دورية أكاديمية
Accuracy of shoulder ultrasound examination for diagnosis of rotator cuff pathologies: a single-center retrospective study.
| العنوان: | Accuracy of shoulder ultrasound examination for diagnosis of rotator cuff pathologies: a single-center retrospective study. |
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| المؤلفون: | Mohtasib RS; From the Department of Radiology, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia., Alzahrani AM; From the Department of Radiology, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia., Asiri YN; From the Department of Radiology, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia., Rayes ZF; From the Department of Radiology, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia., Alshaalan MA; From the Department of Radiology, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia. |
| المصدر: | Annals of Saudi medicine [Ann Saudi Med] 2019 May-Jun; Vol. 39 (3), pp. 162-171. Date of Electronic Publication: 2019 May 30. |
| نوع المنشور: | Comparative Study; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: King Faisal Specialist Hospital and Research Centre Country of Publication: Saudi Arabia NLM ID: 8507355 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 0975-4466 (Electronic) Linking ISSN: 02564947 NLM ISO Abbreviation: Ann Saudi Med Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2012- : Riyadh : King Faisal Specialist Hospital and Research Centre Original Publication: [Riyadh, Saudi Arabia : King Faisal Specialist Hospital and Research Center and King Saud University College of Medicine, c1985- |
| مواضيع طبية MeSH: | Rotator Cuff/*diagnostic imaging , Rotator Cuff Injuries/*diagnostic imaging , Shoulder/*diagnostic imaging , Ultrasonography/*methods, Adult ; Aged ; Aged, 80 and over ; Female ; Humans ; Magnetic Resonance Imaging/methods ; Male ; Middle Aged ; Retrospective Studies ; Rotator Cuff/pathology ; Saudi Arabia ; Sensitivity and Specificity ; Young Adult |
| مستخلص: | Background: Shoulder pathologies need accurate diagnosis for best management and treatment provided to patients. Objective: Determine the diagnostic sensitivity, specificity and accuracy of shoulder ultrasonography (US). Design: Retrospective, analytical. Setting: Tertiary care center in Riyadh, Saudi Arabia. Patients and Methods: We included all shoulder exams performed between January 2010 and December 2016 that met the inclusion criteria. Data was collected retrospectively from the a picture archiving and communication system and patient records. The patients were evaluated using US for the presence of rotator cuff tears and classified into intact, full-thickness tear, partial-thickness tear, tendinosis, subacromial/subdeltoid bursitis and acromioclavicular joint degenerative changes. The US findings were correlated with the shoulder MRI study findings. The time interval between the US examination and MRI ranged from 0 to 180 days (6 months). Main Outcome Measures: To compare the sensitivity, specificity and accuracy of shoulder US studies in the detection of rotator cuff pathologies in comparison to MRI findings. Sample Size and Characteristics: 86 (60 females, 26 male), mean age 53.7 years (range, 19-85). Results: The sensitivity, specificity and accuracy of US for the detection of full-thickness supraspinatus tears compared with those of MRI were 86%, 82% and 83%, respectively. The sensitivity, specificity and accuracy of US for the detection of partial-thickness supraspinatus tears compared with those of MRI were 38%, 70% and 58%, respectively. Overall PPV, NPV, sensitivity, specificity and accuracy of US for the detection of full-thickness tears compared with those of MRI were 35%, 97%, 78%, 83% and 83%, respectively. For partial-thickness tears, the overall PPV, NPV, sensitivity, specificity and accuracy of US compared with those of MRI were 51%, 60%, 51%, 60% and 56%, respectively. Conclusion: Overall, US has high sensitivity, specificity and accuracy for the detection of full-thickness tears compared with the detection of partial-thickness tears. Limitations: Small sample size and retrospective. Conflict of Interest: None. |
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| تواريخ الأحداث: | Date Created: 20190620 Date Completed: 20191227 Latest Revision: 20191227 |
| رمز التحديث: | 20221213 |
| مُعرف محوري في PubMed: | PMC6832332 |
| DOI: | 10.5144/0256-4947.2019.162 |
| PMID: | 31215221 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 0975-4466 |
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| DOI: | 10.5144/0256-4947.2019.162 |