Accuracy of Magnetic Resonance Arthrography in Detecting Rotator Cuff Tears

IF 0.2 4区医学 Q4 MEDICINE, GENERAL & INTERNAL

West Indian Medical Journal Pub Date : 2018-01-18 DOI:10.7727/WIMJ.2017.154

R. Bullock, Sundeep Shah, T. Dundas, A. Mansingh, M. Frankson, D. Soares

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引用次数: 0

Abstract

Objective: Shoulder pain, a common cause of productivity loss and health-related expense, is commonly due to rotator cuff tears. Magnetic resonance (MR) imaging with intra-articular gadolinium, MR arthrography, is accepted internationally as an excellent modality for evaluating the rotator cuff. Ultrasound is cheaper and only slightly less sensitive in detecting rotator cuff tears, but MR is superior in detecting ancillary lesions. Magnetic resonance arthrography was introduced at the University Hospital of the West Indies (UHWI), Jamaica, in July 2003. This study aimed to evaluate our experience with MR arthrography and assess its accuracy. Methods: A retrospective study was carried out. All MR arthrography cases performed at UHWI between July 2003 and July 2006 were reviewed. Medical records were reviewed to determine surgical correlation. Results: A total of 140 MR arthrograms were performed; 55% of the patients were female. Ages ranged from the second to the ninth decade, having a distribution approaching but not attaining a normal distribution (p = 0.03) with clustering in the middle years. Magnetic resonance arthrography demonstrated torn rotator cuffs in 40 patients, none of whom was under the age of 40 years (p < 0.001). Fifteen patients had surgery which confirmed torn rotator cuffs in all 15. Conclusion: Magnetic resonance arthrography was found to be accurate in detecting rotator cuff tears. It should be considered in the evaluation of patients with suspected rotator cuff tears. For patients under the age of 40 years, sonography could be used as an alternative.

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磁共振关节造影检测肩袖撕裂的准确性

目的:肩痛是导致生产力下降和健康相关费用的常见原因，通常是由于肩袖撕裂。磁共振(MR)成像与关节内钆，磁共振关节造影术，是国际上公认的评估肩袖的一种极好的方式。超声更便宜，在检测肩袖撕裂时敏感度略低，但磁共振在检测辅助病变方面更优越。2003年7月，牙买加西印度群岛大学医院引进了磁共振关节造影术。本研究旨在评估磁共振关节造影的经验并评估其准确性。方法:回顾性研究。回顾了2003年7月至2006年7月期间在UHWI进行的所有MR关节造影病例。回顾医疗记录以确定手术相关性。结果:共完成140张MR关节图;55%的患者为女性。年龄分布在20 ~ 90岁之间，接近正态分布，但未达到正态分布(p = 0.03)，中间年龄聚集。磁共振关节造影显示40例患者肩袖撕裂，年龄均小于40岁(p < 0.001)。15名患者接受了手术，确认所有15名患者的肩袖撕裂。结论:磁共振关节造影对肩袖撕裂的诊断是准确的。在评估疑似肩袖撕裂的患者时应考虑到这一点。对于年龄在40岁以下的患者，可以选择超声检查。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

West Indian Medical Journal 医学-医学：内科

CiteScore

0.20

自引率

0.00%

发文量

审稿时长

4-8 weeks

期刊介绍： The Journal is international in scope, with author and editorial contributions from across the globe. The focus is on clinical and epidemiological aspects of tropical and infectious diseases, new and re-emerging infections, chronic non-communicable diseases, and medical conditions prevalent in the Latin America-Caribbean region, and of significance to global health, especially in developing countries. The Journal covers all medical disciplines, as well as basic and translational research elucidating the pathophysiologic basis of diseases or focussing on new therapeutic approaches, and publishes original scientific research, reviews, case reports, brief communications, letters, commentaries and medical images. The Journal publishes four to six issues and four supplements annually. English is the language of publication but Abstracts are also duplicated in Spanish. Most of the articles are submitted at the authors’ initiative, but some are solicited by the Editor-in-Chief. Unless expressly stated, the Editorial Board does not accept responsibility for authors’ opinions. All papers on submission are reviewed by a subcommittee. Those deemed worthy for review are sent to two or three reviewers (one of the three might be a statistician if necessary). The returned papers with reviewer comments are reviewed by the Editor-in-Chief. Papers may be rejected, accepted or sent back to authors for revision. Resubmitted papers from authors are reviewed by the Editor-in-Chief and may be sent back to reviewers or a final decision made by Editor-in-Chief. The decision of the Editorial Board is final with regards to rejected articles. Rejected articles will not be returned to the authors. The editorial subcommittee has the right to return sub-standard manuscripts to the authors, rather than passing them on to the reviewers. This implies outright rejection of the manuscript.