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COMPARISON OF ULTRASONOGRAPHY AND MAGNETIC RESONANCE IMAGING IN EVALUATING ROTATOR CUFF PATHOLOGIES

Year 2018, Volume: 20 Issue: 2, 147 - 155, 31.08.2018
https://doi.org/10.24938/kutfd.365014

Abstract

Objective: This study was conducted to determine the effectiveness of magnetic resonance imaging in comparison to ultrasonography in the diagnosis of rotator cuff tears.

Material and Methods: Magnetic resonance imaging and ultrasonographic findings of 28 cases who admitted to our clinic with shoulder pain and dysfunction were analyzed retrospectively. Magnetic resonance imaging findings were accepted as gold standard.

Results: From among 15 cases where complete tear was determined by magnetic resonance imaging, 11 cases were confirmed by ultrasonography and in the remaining 4 of them, thinning in the tendons which is a non-specific finding was seen. In 9 cases where there was thinning in the tendons, the classifications in magnetic resonance imaging was made as follows: 5 of them were classified as stage 2 (partial tear) and 4 of them were classified as stage 3 (complete tear). In 4 cases, tear and retraction were determined in supraspinatus tendon in magnetic resonance imaging; however, supraspinatus tendon could not be visualized by ultrasonography. In our study, in rotator cuff tears, the sensitivity and specificity of the shoulder ultrasonography were found as 73% and 93%, respectively.

Conclusion: In the evaluation of rotator cuff, it was found that ultrasonography should be the first imaging method considering its low cost and easy accessiblity. Moreover ultrasonography could display a similar performance with magnetic resonance imaging if it is performed by experienced radiologist.

References

  • 1. Naqvi GA, Jadaan M, Harrington P. Accuracy of ultrasonography and magnetic resonance imaging for detection of full thickness rotator cuff tears. Int J Shoulder Surg. 2009;3:94-7.
  • 2. Mitchell C, Adebajo A, Hay E, Carr A. Shoulder pain: diagnosis and management in primary care. BMJ. 2005;331:1124-8.
  • 3. Milosavljevic J, Elvin A, Rahme H. Ultrasonography of the rotator cuff: a comparison with arthroscopy in one hundred and ninety consecutive cases. Acta Radiol. 2005;46:858-65.
  • 4. Moosmayer S, Smith HJ, Tariq R, Larmo A. Prevelance and characteristics of asymptomatic tears of the rotator cuff: an ultrasonographic and clinical study. J Bone Joint Surg Br. 2009;91:196-200.
  • 5. Seibold CJ, Mallisee TA, Erickson SJ, Boynton MD, Raasch WG, Timins ME. Rotator cuff: evaluation with US and MR imaging. Radiographics. 1999;19:685-705.
  • 6. Oh CH, Schweitzer ME, Spettell CM. Internal derangements of the shoulder: decision tree and cost-effectiveness analysis of conventional arthrography, conventional MRI, and MR arthrography. Skeletal Radiol. 1999;28:670-8.
  • 7. Şahan MH. Rotator Cuff Patolojilerinin Değerlendirilmesinde Ultrasonografi ve Manyetik Rezonans Görüntülemenin Karşılaştırılması. Sağlık bakanlığı Okmeydanı Eğitim ve Araştırma Hastanesi Radyoloji kliniği. Uzmanlık Tezi. İstanbul: 2006.
  • 8. Seeger LL, Gold RH, Bassett LW, Ellman H. Shoulder impingement syndrome: MR findings in 53 shoulders. AJR Am J Roentgenol. 1988;150:343-7.
  • 9. Rutten MJ, Maresch BJ, Jager GJ, Blickman JG, Van Holsbeeck MT. Ultrasound of the rotator cuff with MRI and anatomic correlation. Eur J Radiol. 2007;62:427-36.
  • 10. Brandt TD, Cardone BW, Grant TH, Post M, Weiss CA. Rotator cuff sonography: a reassessment. Radiology. 1989;173:323-7.
  • 11. Hinsley H, Nicholls A, Daines M, Wallace G, Arden N, Carr A. Classification of rotator cuff tendinopathy using high definition ultrasound. Muscles Ligaments Tendons J. 2014;4(3):391-7.
  • 12. Edward IB, Peter HA, Carol BB, Philip WR. Ultrasound; a practical approach to clinical problems. 2th ed. New York. Thieme Medical Publishers. 2008: 486.
  • 13. Weinreb JH, Sheth C, Apostolakos J, et al. Tendon structure, disease, and imaging. Muscles Ligaments Tendons J. 2014;4(1):66-73.
  • 14. Kang CH, Kim SS, Kim JH, et al. Supraspinatus tendon tears: comparison of 3D US and MR arthrography with surgical correlation. Skeletal Radiol. 2009;38(11):1063-9.
  • 15. Neer CS. II. Anterior acromioplasty for chronic impingement syndrome of shoulder. J. Bone Joint Surg. 1972;54:41-50.
  • 16. Farley TE, Neumann CH, Steinbach LS, Jahnke AJ, Petersen SS. Full thickness tears of the rotator cuff of shoulder diagnosis with MR imaging. AJR. 1992;158:347-51.
  • 17. Westhoff B, Wild A, Werner A, Schneider T, Kahl V, Krauspe R. The value of ultrasound after shoulder arthroplasty. Skeletal Radiol. 2002;31:695-701.
  • 18. Al-Shawi A, Badge R, Bunker T. The detection of full thickness tears using ultrasound. J Bone Joint Surg Br. 2008;90:889-92.
  • 19. Kaneko K, DeMouy EH, Brunet ME. MR Evaluation of rotator cuff impingment: correlation with confirmed full-thickness rotator cuff tears. Journal of Computer Assisted Tomography. 1994;18:225-8.
  • 20. Hsu HC, Luo ZP, Stone JJ, Huang TH, An KN. Correlation between rotator cuff tear and glenohumeral degeneration. Acta Orthop Scand. 2000;74:89-94.
  • 21. Esenyel CZ, Demirhan M, Duygulu F. Arthroscopic evaluation of the mobility of the meso-acromion. Acta Orthop Traumatol Turc. 2005;39:391-5.
  • 22. Hirano M, Ide J, Takagi K. Acromial shapes and extension of rotator cuff tears: magnetic resonance imaging evaluation. J Shoulder Elbow Surg. 2002;11:576-8.
  • 23. 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):101-5.
  • 24. Chang CY, Wang SF, Chiou HJ, Ma HL, Sun YC, Wu HD. Comparison of shoulder ultrasound and MR imaging in diagnosing full-thickness rotator cuff tears. Clin Imaging. 2002;26(1):50-4.

Rotator Cuff Patolojilerinin Değerlendirilmesinde Ultrasonografi ve Manyetik Rezonans Görüntülemenin Karşılaştırılması

Year 2018, Volume: 20 Issue: 2, 147 - 155, 31.08.2018
https://doi.org/10.24938/kutfd.365014

Abstract


Amaç: Rotator cuff yırtıklarının tanısında manyetik rezonans görüntüleme ile karşılaştırıldığında, ultrason etkinliğininin belirlenmesi.

Gereç ve Yöntemler: Omuz ağrısı ve disfonksiyonu ile başvuran 28 olgunun manyetik rezonans görüntüleme ve ultrason bulguları retrospektif olarak incelendi. Manyetik rezonans görüntüleme bulguları standart olarak kabul edildi.

Bulgular: Manyetik rezonans görüntülemede komplet yırtık saptanan 15 olgunun 11 tanesi ultrasonografide tespit edilmiş; 4’ünde ise nonspesifik bulgu olan tendonda incelme izlenmiştir. Ultrasonografide tendonda incelme görülen 9 olgunun 5’i manyetik rezonans görüntülemede evre II (parsiyel yırtık), 4’ü de evre III (komplet yırtık) olarak sınıflandırıldı. Manyetik rezonans görüntülemede supraspinatus tendonunda yırtık ve retraksiyon saptanan 4 olguda ultrasonografide supraspinatus tendonu vizualize edilememiştir. Rotator cuff yırtıklarında, bizim çalışmamızda omuz ultrasonografisinin duyarlılığı % 73, özgüllüğü % 91 olarak bulundu.

Sonuç: Rotator cuff değerlendirmesinde, ultrasonografinin hem düşük maliyet, hem de kolay ulaşılabilirlik nedeniyle ilk görüntüleme yöntemi olması gerektiği, deneyimli radyolog tarafından yapıldığında, manyetik rezonans görüntüleme'ye yakın performans sergileyebileceği bulunmuştur.

References

  • 1. Naqvi GA, Jadaan M, Harrington P. Accuracy of ultrasonography and magnetic resonance imaging for detection of full thickness rotator cuff tears. Int J Shoulder Surg. 2009;3:94-7.
  • 2. Mitchell C, Adebajo A, Hay E, Carr A. Shoulder pain: diagnosis and management in primary care. BMJ. 2005;331:1124-8.
  • 3. Milosavljevic J, Elvin A, Rahme H. Ultrasonography of the rotator cuff: a comparison with arthroscopy in one hundred and ninety consecutive cases. Acta Radiol. 2005;46:858-65.
  • 4. Moosmayer S, Smith HJ, Tariq R, Larmo A. Prevelance and characteristics of asymptomatic tears of the rotator cuff: an ultrasonographic and clinical study. J Bone Joint Surg Br. 2009;91:196-200.
  • 5. Seibold CJ, Mallisee TA, Erickson SJ, Boynton MD, Raasch WG, Timins ME. Rotator cuff: evaluation with US and MR imaging. Radiographics. 1999;19:685-705.
  • 6. Oh CH, Schweitzer ME, Spettell CM. Internal derangements of the shoulder: decision tree and cost-effectiveness analysis of conventional arthrography, conventional MRI, and MR arthrography. Skeletal Radiol. 1999;28:670-8.
  • 7. Şahan MH. Rotator Cuff Patolojilerinin Değerlendirilmesinde Ultrasonografi ve Manyetik Rezonans Görüntülemenin Karşılaştırılması. Sağlık bakanlığı Okmeydanı Eğitim ve Araştırma Hastanesi Radyoloji kliniği. Uzmanlık Tezi. İstanbul: 2006.
  • 8. Seeger LL, Gold RH, Bassett LW, Ellman H. Shoulder impingement syndrome: MR findings in 53 shoulders. AJR Am J Roentgenol. 1988;150:343-7.
  • 9. Rutten MJ, Maresch BJ, Jager GJ, Blickman JG, Van Holsbeeck MT. Ultrasound of the rotator cuff with MRI and anatomic correlation. Eur J Radiol. 2007;62:427-36.
  • 10. Brandt TD, Cardone BW, Grant TH, Post M, Weiss CA. Rotator cuff sonography: a reassessment. Radiology. 1989;173:323-7.
  • 11. Hinsley H, Nicholls A, Daines M, Wallace G, Arden N, Carr A. Classification of rotator cuff tendinopathy using high definition ultrasound. Muscles Ligaments Tendons J. 2014;4(3):391-7.
  • 12. Edward IB, Peter HA, Carol BB, Philip WR. Ultrasound; a practical approach to clinical problems. 2th ed. New York. Thieme Medical Publishers. 2008: 486.
  • 13. Weinreb JH, Sheth C, Apostolakos J, et al. Tendon structure, disease, and imaging. Muscles Ligaments Tendons J. 2014;4(1):66-73.
  • 14. Kang CH, Kim SS, Kim JH, et al. Supraspinatus tendon tears: comparison of 3D US and MR arthrography with surgical correlation. Skeletal Radiol. 2009;38(11):1063-9.
  • 15. Neer CS. II. Anterior acromioplasty for chronic impingement syndrome of shoulder. J. Bone Joint Surg. 1972;54:41-50.
  • 16. Farley TE, Neumann CH, Steinbach LS, Jahnke AJ, Petersen SS. Full thickness tears of the rotator cuff of shoulder diagnosis with MR imaging. AJR. 1992;158:347-51.
  • 17. Westhoff B, Wild A, Werner A, Schneider T, Kahl V, Krauspe R. The value of ultrasound after shoulder arthroplasty. Skeletal Radiol. 2002;31:695-701.
  • 18. Al-Shawi A, Badge R, Bunker T. The detection of full thickness tears using ultrasound. J Bone Joint Surg Br. 2008;90:889-92.
  • 19. Kaneko K, DeMouy EH, Brunet ME. MR Evaluation of rotator cuff impingment: correlation with confirmed full-thickness rotator cuff tears. Journal of Computer Assisted Tomography. 1994;18:225-8.
  • 20. Hsu HC, Luo ZP, Stone JJ, Huang TH, An KN. Correlation between rotator cuff tear and glenohumeral degeneration. Acta Orthop Scand. 2000;74:89-94.
  • 21. Esenyel CZ, Demirhan M, Duygulu F. Arthroscopic evaluation of the mobility of the meso-acromion. Acta Orthop Traumatol Turc. 2005;39:391-5.
  • 22. Hirano M, Ide J, Takagi K. Acromial shapes and extension of rotator cuff tears: magnetic resonance imaging evaluation. J Shoulder Elbow Surg. 2002;11:576-8.
  • 23. 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):101-5.
  • 24. Chang CY, Wang SF, Chiou HJ, Ma HL, Sun YC, Wu HD. Comparison of shoulder ultrasound and MR imaging in diagnosing full-thickness rotator cuff tears. Clin Imaging. 2002;26(1):50-4.
There are 24 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Articles
Authors

Mehmet Hamdi Şahan

Çiçek Babuna This is me

Publication Date August 31, 2018
Submission Date December 12, 2017
Published in Issue Year 2018 Volume: 20 Issue: 2

Cite

APA Şahan, M. H., & Babuna, Ç. (2018). COMPARISON OF ULTRASONOGRAPHY AND MAGNETIC RESONANCE IMAGING IN EVALUATING ROTATOR CUFF PATHOLOGIES. Kırıkkale Üniversitesi Tıp Fakültesi Dergisi, 20(2), 147-155. https://doi.org/10.24938/kutfd.365014
AMA Şahan MH, Babuna Ç. COMPARISON OF ULTRASONOGRAPHY AND MAGNETIC RESONANCE IMAGING IN EVALUATING ROTATOR CUFF PATHOLOGIES. Kırıkkale Uni Med J. August 2018;20(2):147-155. doi:10.24938/kutfd.365014
Chicago Şahan, Mehmet Hamdi, and Çiçek Babuna. “COMPARISON OF ULTRASONOGRAPHY AND MAGNETIC RESONANCE IMAGING IN EVALUATING ROTATOR CUFF PATHOLOGIES”. Kırıkkale Üniversitesi Tıp Fakültesi Dergisi 20, no. 2 (August 2018): 147-55. https://doi.org/10.24938/kutfd.365014.
EndNote Şahan MH, Babuna Ç (August 1, 2018) COMPARISON OF ULTRASONOGRAPHY AND MAGNETIC RESONANCE IMAGING IN EVALUATING ROTATOR CUFF PATHOLOGIES. Kırıkkale Üniversitesi Tıp Fakültesi Dergisi 20 2 147–155.
IEEE M. H. Şahan and Ç. Babuna, “COMPARISON OF ULTRASONOGRAPHY AND MAGNETIC RESONANCE IMAGING IN EVALUATING ROTATOR CUFF PATHOLOGIES”, Kırıkkale Uni Med J, vol. 20, no. 2, pp. 147–155, 2018, doi: 10.24938/kutfd.365014.
ISNAD Şahan, Mehmet Hamdi - Babuna, Çiçek. “COMPARISON OF ULTRASONOGRAPHY AND MAGNETIC RESONANCE IMAGING IN EVALUATING ROTATOR CUFF PATHOLOGIES”. Kırıkkale Üniversitesi Tıp Fakültesi Dergisi 20/2 (August 2018), 147-155. https://doi.org/10.24938/kutfd.365014.
JAMA Şahan MH, Babuna Ç. COMPARISON OF ULTRASONOGRAPHY AND MAGNETIC RESONANCE IMAGING IN EVALUATING ROTATOR CUFF PATHOLOGIES. Kırıkkale Uni Med J. 2018;20:147–155.
MLA Şahan, Mehmet Hamdi and Çiçek Babuna. “COMPARISON OF ULTRASONOGRAPHY AND MAGNETIC RESONANCE IMAGING IN EVALUATING ROTATOR CUFF PATHOLOGIES”. Kırıkkale Üniversitesi Tıp Fakültesi Dergisi, vol. 20, no. 2, 2018, pp. 147-55, doi:10.24938/kutfd.365014.
Vancouver Şahan MH, Babuna Ç. COMPARISON OF ULTRASONOGRAPHY AND MAGNETIC RESONANCE IMAGING IN EVALUATING ROTATOR CUFF PATHOLOGIES. Kırıkkale Uni Med J. 2018;20(2):147-55.

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