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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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
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Language:English
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Shoulder
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container_end_page 51
container_issue 1_suppl
container_start_page 46
container_title Shoulder & elbow
container_volume 11
creator Chin, Kuen
Chowdhury, Alex
Leivadiotou, Dimitra
Marmery, Helen
Ahrens, Philip Michael
description 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 
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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 &lt; 0.0001), tuberosity irregularities (p &lt; 0.0001), tuberosity cyst (p = 0.004) and sourcil sign (p = 0.019) was associated with the presence of a rotator cuff tear. The combined sensitivity of prediction of tear by the observers following radiographic review was 91.7%, with a combined negative predictive value of 80%. Conclusions The assessment of radiographs by senior clinicians is a useful tool for confirming the absence of a rotator cuff tear.</description><identifier>ISSN: 1758-5732</identifier><identifier>EISSN: 1758-5740</identifier><identifier>DOI: 10.1177/1758573217743942</identifier><identifier>PMID: 31019562</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Shoulder</subject><ispartof>Shoulder &amp; elbow, 2019-05, Vol.11 (1_suppl), p.46-51</ispartof><rights>2017 The British Elbow &amp; Shoulder Society</rights><rights>2017 The British Elbow &amp; Shoulder Society 2017 The British Elbow &amp; Shoulder Society</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3492-cb59cd7a5f01b8ecbb1e2ee07d5050e5ff203e8aa91168109ef397c665254d7a3</citedby><cites>FETCH-LOGICAL-c3492-cb59cd7a5f01b8ecbb1e2ee07d5050e5ff203e8aa91168109ef397c665254d7a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6463379/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6463379/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27903,27904,53770,53772,79111</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31019562$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chin, Kuen</creatorcontrib><creatorcontrib>Chowdhury, Alex</creatorcontrib><creatorcontrib>Leivadiotou, Dimitra</creatorcontrib><creatorcontrib>Marmery, Helen</creatorcontrib><creatorcontrib>Ahrens, Philip Michael</creatorcontrib><title>The accuracy of plain radiographs in diagnosing degenerate rotator cuff disease</title><title>Shoulder &amp; elbow</title><addtitle>Shoulder Elbow</addtitle><description>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 &lt; 0.0001), tuberosity irregularities (p &lt; 0.0001), tuberosity cyst (p = 0.004) and sourcil sign (p = 0.019) was associated with the presence of a rotator cuff tear. The combined sensitivity of prediction of tear by the observers following radiographic review was 91.7%, with a combined negative predictive value of 80%. 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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 &lt; 0.0001), tuberosity irregularities (p &lt; 0.0001), tuberosity cyst (p = 0.004) and sourcil sign (p = 0.019) was associated with the presence of a rotator cuff tear. The combined sensitivity of prediction of tear by the observers following radiographic review was 91.7%, with a combined negative predictive value of 80%. Conclusions The assessment of radiographs by senior clinicians is a useful tool for confirming the absence of a rotator cuff tear.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>31019562</pmid><doi>10.1177/1758573217743942</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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title The accuracy of plain radiographs in diagnosing degenerate rotator cuff disease
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