Diagnostic difficulties in the radiological assessment of subscapularis tears

Abstract Background Radiological evaluation of rotator cuff tears are sensitive and specific. Accuracy may be low in diagnosing subscapularis tears. Materials and methods We retrospectively reviewed shoulder arthroscopies performed by two surgeons over 45 months. We reviewed patients who had subscap...

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Published in:Journal of orthopaedics 2018-03, Vol.15 (1), p.99-101
Main Authors: Ward, Jonathan R.N, Lotfi, Naeil, Dias, Richard G, McBride, Timothy J
Format: Article
Language:English
Subjects:
Orthopedics
Rotator cuff repair
Shoulder arthroscopy
Subscapularis
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description Abstract Background Radiological evaluation of rotator cuff tears are sensitive and specific. Accuracy may be low in diagnosing subscapularis tears. Materials and methods We retrospectively reviewed shoulder arthroscopies performed by two surgeons over 45 months. We reviewed patients who had subscapularis repairs and their preoperative imaging. Result 286 cases had imaging (193 MRIs, 93 USS) with 77 subscapularis repairs. MRI suggested 31 tears, arthroscopy confirmed 16 (30% sensitivity, 89% specificity). USS suggested 6 tears, arthroscopy confirmed 4 (13% Sensitivity, 97% specificity). Discussion Results demonstrated low accuracy for preoperative radiological subscapularis tear assessment. This has logistical, diagnostic and implications on treatment.
doi_str_mv 10.1016/j.jor.2018.01.016
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Accuracy may be low in diagnosing subscapularis tears. Materials and methods We retrospectively reviewed shoulder arthroscopies performed by two surgeons over 45 months. We reviewed patients who had subscapularis repairs and their preoperative imaging. Result 286 cases had imaging (193 MRIs, 93 USS) with 77 subscapularis repairs. MRI suggested 31 tears, arthroscopy confirmed 16 (30% sensitivity, 89% specificity). USS suggested 6 tears, arthroscopy confirmed 4 (13% Sensitivity, 97% specificity). Discussion Results demonstrated low accuracy for preoperative radiological subscapularis tear assessment. 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subjects Orthopedics
Rotator cuff repair
Shoulder arthroscopy
Subscapularis
title Diagnostic difficulties in the radiological assessment of subscapularis tears
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