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  • Title: Ultrasonography of symptomatic rotator cuff tears compared with MR imaging and surgery.
    Author: Fotiadou AN, Vlychou M, Papadopoulos P, Karataglis DS, Palladas P, Fezoulidis IV.
    Journal: Eur J Radiol; 2008 Oct; 68(1):174-9. PubMed ID: 18160242.
    Abstract:
    PURPOSE: To compare the accuracy of ultrasonography and magnetic resonance imaging in the detection of rotator cuff tears. MATERIALS AND METHODS: Ninety-six patients with clinically suspected rotator cuff pathology underwent ultrasonography and magnetic resonance imaging of the shoulder. The findings in 88 patients were compared with arthroscopy or open surgery. RESULTS: Full-thickness tear was confirmed in 57 cases, partial-thickness tear in 30 cases and degenerative changes without tear in 1. In all 57 cases of full-thickness tear and in 28 out of 30 cases of partial-thickness tear the supraspinatus tendon was involved. The accuracy in the detection of full-thickness tears was 98 and 100% for ultrasonography and magnetic resonance imaging, respectively. The accuracy in the detection of bursal or articular partial-thickness tears was 87 and 90% for ultrasonography and magnetic resonance imaging, respectively. CONCLUSIONS: In experienced hands ultrasonography should be considered as an accurate modality for the initial investigation of rotator cuff, especially supraspinatus, tears.
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