دورية أكاديمية
Predictive findings on magnetic resonance imaging in patients with symptomatic acromioclavicular osteoarthritis.
| العنوان: | Predictive findings on magnetic resonance imaging in patients with symptomatic acromioclavicular osteoarthritis. |
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| المؤلفون: | Veen EJD; Department of Orthopaedic Surgery and Traumatology, Deventer Hospital, Deventer, The Netherlands; Department of Orthopaedic Surgery, University Medical Center, University of Groningen, Groningen, The Netherlands. Electronic address: ejdveen@gmail.com., Donders CM; Department of Orthopaedic Surgery and Traumatology, Deventer Hospital, Deventer, The Netherlands., Westerbeek RE; Department of Radiology, Deventer Hospital, Deventer, The Netherlands., Derks RPH; Department of Radiology, Deventer Hospital, Deventer, The Netherlands., Landman EBM; Department of Orthopaedic Surgery and Traumatology, Deventer Hospital, Deventer, The Netherlands., Koorevaar CT; Department of Orthopaedic Surgery and Traumatology, Deventer Hospital, Deventer, The Netherlands. |
| المصدر: | Journal of shoulder and elbow surgery [J Shoulder Elbow Surg] 2018 Aug; Vol. 27 (8), pp. e252-e258. Date of Electronic Publication: 2018 Feb 28. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Mosby Country of Publication: United States NLM ID: 9206499 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-6500 (Electronic) Linking ISSN: 10582746 NLM ISO Abbreviation: J Shoulder Elbow Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: St. Louis, MO : Mosby Original Publication: St. Louis, MO : Mosby Yearbook, Inc., c1992- |
| مواضيع طبية MeSH: | Acromioclavicular Joint/*diagnostic imaging , Magnetic Resonance Imaging/*methods , Osteoarthritis/*diagnosis, Case-Control Studies ; Female ; Humans ; Male ; Middle Aged ; Predictive Value of Tests ; ROC Curve ; Retrospective Studies |
| مستخلص: | Background: A magnetic resonance imaging (MRI) scan of the shoulder can have added value in diagnosing symptomatic osteoarthritis of the acromioclavicular (AC) joint. Specific MRI signs have been recognized but not analyzed extensively before. This study aims to identify predictive MRI signs in patients with symptomatic AC osteoarthritis. Methods: The MRI scans of 70 patients with symptomatic AC osteoarthritis were compared with those of 70 patients with subacromial pain syndrome and no clinical signs of symptomatic AC osteoarthritis. Seven variables were evaluated on the MRI scans of the AC joint: joint space narrowing, inferior osteophytes, joint effusion, osteolysis, bone marrow edema, impression on the supraspinatus, and inferior joint distension. Logistic regression analysis of these variables was performed. Results: The presence of inferior osteophytes, bone marrow edema, impression on the supraspinatus, and inferior joint distension was individually associated with symptomatic AC osteoarthritis. Bone marrow edema was observed only in patients with symptomatic AC osteoarthritis. Multivariate analysis showed a significant association between inferior joint distension, as well as impression on the supraspinatus muscle, and symptomatic AC osteoarthritis. The area under the receiver operating characteristic curve in the multivariate logistic model was 0.839 (95% confidence interval, 0.771 to 0.907). Interobserver and intraobserver variability showed good to excellent κ values (range, 0.68 to 0.88). Conclusion: We identified predictive MRI signs in patients with symptomatic AC osteoarthritis. These findings, including bone marrow edema, inferior joint distension, and impression on the supraspinatus muscle, showed good discriminative ability. They are practical and easy to use and can assist the physician in diagnosing symptomatic AC osteoarthritis. (Copyright © 2018 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Elsevier Inc. All rights reserved.) |
| فهرسة مساهمة: | Keywords: AC joint; AC osteoarthritis; MRI scan; bone marrow edema; impression on musculus supraspinatus; predictive findings |
| تواريخ الأحداث: | Date Created: 20180305 Date Completed: 20181024 Latest Revision: 20181024 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1016/j.jse.2018.01.001 |
| PMID: | 29501222 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1532-6500 |
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| DOI: | 10.1016/j.jse.2018.01.001 |