Role and Correlation of High Resolution Ultrasound and Magnetic Resonance Imaging in Evaluation of Patients with Shoulder Pain

Singh, Amandeep; Thukral, Chuni Lal; Gupta, Kamal Kumar; Singh, Mahesh Inder; Lata, Sneh; Arora, Ram Krishan

doi:10.12659/pjr.901540

Cited by 17 publications

(40 citation statements)

References 20 publications

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“…Restricted mobility impedes the dynamic evaluation of the tendons rendering their visibility to suboptimal levels. In a study done by Narasimhan et al [4,5] , prevalence of subscapularis tears in patients needing rotator cuff repair was found to be 31.4%, the sensitivity of ultrasound was 39.5% and specificity 93.1% in detection of these tears with overall accuracy of ultrasound was 75.8%. In a study by Brandt [6] et al ultrasonography had a sensitivity of 89% and specificity of 43%, in detection of supraspinatus tendon tears, sensitivity of 30% in detection of subscapularis tendon tears.…”

Section: Discussionmentioning

confidence: 96%

Diagnostic accuracy of ultrasound vs. MRI in evaluation of rotator cuff injuries

Selvaraj¹,

Sen²,

Das³

et al. 2019

Int. J. Radiol. Diagn. Imaging

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Background: Rotator cuff pathology accounts for 10% causes of shoulder pain. A gamut of imaging techniques comprising of ultrasonography (USG), Magnetic Resonance Imaging (MRI) and MR arthrography (MRA) have been commonly used for the characterisation of rotator cuff (RC) disorders. With the advent of high-end USG machines, accuracy rates of USG is comparable to that of MRI in evaluation of rotator cuff pathologies. Materials and Methods: 50patients who had presented with symptoms of rotator cuff injuries and were referred to Department of Radiodiagnosis JSS Medical College and Hospital, Mysuru during the period August 2017 to September 2019 for Ultrasound and MRI of the shoulder. Results: Diagnostic accuracy of USG in correlation to MRI showed 93% sensitivity and 97% specificity for supraspinatus, 88% sensitivity and 96% specificity for detecting the infraspinatus tears; 74% sensitivity and 86%specificity for subscapularis indicating detection of supraspinatus was comparatively easier than subscapularis in ultrasound. Conclusion: MRI was more superior and sensitive tool than ultrasound in detecting and delineating the musculoskeletal injury in terms of grading the partial tear & tendinopathy, however accuracy of ultrasound in initial evaluation of rotator cuff injuries is comparable to MRI. Anatomical delineation of the rotator cuff injury which is of prime value for treating surgeon is better visualized by MRI.

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Section: Discussionmentioning

confidence: 96%

Diagnostic accuracy of ultrasound vs. MRI in evaluation of rotator cuff injuries

Selvaraj¹,

Sen²,

Das³

et al. 2019

Int. J. Radiol. Diagn. Imaging

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“…Our results may have important clinical implications because US is more widely available, convenient to use and cost efficient for shoulder joint examinations. It can facilitate the timely detection of other lesions accompanying ACS [40][41][42] and the determination of a treatment plan as early as possible. Because many shoulder joint disorders limit the range of motion, the use of clinical criteria to diagnose ACS alone may lead to the neglect of other shoulder joint-related diseases, such as rotator cuff tears.…”

Section: Discussionmentioning

confidence: 99%

The role of grey-scale ultrasound in the diagnosis of adhesive capsulitis of the shoulder: a systematic review and meta-analysis

Tian

Dong

et al. 2020

Med Ultrason

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Aims: In this systematic review and meta-analysis, we discuss the value of grey-scale ultrasonography (US) in diagnosing adhesive capsulitis of the shoulder (ACS).Material and methods: We retrieved relevant studies from PubMed, Cochrane Library, and Embase before 8 April 2019. We selected 7 studies concerning 446 patients (490 shoulders) that used grey-scale US to diagnose ACS and magnetic resonance imaging (MRI) or arthroscopy as the reference standard. We assessed the diagnostic accuracy of US on the basis of combined sensitivity, specificity, likelihood ratio (LR), and the area under the summary receiver operating characteristic (SROC) curve (AUC).Results: The combined sensitivity, specificity, positive LR and negative LR were found to be 88% (95%CI: 74–95), 96% (95%CI: 88–99), 23.89 (95%CI: 6.31–90.51) and 0.12 (95%CI: 0.05–0.29), respectively. The AUC was 0.97 (95%CI: 0.96–0.98). ACS was diagnosed on the basis of four US features: coracohumeral ligament thickening, inferior capsule/axillary recess capsule thickening, rotator interval abnormality, and restriction of the range of motion. The corresponding sensitivities were 64.4 (95%CI: 48.8–78.1), 82.1 (95%CI: 73.8–88.7), 82.6 (95%CI: 74.1–89.2) and 94.3 (95%CI: 84.3–98.8), respectively, and specificities were 88.9 (95%CI: 76.0–96.3), 95.7 (95%CI: 90.3–98.6), 93.9 (95%CI: 89.8–96.7), and 90.9 (95%CI: 75.7–98.1), respectively.Conclusions: Our meta-analysis showed that grey-scale US plays a significant role in the diagnosis of ACS. Because of its high sensitivity and specificity, US can be added to the existing clinical diagnosis program.

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“…Singh A et al 12 evaluated shoulder pain patients with USG and MRI. His majority of patients were in the age group of 56-65 years, similar to our study.…”

Section: Discussionmentioning

confidence: 99%

Ultrasonography as diagnostic tool in rotator cuff injuries of shoulder

Jadhav¹,

Dhaniwala²

2020

IJOR

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Introduction: Rotator Cuff injuries are quite common in adults with or without trauma. These are suspected on clinical history and examination and commonly confirmed by Ultrasonography and MRI of shoulder. This study aims to use Ultrasonography of shoulder as the main diagnostic tool for such injuries. Material and Methods: A total of 30 patients suspected to have complete or incomplete tear of Rotator Cuff were subjected to Clinical Examination of Shoulder including specific tests for Rotator Cuff Muscles, X-ray and Ultrasonography of shoulder. Diagnosis by clinical examination and Ultrasonography was compared. Observation and Results: Out of 30 cases studied, on clinical examination, 10 cases had complete tear of supraspinatus, 19 cases had incomplete tear of supraspinatus with or without subscapularis, and 1 case had isolated subscapularis tear. Ultrasonography noted full thickness tear of supraspinatus in 8 cases, incomplete tear of supraspinatus with or without subscapularis, in 20 cases, bicipital tendinitis in 01 case and subacromial subdeltoid bursitis in 01 case. Conclusion: Ultrasonography confirms the clinical diagnosis of rotator cuff tear with satisfactory sensitivity and specificity. It can be used as a first line diagnostic tool for diagnosis of Rotator cuff tear as it confirms the clinical suspicion and its results are comparable to MRI.

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Role and Correlation of High Resolution Ultrasound and Magnetic Resonance Imaging in Evaluation of Patients with Shoulder Pain

Cited by 17 publications

References 20 publications

Diagnostic accuracy of ultrasound vs. MRI in evaluation of rotator cuff injuries

Diagnostic accuracy of ultrasound vs. MRI in evaluation of rotator cuff injuries

The role of grey-scale ultrasound in the diagnosis of adhesive capsulitis of the shoulder: a systematic review and meta-analysis

Ultrasonography as diagnostic tool in rotator cuff injuries of shoulder

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