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Ultrasound vs. MRI in the assessment of rotator cuff structure prior to shoulder arthroplasty.
Journal of Orthopaedics 2015 March
BACKGROUND/AIMS: We compared the accuracy of US to 3 T Tesla MRI for the detection of rotator cuff and long biceps tendon pathologies before joint replacement.
METHODS: 45 patients were prospectively included.
RESULTS: For the supraspinatus tendon, the accuracy of US when using MRI as reference was 91.1%. For the infraspinatus tendon, the accuracy with MRI as reference was 84.4%. The subscapularis tendon was consistently assessed by US and MRI in 35/45 patients (accuracy 77.8%). For the long biceps tendon the accuracy was 86.7%.
CONCLUSION: US detection of rotator cuff and biceps tendon integrity is comparable to MRI and should be preferred in revision cases.
METHODS: 45 patients were prospectively included.
RESULTS: For the supraspinatus tendon, the accuracy of US when using MRI as reference was 91.1%. For the infraspinatus tendon, the accuracy with MRI as reference was 84.4%. The subscapularis tendon was consistently assessed by US and MRI in 35/45 patients (accuracy 77.8%). For the long biceps tendon the accuracy was 86.7%.
CONCLUSION: US detection of rotator cuff and biceps tendon integrity is comparable to MRI and should be preferred in revision cases.
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