Cargando…

Comparison of the results of ultrasonographic evaluation and arthroscopy in patients scheduled for surgery of the supraspinatus tendon rupture

BACKGROUND AND OBJECTIVES: This study aims to compare the findings of the shoulder ultrasonography (US) of patients with a supraspinatus (SS) tendon rupture with those of the shoulder arthroscopy, to determine the reliability and diagnostic performance of the shoulder US in the algorithm of the SS t...

Descripción completa

Detalles Bibliográficos
Autores principales: Görmeli, Cemille, Görmeli, Gökay, Yücesoy, Cüneyt, Ataoglu, Baybars, Kanatlı, Ulunay
Formato: Online Artículo Texto
Lenguaje:English
Publicado: King Faisal Specialist Hospital and Research Centre 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6074584/
https://www.ncbi.nlm.nih.gov/pubmed/25971827
http://dx.doi.org/10.5144/0256-4947.2014.522
_version_ 1783344444104245248
author Görmeli, Cemille
Görmeli, Gökay
Yücesoy, Cüneyt
Ataoglu, Baybars
Kanatlı, Ulunay
author_facet Görmeli, Cemille
Görmeli, Gökay
Yücesoy, Cüneyt
Ataoglu, Baybars
Kanatlı, Ulunay
author_sort Görmeli, Cemille
collection PubMed
description BACKGROUND AND OBJECTIVES: This study aims to compare the findings of the shoulder ultrasonography (US) of patients with a supraspinatus (SS) tendon rupture with those of the shoulder arthroscopy, to determine the reliability and diagnostic performance of the shoulder US in the algorithm of the SS tendon pathologic lesions and their secondary ultrasonographic findings. DESIGN AND SETTINGS: A prospective study conducted with patients scheduled for arthroscopy of the shoulder due to an SS tendon rupture in Yildirım Beyazit Education and Research Center and Gazi University, Ankara, Turkey. MATERIALS AND METHODS: Fifty patients scheduled for an arthroscopy of the shoulder due to an SS tendon rupture were evaluated by shoulder US 1 week before the surgery. SS tendon pathologic lesions (tendinosis, partial tears, and full-thickness tears) and humeral degeneration were recorded, and the results of shoulder US were compared with those of arthroscopy. RESULTS: With reference to the arthroscopic data, the sensitivity of the ultrasonographic evaluation for the diagnosis of a full-thickness SS tendon rupture was 91%, with a specificity of 88%; the sensitivity for the diagnosis of a partial-thickness rupture was 86%, with a specificity of 82%; and the sensitivity for the diagnosis of a tendinosis was 98%, with a specificity of 71%. With reference to the arthroscopic data, the sensitivity of US for the diagnosis of humeral degeneration was 93%, with a specificity of 91%. CONCLUSION: The high sensitivity and specificity rates of US in detecting SS tendon rupture and its secondary imaging findings make it an efficient and reliable diagnostic modality, which should be preferred to other more expensive and more invasive methods in the algorithm.
format Online
Article
Text
id pubmed-6074584
institution National Center for Biotechnology Information
language English
publishDate 2014
publisher King Faisal Specialist Hospital and Research Centre
record_format MEDLINE/PubMed
spelling pubmed-60745842018-09-21 Comparison of the results of ultrasonographic evaluation and arthroscopy in patients scheduled for surgery of the supraspinatus tendon rupture Görmeli, Cemille Görmeli, Gökay Yücesoy, Cüneyt Ataoglu, Baybars Kanatlı, Ulunay Ann Saudi Med Original Article BACKGROUND AND OBJECTIVES: This study aims to compare the findings of the shoulder ultrasonography (US) of patients with a supraspinatus (SS) tendon rupture with those of the shoulder arthroscopy, to determine the reliability and diagnostic performance of the shoulder US in the algorithm of the SS tendon pathologic lesions and their secondary ultrasonographic findings. DESIGN AND SETTINGS: A prospective study conducted with patients scheduled for arthroscopy of the shoulder due to an SS tendon rupture in Yildirım Beyazit Education and Research Center and Gazi University, Ankara, Turkey. MATERIALS AND METHODS: Fifty patients scheduled for an arthroscopy of the shoulder due to an SS tendon rupture were evaluated by shoulder US 1 week before the surgery. SS tendon pathologic lesions (tendinosis, partial tears, and full-thickness tears) and humeral degeneration were recorded, and the results of shoulder US were compared with those of arthroscopy. RESULTS: With reference to the arthroscopic data, the sensitivity of the ultrasonographic evaluation for the diagnosis of a full-thickness SS tendon rupture was 91%, with a specificity of 88%; the sensitivity for the diagnosis of a partial-thickness rupture was 86%, with a specificity of 82%; and the sensitivity for the diagnosis of a tendinosis was 98%, with a specificity of 71%. With reference to the arthroscopic data, the sensitivity of US for the diagnosis of humeral degeneration was 93%, with a specificity of 91%. CONCLUSION: The high sensitivity and specificity rates of US in detecting SS tendon rupture and its secondary imaging findings make it an efficient and reliable diagnostic modality, which should be preferred to other more expensive and more invasive methods in the algorithm. King Faisal Specialist Hospital and Research Centre 2014 /pmc/articles/PMC6074584/ /pubmed/25971827 http://dx.doi.org/10.5144/0256-4947.2014.522 Text en Copyright © 2014, Annals of Saudi Medicine This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (https://creativecommons.org/licenses/by-nc-nd/4.0/) .
spellingShingle Original Article
Görmeli, Cemille
Görmeli, Gökay
Yücesoy, Cüneyt
Ataoglu, Baybars
Kanatlı, Ulunay
Comparison of the results of ultrasonographic evaluation and arthroscopy in patients scheduled for surgery of the supraspinatus tendon rupture
title Comparison of the results of ultrasonographic evaluation and arthroscopy in patients scheduled for surgery of the supraspinatus tendon rupture
title_full Comparison of the results of ultrasonographic evaluation and arthroscopy in patients scheduled for surgery of the supraspinatus tendon rupture
title_fullStr Comparison of the results of ultrasonographic evaluation and arthroscopy in patients scheduled for surgery of the supraspinatus tendon rupture
title_full_unstemmed Comparison of the results of ultrasonographic evaluation and arthroscopy in patients scheduled for surgery of the supraspinatus tendon rupture
title_short Comparison of the results of ultrasonographic evaluation and arthroscopy in patients scheduled for surgery of the supraspinatus tendon rupture
title_sort comparison of the results of ultrasonographic evaluation and arthroscopy in patients scheduled for surgery of the supraspinatus tendon rupture
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6074584/
https://www.ncbi.nlm.nih.gov/pubmed/25971827
http://dx.doi.org/10.5144/0256-4947.2014.522
work_keys_str_mv AT gormelicemille comparisonoftheresultsofultrasonographicevaluationandarthroscopyinpatientsscheduledforsurgeryofthesupraspinatustendonrupture
AT gormeligokay comparisonoftheresultsofultrasonographicevaluationandarthroscopyinpatientsscheduledforsurgeryofthesupraspinatustendonrupture
AT yucesoycuneyt comparisonoftheresultsofultrasonographicevaluationandarthroscopyinpatientsscheduledforsurgeryofthesupraspinatustendonrupture
AT ataoglubaybars comparisonoftheresultsofultrasonographicevaluationandarthroscopyinpatientsscheduledforsurgeryofthesupraspinatustendonrupture
AT kanatlıulunay comparisonoftheresultsofultrasonographicevaluationandarthroscopyinpatientsscheduledforsurgeryofthesupraspinatustendonrupture