ROLE OF ULTRASONOGRAPHY IN EVALUATION OF ROTATOR CUFF INJURY
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Abstract
Objective: To determine the role of ultrasonography in the evaluation of rotator cuff injury in patients with chronic shoulder pain.
Methodology: All the patients aged 30 to 80 years, suspected of rotator cuff injury were consecutively enrolled. These were then assessed by using ultrasound. Different patterns of injuries in subscapularis, supra- and infraspinatus, teres minor and bicep tendons were noted and labelled as partial or full thickness rotator cuff tears accordingly.
Results: The average age of the 96 patients was 54.72±7.46 years and average duration of pain recorded was 5.21±1.83 months. The majority of the patients were males (55-57.3%) and (41-42.3%) females. Right sided shoulder pain was observed in 64 (66.7%) cases. The most common finding was tendonitis seen in 43 (44.8%) of the cases with Subscapularis, partial thickness tear in supraspinatus involving 54 (56.3%) of the cases.
Conclusion: The study findings have shown that ultrasound can detect various shoulder injuries and the most common finding in Subscapularis injury was tendonitis and partial thickness tear in supraspinatus injury.
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References
Dinnes J, Loveman E, McIntyre L, Waugh N. The effectiveness of diagnostic tests for the assessment of shoulder pain due to soft tissue disorders a systematic review. Health Technol Assess. 2003;7(29):iii,1-166.
Uhthoff HK, Sarkar K. An algorithm for shoulder pain caused by soft-tissue disorders. Clin Orthop Relat Res. 1990;(254):121- 27.
Lambert A, Loffroy R, Guiu B, Mejean N, Lerais JM, Cercueil JP, et al. Rotator cuff tears: value of 3.0T MRI. J Radiol. 2009;90(5 Pt 1):583-88.
Fischer CA, Weber MA, Neubecker C, Bruckner T, Tanner M, Zeifang F. Ultrasound vs. MRI in the assessment of rotator cuff structure prior to shoulder arthroplasty. J Orthop. 2015;12(1):23- 3025.
Roy JS, Braën C, Leblond J, Desmeules F, Dionne CE, MacDermidJ C, et al. Diagnostic accuracy of ultrasonography, MRI and MR arthrography in the characterisation of rotator cuff disorders: a systematic review and meta-analysis. Br J Sports Med. 2015;49(20):1316-28.
Bashir S, Firdose SR, Kamal Y, Khan HA, Arora M, Gul S, Hassan N. Correlation between high resolution ultrasonography and MRI in rotator cuff tear diagnosis. IJHSR. 2014; 4(8):103-12.
Martinoli C. Musculoskeletal ultrasound: Technical guidelines. Insights Imaging. 2010;1(3):99–141.
Chelli Bouaziz M, Jabnoun F, Chaabane S, Ladeb MF. Diagnostic accuracy of high resolution ultrasound in communicating rotator cuff tears. Iran J Radiol. 2010;7(3):153–60.
Singh AP, Rao A, Devaru S, Amithavikrama. Role of ultrasound in evaluation of shoulder injuries: a comparative study of ultrasound and MRI. Int J Anatomy, Rad, Surg. 2017:6(1):RO12-18.
White JJ, Titchener AG, Fakis A, Tambe AA, Hubbard RB, Clark DI. An epidemiological study of rotator cuff pathology using The Health Improvement Network database. Bone Joint J. 2014;96- B(3):350-53.
Zlatkin MB. Rotator Cuff Disease. In: Zlatkin MB. MRI of the shoulder. 2nd Ed. Philadelphia: Lippincott Williams & Wilkins; 2003.
Netam SBS, Kumar S, Jain V, Singh A, Singh RK, Jain V. Role of Ultrasonography in Evaluation of Rotator Cuff in Patients of Chronic Shoulder Pain in Comparison to Magnetic Resonance Imaging. Int J Sci Stud 2017;5(3):291-296.
Bhatnagar S, Kuber R, Shah D. The role of ultrasound and MRI in evaluation of musculo-tendinous pathologies of the shoulder joint. WAJR 2014;21:68-74.
Vijayvargiya R, Atram AS, Daftar J. Role of MRI in rotator cuff injury & comparing its diagnostic accuracy with USG. Natl J M Dent Res 2014;3:38-43.
Saraya S, El Bakry R. Ultrasound: Can it replace MRI in the evaluation of the rotator cuff tears? Egypt J Radiol Nucl Med 2016;47:193-201.
Khanduri S, Raja A, Meha T, Agrawal S, Bhagat S, Jaiswal G. Comparative study of the diagnostic ability of ultrasonography and magnetic resonance imaging in the evaluation of chronic shoulder pain. Int J Sci Study 2016;4:266-72.
Modi CS, Smith CD, Drew SJ. Partial-thickness articular surface rotator cuff tears in patients over the age of 35: Etiology and intra-articular associations. Int J Shoulder Surg 2012;6:15-8.
Chen H, Lin S, Hsu Y, et al. A comparison of physical examinations with musculoskeletal ultrasound in the diagnosis of biceps long head tendinitis. Ultrasound Med Biol. 2011;37(9):1392–98.
Fischer CA, Weber MA, Neubecker C, et al. Ultrasound vs. MRI in the assessment of rotator cuff structure prior to shoulder arthroplasty. J Orthopedics. 2015;12(1):23–30.