Diagnostic Accuracy of High Resolution Ultra Sound in Evaluation of Rotator Cuff Tears In Reference To Magnetic Resonance Imaging
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2019, Vol 4, Issue 4
Abstract
Background: Persistent shoulder pain is a very common condition that often has an underlying multifactorial pathology.Rotator cuff disease is the most prevalent cause of shoulder pain, occurring in approximately 65% - 70% of patients. In this study, the USG and MRI of fifty patients with a clinical suspicion of rotator cuff injury was done. The aim was to show diagnostic accuracy of high resolution ultrasound in evaluation of rotator cuff tears in reference to magnetic resonance imaging. Materials and Methods: The prospective study included 50 patients who were referred to the radiology department with history of shoulder pain were clinically examined by the orthopaedician and those with high clinical suspicion of rotator cuff tear were radiologically evaluated and referred for high resolution ultrasound of both the shoulder joints and magnetic resonance imaging of the affected shoulder. Results: Our study demonstrated high sensitivity and specificity of high resolution USG when compared to MRI for diagnosis of both full thickness and partial thickness rotator cuff tears with accuracy of 98.% for full thickness and 92.% for partial thickness tears. We conclude from the present study that USG can be comparable to MRI inthe diagnosis of Rotator cuff tears as it has high Sensitivity, Specificity and Diagnostic Accuracy in detecting both Partial and Full thickness Tears.The ready availability of USG allows it to remain as the first line of investigation of choice. Conclusion: Ultrasound has a high sensitivity, specificity and accuracy in detecting partial thickness and full thickness tears of rotator cuff tears. So,USG can be considered almost equally effective as MRI, in the evaluation of Rotator cuff tears however MRI is presently the imaging modality of choice in the evaluation of rotator cuff tears and is consistently superior to USG in not only detecting the lesion, but also to characterize them.
Authors and Affiliations
Dr. Mohsin Ansari
Keywords
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