Comparative imaging modalities for diagnosing rotator cuff injuries
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20243318Keywords:
Rotator cuff injuries, HRUS, MRI, Tendon tears, Imaging techniquesAbstract
Rotator cuff injuries are a significant cause of shoulder pain and dysfunction, with their prevalence increasing with age. Diagnosing these injuries accurately is crucial for determining appropriate treatment strategies. Various imaging modalities, such as high-resolution ultrasonography (HRUS), magnetic resonance imaging (MRI), and magnetic resonance arthrography (MRA), play a pivotal role in identifying rotator cuff injuries. MRI, considered the gold standard, offers detailed insights into tendon degeneration, partial tears, and full-thickness tears. Meanwhile, HRUS is favored for its cost-effectiveness, non-invasive nature, and real-time dynamic assessments. This review compares these imaging techniques, highlighting their diagnostic accuracy, strengths, and limitations in the context of rotator cuff injuries. Although MRI provides comprehensive information on tendon pathology and associated conditions like muscle atrophy, HRUS remains a valuable tool due to its accessibility and accuracy in diagnosing both partial and full-thickness tears. Understanding the comparative efficacy of these imaging modalities is essential for clinicians to make informed decisions about patient management.
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References
Madhavi P, Patil P, Madhavi P. Diagnostic Accuracy of USG and MRI for the Detection of Rotator Cuff Injury. Cureus. 2024;16(8):e68199.
Pavic R, Margetic P, Bensic M, Brnadic RL. Diagnostic value of US, MR and MR arthrography in shoulder instability. Injury. 2013;44(3):S26-32.
Youssef MA, Teima AH, Abduo YE, Salem LN. Ultrasonographic and MR diagnosis of rotator cuff disorders and shoulder joint instability. Egypt J Radiol Nuclear Med. 2013;44(4):835-44.
Abdelrahman ME, Altahhan HAA, Abdelraoof MM. Role of MRI in diagnosis of rotator cuff tears. Egypt J Hospital Med. 2018;71(2):2573-80.
Lenza M, Buchbinder R, Takwoingi Y, Johnston RV, Hanchard NC, Faloppa F. Magnetic resonance imaging, magnetic resonance arthrography and ultrasonography for assessing rotator cuff tears in people with shoulder pain for whom surgery is being considered. Cochrane Database Syst Rev. 2013;2013(9):Cd009020.
Mather RC, 3rd, Koenig L, Acevedo D, Timothy MD, Paul G, Anthony R, et al. The societal and economic value of rotator cuff repair. J Bone Joint Surg Am. 2013;95(22):1993-2000.
Raz Y, Henseler JF, Kolk A, Muhammad R, Peer VZ, Jochem N, et al. Patterns of Age-Associated Degeneration Differ in Shoulder Muscles. Frontiers in Aging Neuroscience. 2015;7:236.
Nasr AJ, Pierson CJ, Tzen Y-T, Khazzam M, Jain NB, Lin Y-S. Emerging Role of Quantitative Ultrasound-Based Imaging Techniques for Characterizing Rotator Cuff Tears: A Scoping Review. Diagnostics. 2023;13(12):2011.
Mitchell C, Adebajo A, Hay E, Carr A. Shoulder pain: diagnosis and management in primary care. Clin Res. 2005;331(7525):1124-8.
Murugan J, A VSK, Selvarajan RM, A VSA, Muthu S, Jeyaraman M. Diagnostic Accuracy of High-Resolution Ultrasonogram Compared to Magnetic Resonance Imaging in Rotator Cuff Tears - A Prospective Comparative Study. Apollo Med. 2023;20(1):12-7.
Massengill AD, Seeger LL, Yao L, Gentili A, Shnier RC, Shapiro MS, et al. Labrocapsular ligamentous complex of the shoulder: normal anatomy, anatomic variation, and pitfalls of MR imaging and MR arthrography. Radiographics. 1994;14(6):1211-23.
De Jesus JO, Parker L, Frangos AJ, Nazarian LN. Accuracy of MRI, MR arthrography, and ultrasound in the diagnosis of rotator cuff tears: a meta-analysis. Am J Roentgenol. 2009;192(6):1701-7.
Fu FH, Harner CD, Klein AH. Shoulder impingement syndrome. A critical review. Clin Orthopaed Rel Res. 1991(269):162-73.
Kieft GJ, Bloem JL, Rozing PM, Obermann WR. Rotator cuff impingement syndrome: MR imaging. Radiology. 1988;166(1 Pt 1):211-4.
A.P J. Study of Rotator Cuff Disorders by Ultrasound with Magnetic Resonance Imaging Correlation. India, Rajiv Gandhi University of Health Sciences (India). 2016.
Middleton WD, Reinus WR, Melson GL, Totty WG, Murphy WA. Pitfalls of rotator cuff sonography. Am J Roentgenol. 1986;146(3):555-60.
Erickson SJ, Fitzgerald SW, Quinn SF, Carrera GF, Black KP, Lawson TL. Long bicipital tendon of the shoulder: normal anatomy and pathologic findings on MR imaging. Am J Roentgenol. 1992;158(5):1091-6.
Pierce J, Anderson M. Update on Diagnostic Imaging of the Rotator Cuff. Clin Sports Med. 2023;42(1):25-52.
Rutten M, Spaargaren G-J, Loon T, Malefijt M, Kiemeney L, Jager G. Detection of rotator cuff tears: The value of MRI following ultrasound. Eur Radiol. 2009;20:450-57.
Hollister MS, Mack LA, Patten RM, Winter TC, 3rd, Matsen FA 3rd, Veith RR. Association of sonographically detected subacromial/subdeltoid bursal effusion and intraarticular fluid with rotator cuff tear. Am J Roentgenol. 1995;165(3):605-8.
Timins ME, Erickson SJ, Estkowski LD, Carrera GF, Komorowski RA. Increased signal in the normal supraspinatus tendon on MR imaging: diagnostic pitfall caused by the magic-angle effect. Am J Roentgenol. 1995;165(1):109-14.
Traughber PD, Goodwin TE. Shoulder MRI: arthroscopic correlation with emphasis on partial tears. J Computer Assisted Tomography. 1992;16(1):129-33.
Snyder J. Rotator cuff: introduction, evaluation, and imaging. Shoulder arthroscopy, 2nd edn Lippincott Williams and Wilkins, Philadelphia. 2003;194.
Mitchell M, Causey G, Berthoty D, Sartoris D, Resnick D. Peribursal fat plane of the shoulder: anatomic study and clinical experience. Radiology. 1988;168(3):699-704.
Seeger LL. Magnetic Resonance Imaging of the Shoulder. Clin Orthopaed Rel Res. 1989;244:48-59.
Farley TE, Neumann CH, Steinbach LS, Jahnke AJ, Petersen SS. Full-thickness tears of the rotator cuff of the shoulder: diagnosis with MR imaging. Am J Roentgenol. 1992;158(2):347-51.
Kieft G, Dijkmans B, Bloem J, Kroon H. Magnetic resonance imaging of the shoulder in patients with rheumatoid arthritis. Ann Rheumatic Dis. 1990;49(1):7-11.
Patten RM. Tears of the anterior portion of the rotator cuff (the subscapularis tendon): MR imaging findings. Am J Roentgenol. 1994;162(2):351-4.
Anderson MW, Brennan C, Mittal A. Imaging Evaluation of the Rotator Cuff. Clin Sports Med. 2012;31(4):605-31.
Oh JH, Kim JY, Choi J-A, Kim WS. Effectiveness of multidetector computed tomography arthrography for the diagnosis of shoulder pathology: Comparison with magnetic resonance imaging with arthroscopic correlation. J Shoulder Elbow Surg. 2010;19(1):14-20.
Omoumi P, Bafort A-C, Dubuc J-E, Malghem J, Vande Berg BC, Lecouvet FE. Evaluation of Rotator Cuff Tendon Tears: Comparison of Multidetector CT Arthrography and 1.5-T MR Arthrography. Radiology. 2012;264(3):812-822.