Musculoskeletal ultrasound: taking sports medicine to the next level

Harmon, Kimberly G.; O’Connor, Francis G.

doi:10.1136/bjsm.2010.080796

Cited by 8 publications

(7 citation statements)

References 21 publications

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“…For example, the overall estimate of sensitivity for MRI in the characterisation of any RC tears was 0.98 and overall estimate of specificity was 0.79. 14 In our study, the equivalent estimates were 0.90 for sensitivity and specificity.…”

Section: Discussionmentioning

confidence: 42%

“…However, it is important to take into consideration that the sonographers and orthopaedists who performed the US examination in the included articles were specially trained, and that there is a steep learning curve to US. 14 Therefore, the use of ultrasound at the point of care must be linked to specific training that should be defined in curriculum such as the one recently updated by the American Medical Society for Sports Medicine (AMSSM). 105 Finally, diagnostic use of US at the point of care can also lead to improved therapeutic efficiency through the immediate use of interventions such as injections, which have been shown to be more effective under US guidance.…”

Section: Discussionmentioning

confidence: 99%

“… 13 In fact, non-radiologists such as specialists in physical medicine, rheumatology, orthopaedic and family medicine are currently using US during physical examinations. 14 However, given the user-dependent nature of US, health professionals must make sure that they possess the competence and training before using it. Therefore, a synthesis of the literature is also needed to determine if the diagnostic accuracy of US is similar when non-radiologists and radiologists use this technology.…”

Section: Introductionmentioning

confidence: 99%

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Diagnostic accuracy of ultrasonography, MRI and MR arthrography in the characterisation of rotator cuff disorders: a systematic review and meta-analysis

et al. 2015

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BackgroundDifferent diagnostic imaging modalities, such as ultrasonography (US), MRI, MR arthrography (MRA) are commonly used for the characterisation of rotator cuff (RC) disorders. Since the most recent systematic reviews on medical imaging, multiple diagnostic studies have been published, most using more advanced technological characteristics. The first objective was to perform a meta-analysis on the diagnostic accuracy of medical imaging for characterisation of RC disorders. Since US is used at the point of care in environments such as sports medicine, a secondary analysis assessed accuracy by radiologists and non-radiologists.MethodsA systematic search in three databases was conducted. Two raters performed data extraction and evaluation of risk of bias independently, and agreement was achieved by consensus. Hierarchical summary receiver-operating characteristic package was used to calculate pooled estimates of included diagnostic studies.ResultsDiagnostic accuracy of US, MRI and MRA in the characterisation of full-thickness RC tears was high with overall estimates of sensitivity and specificity over 0.90. As for partial RC tears and tendinopathy, overall estimates of specificity were also high (>0.90), while sensitivity was lower (0.67–0.83). Diagnostic accuracy of US was similar whether a trained radiologist, sonographer or orthopaedist performed it.ConclusionsOur results show the diagnostic accuracy of US, MRI and MRA in the characterisation of full-thickness RC tears. Since full thickness tear constitutes a key consideration for surgical repair, this is an important characteristic when selecting an imaging modality for RC disorder. When considering accuracy, cost, and safety, US is the best option.

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Section: Discussionmentioning

confidence: 42%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Diagnostic accuracy of ultrasonography, MRI and MR arthrography in the characterisation of rotator cuff disorders: a systematic review and meta-analysis

et al. 2015

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“…Ultrasonography has several advantages over MRI scans as they tend to be more accessible, cheaper, and provide a dynamic assessment of the shoulder, but is highly operator dependent. 31 Ideally, it should be performed by the clinician as the images are static for a dynamic study. A study by Middleton noted higher satisfaction in patients undergoing ultrasound scan (USS) for their shoulder pain compared to MRI scan.…”

Section: Imaging Studiesmentioning

confidence: 99%

Current Concepts in the Diagnosis and Treatment of Shoulder Impingement

Singh

Bakti

Gulihar

2017

IJOO

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Subacromial impingement syndrome (SIS) is a very common cause of shoulder pain in the young adults. It can cause debilitating pain, dysfunction, and affects the activities of daily living. It represents a spectrum of pathology ranging from bursitis to rotator cuff tendinopathy which can ultimately lead to degenerative tear of the rotator cuff. Various theories and concepts have been described and it is still a matter of debate. However, most published studies suggest that both extrinsic and intrinsic factors have a role in the development of SIS. The management is controversial as both nonoperative and operative treatments have shown to provide good results. This article aims to provide a comprehensive current concepts review of the pathogenesis, etiologies, clinical diagnosis, appropriate use of investigations, and discussion on the management of SIS.

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“…The results of one study indicate that local corticosteroid injection with guided ultrasound is no more effective than systemic corticosteroid injection for short-term improvement in rotator cuff disease [31]. Harmon and O'Connor [32] argue that injections may not need accurate ultrasound-guided placement, particularly with corticosteroid, which may diffuse through the tissue planes to affect the target tissue despite inaccuracy.…”

Section: Ultrasound-guided Injectionsmentioning

confidence: 99%

A physiotherapy perspective of musculoskeletal imaging in sport

Callaghan

2012

The British Journal of Radiology

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ABSTRACT. This paper presents a physiotherapy perspective on the role that imaging is now playing in the diagnosis and management of musculoskeletal and sporting injuries. Although the Royal College of Radiologists and the UK Chartered Society of Physiotherapy were founded in the latter part of the nineteenth century, it is 100 years later that developments in the UK NHS have led to increased roles for non-medical healthcare professionals and allied health professionals, such as physiotherapists, in an extended clinical role. Physiotherapists, perhaps because of their knowledge of clinical and applied anatomy, have keenly taken up the opportunities offered to request and interpret imaging in its various forms; the most commonly available are plain radiography, musculoskeletal ultrasound and MRI. This has meant taking formal courses under the auspices of universities with mentorship and tutoring within the clinical setting, which are part of a continuing professional development. The ability to request several forms of imaging has enhanced physiotherapy practice and has increased the appreciation of the responsibilities which accompany this new role.

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Musculoskeletal ultrasound: taking sports medicine to the next level

Cited by 8 publications

References 21 publications

Diagnostic accuracy of ultrasonography, MRI and MR arthrography in the characterisation of rotator cuff disorders: a systematic review and meta-analysis

Diagnostic accuracy of ultrasonography, MRI and MR arthrography in the characterisation of rotator cuff disorders: a systematic review and meta-analysis

Current Concepts in the Diagnosis and Treatment of Shoulder Impingement

A physiotherapy perspective of musculoskeletal imaging in sport

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