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本文引用的文献

1
Magnetic resonance imaging, magnetic resonance arthrography and ultrasonography for assessing rotator cuff tears in people with shoulder pain for whom surgery is being considered.磁共振成像、磁共振关节造影和超声检查用于评估考虑手术治疗的肩部疼痛患者的肩袖撕裂情况。
Cochrane Database Syst Rev. 2013 Sep 24;2013(9):CD009020. doi: 10.1002/14651858.CD009020.pub2.
2
Importance of the subscapularis muscle after total shoulder arthroplasty.全肩关节置换术后肩胛下肌的重要性。
Clin Biomech (Bristol). 2013 Feb;28(2):146-50. doi: 10.1016/j.clinbiomech.2012.11.010. Epub 2013 Jan 18.
3
Imaging of the shoulder: a comparison of MRI and ultrasound.肩部成像：MRI与超声的比较
Curr Sports Med Rep. 2012 Sep-Oct;11(5):239-43. doi: 10.1249/JSR.0b013e31826b6baa.
4
Evaluation of rotator cuff tendon tears: comparison of multidetector CT arthrography and 1.5-T MR arthrography.多排 CT 关节造影与 1.5TMR 关节造影在肩袖肌腱撕裂评估中的比较。
Radiology. 2012 Sep;264(3):812-22. doi: 10.1148/radiol.12112062.
5
Secondary rotator cuff dysfunction following total shoulder arthroplasty for primary glenohumeral osteoarthritis: results of a multicenter study with more than five years of follow-up.初次全肩关节置换术后继发的肩袖旋转肌功能障碍：一项多中心研究的结果，随访时间超过 5 年。
J Bone Joint Surg Am. 2012 Apr 18;94(8):685-93. doi: 10.2106/JBJS.J.00727.
6
Diagnostic accuracy of ultrasound for rotator cuff tears in adults: a systematic review and meta-analysis.成人肩袖撕裂的超声诊断准确性：系统评价和荟萃分析。
Clin Radiol. 2011 Nov;66(11):1036-48. doi: 10.1016/j.crad.2011.05.007. Epub 2011 Jul 6.
7
Shoulder US: anatomy, technique, and scanning pitfalls.肩部超声检查：解剖、技术及扫查误区。
Radiology. 2011 Jul;260(1):6-16. doi: 10.1148/radiol.11101082.
8
Accuracy of MRI, MR arthrography, and ultrasound in the diagnosis of rotator cuff tears: a meta-analysis.磁共振成像（MRI）、磁共振关节造影和超声在诊断肩袖撕裂中的准确性：一项荟萃分析。
AJR Am J Roentgenol. 2009 Jun;192(6):1701-7. doi: 10.2214/AJR.08.1241.
9
A comparative study of ultrasonography with magnetic resonance imaging in patients with painful shoulder.肩部疼痛患者超声检查与磁共振成像的对比研究
J Clin Rheumatol. 1999 Aug;5(4):184-92. doi: 10.1097/00124743-199908000-00002.
10
Symptomatic partial rotator cuff tears: diagnostic performance of ultrasound and magnetic resonance imaging with surgical correlation.有症状的肩袖部分撕裂：超声和磁共振成像与手术相关性的诊断效能
Acta Radiol. 2009 Jan;50(1):101-5. doi: 10.1080/02841850802600764.

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.

DOI:10.1016/j.jor.2015.01.003
PMID:25829757
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4354568/
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。