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Research Article | Volume 13 Issue:4 (, 2023) | Pages 1545 - 1555
Comparative Study of Ultrasound and Magnetic Resonance Imaging in Assessing Rotator Cuff Tears
1
1,2,4Assistant Professors, Department of Radio diagnosis, Kurnool Medical College, Kurnool. 3Post graduate, Department of Radio diagnosis, Kurnool Medical College, Kurnool
Under a Creative Commons license
Open Access
DOI : 10.5083/ejcm
Received
Nov. 3, 2023
Revised
Nov. 23, 2023
Accepted
Dec. 11, 2023
Published
Dec. 30, 2023
Abstract

Shoulder pain is one of the most common problems presenting in orthopaedic outpatient clinics. Rotator cuff pathology is the most common cause of shoulder pain. Both ultrasound and MRI are widely used to assess rotator cuff pathology. Accurate detection of site and size of rotator cuff tear is crucial for decision making and further management. The aim of this study was to assess the accuracy of ultrasound in detecting and evaluating the morphology and extent of rotator cuff tears as compared to MRI. Materials and Methods: This Hospital-based prospective study consists of  100 patients with shoulder pain with clinical suspicion of rotator cuff tear  referred to the department of radio diagnosis, Government General Hospital, Kurnool. For all the cases ultrasound was done first followed by MRI. Results: For full thickness tears USG showed sensitivity of 93.7%, specificity of 100%, PPV of 100%, and NPV of 97.1%; for partial thickness tears 91.8% sensitivity, 100 %specificity, 100% PPV, and NPV of 92.7% respectively when compared to MRI. The accuracy of USG in diagnosing full thickness tear was 98% and 96% for partial thickness tears. The P-value came out to be <0.01 for both full and partial thickness tears. Conclusion: Considering the comparable diagnostic accuracy of USG and MRI, Ultrasound can be used as a first-line investigation for diagnosis of Rotator cuff tears.  MRI should be used secondarily as a problem-solving  tool  following an equivocal shoulder USG or for delineation of anatomy in cases where surgical correction is needed.

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