Magnetic resonance imaging, magnetic resonance arthrography and ultrasonography for assessing rotator cuff tears in people with shoulder pain for whom surgery is being considered

Lenza, Mário; Buchbinder, Rachelle; Takwoingi, Yemisi; Johnston, Renea V; Hanchard, Nigel; Faloppa, Flávio

doi:10.1002/14651858.cd009020.pub2

Cited by 181 publications

(171 citation statements)

References 240 publications

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“…Rotator cuff tears are best assessed using ultrasound or MRI. The use of the different techniques for assessment of rotator cuff tears prior to surgery was recently evaluated in a systematic review by the Cochrane collaboration [75]. They found 20 studies involving 1147 shoulders that allowed comparison of MRI, MRA and Ultrasound for assessing rotator cuff tears.…”

Section: Imaging Of the Shouldermentioning

confidence: 99%

Shoulder disorders and occupation

Linaker

Walker‐Bone

2015

Best Practice & Research Clinical Rheumatology

218

130

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Shoulder pain is very common and causes substantial morbidity. Standardised classification systems based upon presumed patho-anatomical origins have proved poorly reproducible and hampered epidemiological research. Despite this, there is evidence that exposure to combinations of physical workplace strains such as overhead working, heavy lifting and forceful work as well as working in an awkward posture increase the risk of shoulder disorders. Psychosocial risk factors are also associated. There is currently little evidence to suggest that either primary prevention or treatment strategies in the workplace are very effective and more research is required, particularly around the cost-effectiveness of different strategies. KeywordsShoulder pain; impingement syndrome; frozen shoulder (adhesive capsulitis); rotator cuff Introduction and ScopeAccording to population surveys, shoulder pain affects 18-26% of adults at any point in time [1][2][3][4], making it one of the most common regional pain syndromes. Symptoms can be persistent and disabling in terms of an individual's ability to carry out daily activities both at home and in the workplace [5,6]. There are also substantial economic costs involved, with increased demands on health care, impaired work performance, substantial sickness absence, and early retirement or job loss [7][8][9][10].The shoulder has evolved to withstand heavy physical demands and to do so over an unusually wide range of motion. To achieve this, it is not a simple 'ball and socket' joint but rather a complex composed of four articulations and a supporting arrangement of bones, muscles and ligaments within and outside of the joint capsule. However, its complexity and the nature of the demands on it make it susceptible to a range of articular and peri-articular

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Section: Imaging Of the Shouldermentioning

confidence: 99%

Shoulder disorders and occupation

Linaker

Walker‐Bone

2015

Best Practice & Research Clinical Rheumatology

218

130

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“…Both MRI and USS are useful in secondary care and equally can be used for detecting full-thickness rotator cuff tears. 4 The main advantage of USS is its relative lower cost, although it is operator dependent. There is evidence that, in expert hands, USS is good in detecting cuff tears with sensitivity and specificity of 90-100%.…”

Section: Examinationmentioning

confidence: 99%

“…There is evidence that, in expert hands, USS is good in detecting cuff tears with sensitivity and specificity of 90-100%. 4 It is suggested it may also be useful in diagnosing bursitis, tenosynovitis, and impingement on dynamic scanning, but with little evidence for this claim.…”

Section: Examinationmentioning

confidence: 99%

The painful shoulder: an update on assessment, treatment, and referral

2014

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“…This diagnostic test accuracy review specifi cally evaluated magnetic resonance imaging (MRI), magnetic resonance arthrography (MRA) and ultrasound (US) for assessing rotator cuff tears in people with shoulder pain in whom surgery is being considered. 1 Prospective diagnostic accuracy studies assessing MRI, MRA or US against open or arthroscopic surgery as the standard were reviewed.…”

mentioning

confidence: 99%

“…In particular, US with a summary sensitivity of 52% was only just better than chance at excluding partial thickness tears. 1 The review authors comment that the majority of studies had poor methodology scores and that although there is a reasonable volume of evidence to inform clinicians, with much of it being poor quality the review authors recommended further investigations. Until more evidence is available, the imaging modality of choice will likely remain dependent on local factors such as surgeon preference, cost and availability for rotator cuff pathology.…”

mentioning

confidence: 99%

New and updated reviews published by the Cochrane collaboration.

Das

2013

Bone & Joint 360

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While the Cochrane Collaboration have been busy over the last four months, only a handful of their published reviews have been of any relevance to orthopaedic and trauma surgeons. Those that are provide the reader with an overview of work on imaging modalities, antibiotic therapy, changes to the surgical site dressing and practices surrounding postoperative wound management, including post-op bathing and negative pressure wound therapy for use in the treatment of diabetic foot wounds.

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Magnetic resonance imaging, magnetic resonance arthrography and ultrasonography for assessing rotator cuff tears in people with shoulder pain for whom surgery is being considered

Cited by 181 publications

References 240 publications

Shoulder disorders and occupation

Shoulder disorders and occupation

The painful shoulder: an update on assessment, treatment, and referral

New and updated reviews published by the Cochrane collaboration.

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