Role of Ultrasonography in Evaluation of Rotator Cuff in Patients of Chronic Shoulder Pain in Comparison to Magnetic Resonance Imaging
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 3
Abstract
Introduction: Shoulder pain is one of the most common complaints encountered in orthopedic practice, and approximately 1% of adults consult a general practitioner with new shoulder pain annually. Aims and Objectives: To evaluate the accuracy of ultrasonography (USG) in comparison to magnetic resonance imaging (MRI) in assessing rotator cuff pathology in terms of sensitivity and specificity. Materials and Methods: Our study is observational, prospective study with cross-sectional data collection done in a period of September 2015 to September 2016. 51 patients with chronic shoulder pain and those who fulfilled our inclusion criteria were selected as the study population. USG was done to assess rotator cuff followed by MRI. Result: In our study for assessing partial tendon tear USG was 92.9% sensitive, 86% specific, had 72% positive predictive value (PPV), 97% negative predictive value (NPV), and 88% accuracy in comparison to MRI. For assessing complete tendon tear USG showed 100% sensitivity, 97% specificity, 90% PPV, 100% NPV, and 98% accuracy. Conclusion: Ultrasound proved to be highly accurate in evaluating partial tendon tear and complete tear. Thus, USG can be used as primary screening modality while assessing rotator cuff pathology.
Authors and Affiliations
S B S Netam, Sanjay Kumar, Vinit Jain, Aishwerya Singh, Rajesh Kumar Singh, Vishal Jain
Keywords
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