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ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2011, Number 3

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Acta Ortop Mex 2011; 25 (3)

Rotator cuff tear: Correlation between ultrasound and arthroscopic findings

Toro-Saelzer F, Meleán-Quiroga P, Ruiz-Jiménez F, Moraga-Huerta C, González-Foretic F

Language: Spanish
References: 22
Page: 146-150
PDF size: 662.68 Kb.


ABSTRACT

Objective: To analyze the preoperative shoulder ultrasound (US) findings in patients with a diagnosis of rotator cuff (RC) tear and correlate them with the arthroscopic findings. Methods: Retrospective analysis of a consecutive series of patients with a diagnosis of RC pathology in whom US was performed and who underwent surgery (shoulder arthroscopy). The US/arthroscopic findings were correlated with Fisher’s and χ2 tests. Results: The total number of patients was 53. We identified US/arthroscopic correlation in 22/34 cases for the total tears (64.7%) and in 7/19 cases for the partial tears (36.8%) (p = 0.048). Overall correlation (total and partial tears) was seen in 29/53 patients (54.7%). Of the 24 patients without correlation, 11 (45.8%) had ultrasound reports of tendinitis; 75% of the cases in this group had findings of partial supraspinous tear during arthroscopy (p = 0.006). Conclusion: US shows an appropriate correlation with the diagnosis of RC total tear confirmed with arthroscopy, and the correlation is significantly lower for partial tears. In cases of an ultrasound-diagnosed lesion, such as tendinitis, most cases showed a partial tear during arthroscopy.


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