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1/2017
vol. 82 abstract:
Original paper
Role and Correlation of High Resolution Ultrasound and Magnetic Resonance Imaging in Evaluation of Patients with Shoulder Pain
Amandeep Singh
,
Chuni Lal Thukral
,
Kamlesh Gupta
,
Mahesh Inder Singh
,
Sneh Lata
,
Ram Krishan Arora
Pol J Radiol, 2017; 82: 410-417
Online publish date: 2018/02/02
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Background: The study aimed to evaluate of the role of high-resolution ultrasound and magnetic resonance imaging in patients with shoulder pain.
Material/Methods: This 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. Results: In 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). Conclusions: Ultrasonography 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. keywords:
Magnetic Resonance Imaging • Rotator Cuff • Shoulder Joint • Tears • Ultrasonography |