Clinical application value of ultrasound and MRI in rotator cuff injury
YUAN Hongmei1 PU Jingsong2 YUE Wensheng1 CHEN Tianwu3 ZHOU Haiying3 GU Peng1 LEI Huilan1
1.Department of Ultrasound, Affiliated Hospital of North Sichuan Medical College, Sichuan Province, Nanchong 637000, China;
2.Department of Orthopedics, Affiliated Hospital of North Sichuan Medical College, Sichuan Province, Nanchong 637000, China;
3.Department of Radiology, Affiliated Hospital of North Sichuan Medical College, Sichuan Province, Nanchong 637000, China
Abstract：Objective To evaluate the clinical value of ultrasound (US) and magnetic resonance imaging (MRI) in rotator cuff injury. Methods From January 2016 to February 2018, 38 cases of rotator cuff injury who confirmed by arthroscopy were collected in Affiliated Hospital of North Sichuan Medical College. US and MRI were performed before operation. Shoulder arthroscopy was the gold standard. McNemer test was performed on US and MRI results of rotator cuff injury and Kappa test were used to evaluate the consistency of US and MRI in the diagnosis of rotator cuff injury and common complications. Results Arthroscopic examination showed that there were 26 full-thickness tears and 23 partial-thickness tears. The sensitivity，specificity，and accuracy of US in diagnosis of full-thickness tear were 92.31%, 100.00% and 98.24% respectively，while MRI was 96.15%, 100.00%, and 99.12% respectively. The sensitivity，specificity，and accuracy in US of the diagnosis of partial-thickness tear were 78.26%, 97.80% and 93.85% respectively, while 86.96%, 96.70% and 94.74% respectively in MRI. There was no statistically significant difference between the two methods in the diagnosis of rotator full-thickness tear and partial-thickness tear (P > 0.05). There was a good consistency between US and MRI in the diagnosis of rotator cuff full-thickness tears and partial-thickness tears (κ= 0.922, 0.811), but the consistency of US and MRI in the diagnosis of complications after rotator cuff tears was poor (κ = -0.068). Conclusion US can be used as the first screening diagnosis of clinical rotator cuff injury and the first choice for routine follow-up. When the diagnosis of rotator cuff injury is not clear or more detailed complications information is needed before surgery, MRI can be further performed.
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2020, Vol. 17 
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