The role of ultrasound and magnetic resonance imaging in the evaluation of musculotendinous pathologies of the shoulder joint

Bhatnagar, Shoubhi; Kuber, Rajesh; Shah, Digish

doi:10.4103/1115-1474.134611

Cited by 6 publications

(9 citation statements)

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“…No lesion of teres minor tendon could be detected by either modality. This is comparable to the studies done by Zlatkin et al 8 and Bhatnagar et al 9 , wherein they found supraspinatus tendon involvement in around 80% and 74.6% of their cases respectively. The characteristic anatomic location of the supraspinatus tendon is the likely cause.…”

Section: Discussionsupporting

confidence: 89%

Role and Corelation of Ultrasonography and Magnetic Resonance Imaging in Evaluation of Rotator Cuff in Patients With Shoulder Pain

Bansal

Sharma

et al. 2021

IJMBS

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Background: Shoulder pain is one of the most common musculoskeletal complain encountered in general practice with an estimated point prevalence of 6.9 to 26% in the general population. The aim of the study was to determine the accuracy of ultrasonography in detecting rotator cuff tears taking MRI findings as the standard. Available literature related to the present study was reviewed and salient features of each pathology discussed. Methods: This observational, prospective study was carried out in the Department of Radiodiagnosis, National Institute Of Medical Sciences & Research, Jaipur, Rajasthan. A total of 80 patients from all age groups with symptomatology related to rotator cuff of the shoulder joint, on the basis of inclusion criteria, were examined by USG and MRI from a period of January 2019 to June 2020. Results: USG had good sensitivity (82 to 93%), specificity (92 to 97%), PPV (85 to 87%), NPV (91 to 98%) and accuracy (90 to 96%) as compared MRI for diagnosing supraspinatus lesions. The sensitivity and accuracy of USG for detecting full thickness tears was better than the same for partial thickness tears and tendinosis. Conclusion: In our study, USG examination had excellent sensitivity, specificity and accuracy as compared MRI for diagnosing full thickness rotator cuff tears. It was also fairly accurate in detecting partial thickness tears and tendinosis. It was comparable to MRI in diagnosing and quantifying joint effusion and acromioclavicular degenerative changes. USG scored over MRI in diagnosing calcific tendinosis while some findings, such as labral tears, were only detected by MRI. Keywords: MRI, USG, Shoulder pain.

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Section: Discussionsupporting

confidence: 89%

Role and Corelation of Ultrasonography and Magnetic Resonance Imaging in Evaluation of Rotator Cuff in Patients With Shoulder Pain

Bansal

Sharma

et al. 2021

IJMBS

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“…Bhatnagar et al [ 21 ], in their study on musculotendinous pathologies of the shoulder joint, found that MRI was successful in an overall assessment of the joint structure. Its ability to evaluate the labrum and various glenohumeral ligaments cannot be superseded by USG.…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2018

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SummaryBackgroundThe study aimed to evaluate of the role of high-resolution ultrasound and magnetic resonance imaging in patients with shoulder pain.Material/MethodsThis prospective study included 50 patients referred for ultrasound and MRI because of shoulder pain. All patients were examined clinically, followed by radiography of the affected shoulder. High-resolution ultrasound examination of the involved shoulder was performed together with an examination of the contralateral normal shoulder, followed by MRI of the symptomatic shoulder in all 50 patients.ResultsIn the present study, the majority of patients were in age group 56–65 years, 56% were males and 44% were females (of a total of 50 patients). A total of 40 patients were diagnosed as having rotator cuff tears on ultrasound (USG) and MRI. USG showed complete-thickness tears in 25 patients and partial-thickness tears in 15 patients. MRI detected 28 complete- and 12 partial-thickness tears of the rotator cuff. In the diagnosis of rotator cuff tears, the strength of agreement between ultrasound and magnetic resonance imaging was good (kappa coefficient=0.79).ConclusionsUltrasonography of the shoulder shows promising results in the diagnosis of rotator cuff tears and in differentiating partial from complete tears. A wide availability, cost effectiveness and better tolerability of ultrasonography make it a modality of first choice for evaluating rotator cuff tears.

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“…One patient diagnosed with PTT of SST had abnormalities of all other rotator cuff tendons with tendinosis of IST and SubT and fatty muscle atrophy of TM. Only few studies have previously reported involvement of multiple rotator cuff tendons [32][33] .…”

Section: Discussionmentioning

confidence: 99%

“…In this study, US correctly diagnosed all full thickness tears of rotator cuff. The literature [33][34][35][36][37][38][39][40][41][42] , however, is heterogenous on the sensitivity of US in detecting full thickness RCTs. Some authors [39][40] have found US to be highly specific (≈100%) in diagnosing full-thickness RCTs but not as sensitive (≈46.2% to 57.7%).…”

Section: Supraspinatus Tendon Abnormalitiesmentioning

confidence: 99%

“…In this study, US correctly diagnosed 81.2% cases of PTT of rotator cuff with sensitivity, specificity, and accuracy of 78.1%, 94.4% and 84%, respectively, compared to MRI. Previous studies 9,15,22,26,28,31,33,40,[42][43][44][45][46] with MRI as reference standard have found sensitivity, specificity, and accuracy of US ranging from 12.5-94.7%, 67.9-100%, and 78-97.3%, respectively for diagnosing a partial thickness RCT. Further, in this study 96% cases of rotator cuff tendinosis were correctly diagnosed by US with sensitivity, specificity, and accuracy of 84%, 87.5%, and 86%, respectively.…”

Section: Supraspinatus Tendon Abnormalitiesmentioning

confidence: 99%

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Diagnostic accuracy of ultrasound in rotator cuff and associated non-rotator cuff pathologies of shoulder joint compared to magnetic resonance imaging

Gupta¹,

Nayak²,

Bahinipati³

2022

JRPMS

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Objectives: The present study was carried out to evaluate diagnostic accuracy of ultrasound (US) in delineating various rotator cuff and associated non rotator cuff pathologies (RCPs) of shoulder joint compared to Magnetic Resonance Imaging (MRI). Methods: Fifty consecutive symptomatic subjects in age-group 18-75 years (mean ±SD: 56.0±13.6 years; 39-male, 11-female) were evaluated. US performer and MRI reporting radiologists were blinded to results of each-other. The sensitivity, specificity, and accuracy of US was measured for diagnosing various musculo-tendinous pathologies of shoulder against MRI gold standard. Results: MRI detected RCPs in all subjects while US was abnormal in 46(92%) cases. Supraspinatus was the most frequently affected tendon. Remarkably, 28% patient had polytendon abnormalities. US showed sensitivity of 84% and specificity of 87.5% for tendinosis; sensitivity of 78.1% and specificity of 94.4% for partial thickness tear (PTT) and 100% sensitivity and specificity for diagnosing full thickness tear. However, sensitivity of US for diagnosing PTT of infraspinatus tendon, subscapularis tendinosis and teres-minor atrophy was low. US had high specificity for diagnosing non-RCPs but sensitivity was low. Conclusions: A normal shoulder US may not rule out with certainty some rotator cuff and associated non-rotator cuff abnormalities. It is suggested to search for polytendon abnormalities which may be missed.

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The role of ultrasound and magnetic resonance imaging in the evaluation of musculotendinous pathologies of the shoulder joint

Cited by 6 publications

References 0 publications

Role and Corelation of Ultrasonography and Magnetic Resonance Imaging in Evaluation of Rotator Cuff in Patients With Shoulder Pain

Role and Corelation of Ultrasonography and Magnetic Resonance Imaging in Evaluation of Rotator Cuff in Patients With Shoulder Pain

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

Diagnostic accuracy of ultrasound in rotator cuff and associated non-rotator cuff pathologies of shoulder joint compared to magnetic resonance imaging

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