Role of high-frequency USG in rotator cuff injury and its comparison with MRI
Abstract
Introduction: Rotator cuff injury is one of the common causes of long-term shoulder pain and disability encountered in the orthopedic clinic. The spectrum of rotator cuff injury includes tendonitis, partial tears, and complete tears. They also may influence the development of the degenerative disease of glenohumeral joint and rotator cuff arthropathy.
Material and Methods: The present, prospective study entitled “Role of high-frequency USG in rotator cuff injury and its comparison with MRI” was conducted in the Department of Radiodiagnosis on a total of 100 patients who presented with signs and symptoms of shoulder joint injury in Department of Orthopedic who were then referred for USG and MRI examination to the Department of Radiodiagnosis.
Result: Mean age of the patients was 38.26±14.51 years and the majority of patients belonged to the 3rd decade (34%). About 7% of patients belonged to the 2nd decade, 18% of patients each belonged to the 4th and 5th decades of age group. Only 8% and 7% of patients in the present study belonged to extremes of age i.e. >60 years and <20 years respectively.
Conclusion: Based on the findings of the present study, it is concluded that rotator cuff injuries are commonly encountered conditions in routine practice, and males are commonly affected as compared to females.
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References
May T, Garmel GM. Rotator Cuff Injury. In Stat Pearls.2019. Stat Pearls Publishing.
Mitchell C, Adebajo A, Hay E, Carr A. Shoulder pain: diagnosis and management in primary care. BMJ. 2005;331(7525):1124-1128. doi: 10.1136/bmj.331.7525.1124.
Codding JL, Keener JD. Natural History of Degenerative Rotator Cuff Tears. Curr Rev Musculoskelet Med. 2018;11(1):77-85. doi: 10.1007/s12178-018-9461-8.
Inderhaug E, Kalsvik M, Kollevold KH, Hegna J, Solheim E. Long-term results after surgical treatment of subacromial pain syndrome with or without rotator cuff tear. J Orthop. 2018;15(3):757-760. doi: 10.1016/j.jor.2018.03.004.
Nogueira-Barbosa MH, Volpon JB, Elias Jr J, Muccillo G. Diagnostic imaging of shoulder rotator cuff lesions. Acta Ortopédica Brasileira. 2002;10(4):31-39. doi: 10.1590/S1413-78522002000400005.
Morag Y, Jon A Jacobson, Bruce Miller, Michel De Maeseneer, Gandikota Girish, David Jamadar. MR Imaging of rotator cuff injury: What the clinician needs to know. Radiograph. 2006;26(5):1045-1065
Morag Y, Jacobson JA, Miller B, De Maeseneer M, Girish G, Jamadar D. MR imaging of rotator cuff injury: what the clinician needs to know. Radiographics. 2006;26(4):1045-1065. doi: 10.1148/rg.264055087.
Dean Deyle G. The role of MRI in musculoskeletal practice: a clinical perspective. J Man Manip Ther. 2011;19(3):152-161. doi: 10.1179/2042618611Y.0000000009.
de Jesus JO, Parker L, Frangos AJ, Nazarian LN. Accuracy of MRI, MR arthrography, and ultrasound in the diagnosis of rotator cuff tears: a meta-analysis. AJR Am J Roentgenol. 2009;192(6):1701-1707. doi: 10.2214/AJR.08.1241.
Friedman RL, Hidalgo HJ, Gilmer PW, Mallon WJ. Ultrasonography of the rotator cuff: Analysis of results in a community setting. J Shoulder Elbow Surg. 1993;2(1):22-26. doi: 10.1016/S1058-2746(09)80133-X.
Sipola P, Niemitukia L, Kroger H, Hofling I, Vaatainen U. Detection and quantification of rotator cuff tears with ultrasonography and magnetic resonance imaging: a prospective study in 77 consecutive patients with a surgical reference. Ultrasound Med Biol. 2010;36(12):1981-1989. doi: 10.1016/j.ultrasmedbio.2010.09.001.
Teefey SA, Rubin DA, Middleton WD, Hildebolt CF, Leibold RA, Yamaguchi K. Detection and quantification of rotator cuff tears: comparison of ultrasonographic, magnetic resonance imaging, and arthroscopic findings in seventy-one consecutive cases. J Bone Joint Surg Am. 2004;86(4):708-716.
Smith TO, Back T, Toms AP, Hing CB. Diagnostic accuracy of ultrasound for rotator cuff tears in adults: a systematic review and meta-analysis. Clin Radiol. 2011;66(11):1036-1048. doi: 10.1016/j.crad.2011.05.007.
Teefey SA, Middleton WD, Payne WT, Yamaguchi K. Detection and measurement of rotator cuff tears with sonography: analysis of diagnostic errors. AJR Am J Roentgenol. 2005;184(6):1768-1773. doi: 10.2214/ajr.184.6.01841768.
Sambandam SN, Khanna V, Gul A, Mounasamy V. Rotator cuff tears: An evidence based approach. World J Orthop. 2015;6(11):902-918. doi: 10.5312/wjo.v6.i11.902.
Yadav H, Nho S, Romeo A, MacGillivray JD. Rotator cuff tears: pathology and repair. Knee Surg Sports Traumatol Arthrosc. 2009;17(4):409-421. doi: 10.1007/s00167-008-0686-8.
Rudzki JR, Adler RS, Warren RF, Kadrmas WR, Verma N, Pearle AD, et al. Contrast-enhanced ultrasound characterization of the vascularity of the rotator cuff tendon: age- and activity-related changes in the intact asymptomatic rotator cuff. J Shoulder Elbow Surg. 2008;17(1):96S-100S. doi: 10.1016/j.jse.2007.07.004.
Bhatnagar S, Kuber R, Shah D. The role of ultrasound and magnetic resonance imaging in the evaluation of musculotendinous pathologies of the shoulder joint. West Afr J Radiol. 2014;21(2):68-74. doi: 10.4103/1115-1474.134611.
Chauhan NS, Ahluwalia A, Sharma YP, Thakur L. A prospective comparative study of high-resolution ultrasound and MRI in the diagnosis of rotator cuff tears in a tertiary hospital of North India. Polish J Radiol. 2016;81:491. doi: 10.12659/PJR.897830.
Vlychou M, Dailiana Z, Fotiadou A, Papanagiotou M, Fezoulidis IV, Malizos K. Symptomatic partial rotator cuff tears: diagnostic performance of ultrasound and Magnetic resonance imaging with surgical correlation. Acta Radiol.2009;50(1):101-105. doi: 10.1080/02841850802600764.
Naganna HP, Rangaswamy SM, Jaganathan NC, Lingaiah RK, Nagarajegowda PH. Study of Rotator Cuff Disorders by Ultrasound with Magnetic Resonance Imaging Correlation. Int J Contemp Med Surg Radiol. 2018;3(1):70-75.
Thakker VD, Bhuyan D, Arora M, Bora MI. Rotator Cuff Injuries: Is Ultrasound Enough? A Correlation with MRI. Int Anat, Radiol Surg. 2017;6(3):RO01-RO07. doi: 10.7860/IJARS/2017/28116:2279.
Fischer CA, Weber MA, Neubecker C, Bruckner T, Tanner M, Zeifang F, et al. Ultrasound vs. MRI in the assessment of rotator cuff structure prior to shoulder arthroplasty. J Orthop. 2015;12(1):23-30. doi: 10.1016/j.jor.2015.01.003.
Ahmad Z, Ilyas M, Wani GM, Choh NA, Gojwari TA, Ahmad Kazime MJ. Evaluation of rotator cuff tendinopathies and tears with high-resolution ultrasonography and magnetic resonance imaging correlation. Arch Trauma Res. 2018;7(1):15-23. doi: 10.4103/atr.atr_20_17.
Teefey SA, Hasan SA, Middleton WD, Patel M, Wright RW, Yamaguchi K, et al. Ultrasonography of the rotator cuff. A comparison of ultrasonographic and arthroscopic findings in one hundred consecutive cases. J Bone Joint Surg Am. 2000;82(4):498-504.
Hollister MS, Mack LA, Patten RM, Winter 3rd TC, Matsen 3rd FA, Veith RR. Association of sonographically detected subacromial/ subdeltoid bursal effusion and intraarticular fluid with rotator cuff tear. Am J Roentgenol. 1995;165(3):605-608. doi: 10.2214/ajr.165.3.7645478.
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