The accuracy of plain radiographs in diagnosing degenerate rotator cuff disease

Background A number of radiographic signs have been previously demonstrated to be associated with degenerative rotator cuff tears. An ability to predict the presence of a tear by radiography would permit the early commencement of appropriate treatment and the avoidance of unnecessary invasive invest...

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Bibliographic Details
Published in:Shoulder & elbow 2019-05, Vol.11 (1_suppl), p.46-51
Main Authors: Chin, Kuen, Chowdhury, Alex, Leivadiotou, Dimitra, Marmery, Helen, Ahrens, Philip Michael
Format: Article
Language:English
Subjects:
Shoulder
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Summary:Background A number of radiographic signs have been previously demonstrated to be associated with degenerative rotator cuff tears. An ability to predict the presence of a tear by radiography would permit the early commencement of appropriate treatment and the avoidance of unnecessary invasive investigations. The aim of the present study was to determine the accuracy of using radiographic signs to predict the presence of a cuff tear on arthroscopy. Methods Fifty consecutive patients who had undergone shoulder arthroscopy and had pre-operative plain radiographs were included. Pre-operative radiographs were reviewed by a consultant shoulder surgeon, a consultant radiologist and a senior clinical fellow for the following signs: acromial spur; subjective reduction of subacromial space; sourcil sign; acromial acetabularization; os acromiale; greater tuberosity cortical irregularity; greater tuberosity sclerosis; humeral head rounding; cyst; and reduction in acromiohumeral head distance. Results The presence of tuberosity sclerosis (p 
ISSN:1758-5732
1758-5740
DOI:10.1177/1758573217743942