Crass J R, Craig E V, Feinberg S B
Department of Radiology, SUNY, Stony Brook 11794-8460.
J Clin Ultrasound. 1988 Jun;16(5):313-27. doi: 10.1002/jcu.1870160506.
Ultrasonography of the rotator cuff has been shown to be of value in diagnosing rotator cuff tears. This report summarizes our experience with our first 500 diagnostic examinations. All patients were examined in the hyperextended internal rotation view with commercially available high-resolution real-time ultrasound equipment. Patients were diagnosed as having a rotator cuff tear if a focal echogenic lesion or a defect within the rotator cuff was identified. This study confirmed the value of ultrasonography for the diagnosis of rotator cuff tears. Accuracy, sensitivity, and specificity all exceeded 90%, and correlated with surgical findings. This was better than arthrography in the same patient population. Ultrasound is an accurate noninvasive method of examining the rotator cuff for the presence of tears. We suggest that rotator cuff ultrasonography is the procedure of choice for the diagnosis of tears if adequate instrumentation is available.
超声检查已被证明在诊断肩袖撕裂方面具有价值。本报告总结了我们最初500例诊断性检查的经验。所有患者均使用市售高分辨率实时超声设备，在过伸内旋位进行检查。如果在肩袖内发现局灶性回声病变或缺损，则诊断患者为肩袖撕裂。本研究证实了超声检查在诊断肩袖撕裂方面的价值。准确性、敏感性和特异性均超过90%，且与手术结果相关。在同一患者群体中，这比关节造影更好。超声是一种准确的非侵入性方法，可用于检查肩袖是否存在撕裂。我们建议，如果有足够的设备，肩袖超声检查是诊断撕裂的首选方法。
