reliabilities were also reported for 3D CT (ICC range, 0.772-0.996), 2-dimensional CT (ICC range, 0.721-0.879), and MRI (k range, 0.444-0.700). Intraobserver reliabilities for determining glenoid tracking were only reported for 3D CT (k range, 0.730-1.00; ICC range, 0.803-0.901) and MRI (ICC range, 0.770-0.790). Conclusions: This study shows that the current literature supports a variety of different imaging modalities that provide clinically acceptable accuracy in diagnosing and quantifying Hill-Sachs lesions, as well as determining whether they will cause persistent anterior shoulder instability. Furthermore, this systematic review justifies that further research is needed to help develop a treatment algorithm on the proper imaging modalities needed to help treat patients with anterior shoulder instability that is both reliable and financially acceptable. Level of Evidence: Level IV, systematic review of Level I through IV studies.

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Section: Resultsmentioning

confidence: 99%

Section: Diagnosing Presence Of Hill-sachs Lesionsmentioning

confidence: 99%

Section: Diagnosing Presence Of Hill-sachs Lesionsmentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Accuracy and Reliability of Imaging Modalities for the Diagnosis and Quantification of Hill-Sachs Lesions: A Systematic Review

Vopat

Peebles

McBride

et al. 2021

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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show abstract

“…Second, we did not confirm the Hill-Sachs lesions by arthroscopy. However, the accuracy and correlation between the MRI and arthroscopic findings have been documented in previous studies [ 8 , 28 ]. Additionally, only 35% of the surgeons agreed on the presence of a Hill-Sachs lesion when assessing videotapes of arthroscopic procedures [ 27 ].…”

Section: Discussionmentioning

confidence: 97%

Interobserver agreement for detecting Hill-Sachs lesions on magnetic resonance imaging

Alkaduhimi¹,

Saarig²,

Amajjar³

et al. 2021

Clin Shoulder Elbow

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Background: Our aim is to determine the interobserver reliability for surgeons to detect Hill-Sachs lesions on magnetic resonance imaging (MRI), the certainty of judgement, and the effects of surgeon characteristics on agreement. Methods: Twenty-nine patients with Hill-Sachs lesions or other lesions with a similar appearance on MRIs were presented to 20 surgeons without any patient characteristics. The surgeons answered questions on the presence of Hill-Sachs lesions and the certainty of diagnosis. Interobserver agreement was assessed using the Fleiss’ kappa (κ) and percentage of agreement. Agreement between surgeons was compared using a technique similar to the pairwise t-test for means, based on large-sample linear approximation of Fleiss' kappa, with Bonferroni correction. Results: The agreement between surgeons in detecting Hill-Sachs lesions on MRI was fair (69% agreement; κ, 0.304; p<0.001). In 84% of the cases, surgeons were certain or highly certain about the presence of a Hill-Sachs lesion. Conclusions: Although surgeons reported high levels of certainty for their ability to detect Hill-Sachs lesions, there was only a fair amount of agreement between surgeons in detecting Hill-Sachs lesions on MRI. This indicates that clear criteria for defining Hill-Sachs lesions are lacking, which hampers accurate diagnosis and can compromise treatment.

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Shoulder pathology on advanced imaging in asymptomatic non‐athlete individuals: A narrative review

Hsu,

Afifi,

Isaac

2024

PM&R

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The prevalence of asymptomatic shoulder pathology has been shown to be high on both ultrasound and magnetic resonance imaging (MRI). The most common shoulder pathologies identified in asymptomatic, non‐athlete individuals include rotator cuff pathology, acromioclavicular (AC) joint pathology, labral tears, subacromial bursitis, and calcific tendinitis. The data in the current literature suggest that asymptomatic rotator cuff tears are diagnosed on ultrasound and MRI at high rates, suggesting that rotator cuff tears may be considered an age‐related, normal, degenerative change. However, there are data to suggest that the presence of an asymptomatic rotator cuff tear on imaging may predispose a patient to shoulder pain in the future, although the data remain inconclusive. AC joint arthritic changes are also common in older individuals on advanced imaging. Recent studies have reported that labral tears are common in asymptomatic shoulders, although at less frequent rates than in athletes, but more research is required on this topic. In addition, the presence of subacromial bursitis on imaging has not been found to accurately differentiate between symptomatic and asymptomatic shoulders. Finally, calcific tendinitis has been diagnosed asymptomatically, with most individuals remaining asymptomatic. Individuals who did develop pain developed severe pain, although the risk factors for developing symptomatic calcific tendinitis are unclear. In summary, given the high prevalence of shoulder pathology diagnosed on imaging, it is important to not over diagnose or complete an unnecessary workup for an asymptomatic person who is otherwise healthy.

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Comparison of magnetic resonance arthrography with arthroscopy for imaging of shoulder injuries: retrospective study

Cited by 26 publications

References 20 publications

Accuracy and Reliability of Imaging Modalities for the Diagnosis and Quantification of Hill-Sachs Lesions: A Systematic Review

Accuracy and Reliability of Imaging Modalities for the Diagnosis and Quantification of Hill-Sachs Lesions: A Systematic Review

Interobserver agreement for detecting Hill-Sachs lesions on magnetic resonance imaging

Shoulder pathology on advanced imaging in asymptomatic non‐athlete individuals: A narrative review

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