Mack L A, Gannon M K, Kilcoyne R F, Matsen R A
Department of Radiology, University of Washington School of Medicine, Seattle 98195.
Clin Orthop Relat Res. 1988 Sep(234):21-7.
Since 1982 a sonographic technique has been devised to evaluate the integrity of the rotator cuff. In a series of 139 shoulders in 134 consecutive patients without prior surgery, sonographic results were correlated with surgical findings and/or arthrography. When sonography was compared with surgical findings (n = 90 shoulders), the overall accuracy was 95%. The sonographic diagnosis was the same as the arthrographic diagnosis in 91% of the cases (n = 50). Cuff lesions were also created in two cadavers, and images were made to confirm sonographic appearances. Because in the authors' experience sonography is accurate, safe, painless, rapid, and inexpensive, it has now been adopted as the primary study for the examination of the rotator cuff at the authors' institution. Arthrography is recommended in cases in which sonography is negative but there is significant clinical evidence of rotator cuff tear.
自1982年以来，已设计出一种超声技术来评估肩袖的完整性。在134例未经手术的连续患者的139个肩部中，超声检查结果与手术结果和/或关节造影结果相关。当将超声检查与手术结果（90个肩部）进行比较时，总体准确率为95%。在91%的病例（50例）中，超声诊断与关节造影诊断相同。还在两具尸体上制造了肩袖损伤，并拍摄图像以确认超声表现。由于根据作者的经验，超声检查准确、安全、无痛、快速且费用低廉，因此目前已被作者所在机构用作检查肩袖的主要方法。对于超声检查为阴性但有明显肩袖撕裂临床证据的病例，建议进行关节造影。
