肩关节置换术前超声与磁共振成像在评估肩袖结构中的应用比较
Ultrasound vs. MRI in the assessment of rotator cuff structure prior to shoulder arthroplasty.
作者信息
Fischer Christian Alexander, Weber Marc-André, Neubecker Clément, Bruckner Thomas, Tanner Michael, Zeifang Felix
机构信息
Center for Orthopaedics, Trauma Surgery and Spinal Cord Injury, Heidelberg University Hospital, Heidelberg, BW, 69118, Germany.
Diagnostic and Interventional Radiology, Heidelberg University Hospital, Heidelberg, BW, 69120, Germany.
出版信息
J Orthop. 2015 Jan 28;12(1):23-30. doi: 10.1016/j.jor.2015.01.003. eCollection 2015 Mar.
Abstract
BACKGROUND/AIMS: We compared the accuracy of US to 3 T Tesla MRI for the detection of rotator cuff and long biceps tendon pathologies before joint replacement.
METHODS
45 patients were prospectively included.
RESULTS
For the supraspinatus tendon, the accuracy of US when using MRI as reference was 91.1%. For the infraspinatus tendon, the accuracy with MRI as reference was 84.4%. The subscapularis tendon was consistently assessed by US and MRI in 35/45 patients (accuracy 77.8%). For the long biceps tendon the accuracy was 86.7%.
CONCLUSION
US detection of rotator cuff and biceps tendon integrity is comparable to MRI and should be preferred in revision cases.
摘要
背景/目的：我们比较了超声与3T磁共振成像（MRI）在关节置换术前检测肩袖和肱二头肌长头肌腱病变的准确性。
方法
前瞻性纳入45例患者。
结果
以MRI为参照时，超声检测冈上肌腱的准确性为91.1%。以MRI为参照时，检测冈下肌腱的准确性为84.4%。45例患者中有35例通过超声和MRI对肩胛下肌腱进行了一致性评估（准确性为77.8%）。检测肱二头肌长头肌腱的准确性为86.7%。
结论
超声检测肩袖和肱二头肌肌腱完整性与MRI相当，在翻修病例中应优先选用。
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