Furtschegger A, Resch H
Institute of Radiodiagnosis, University Hospital, Innsbruck, Austria.
Eur J Radiol. 1988 May;8(2):69-75.
Four hundred and six patients presenting with shoulder pain underwent bilateral shoulder ultrasonography. Rotator cuff lesions were diagnosed in 197 patients. In 155 of the 308 patients who had additional arthrographic examinations, the arthrogram documented rotator cuff tears. Sixty-eight patients underwent surgery. There was good correlation between the ultrasonographic and arthrographic findings as well as the surgical results, with a sensitivity of 91% for each examination technique. Thirty-six postoperative patients were studied ultrasonographically; a minor to marked increase in rotator cuff echogenicity was demonstrated in them all. Its high predictive value makes ultrasonography the method of choice in diagnosing rotator cuff tears. Based on the evaluation of particular criteria, rotator cuff tears (greater than 1 cm) are commonly documented by ultrasonography. Only in patients with indeterminate or negative ultrasonograms in whom there is a high index of clinical suspicion, should arthrography be performed as a complementary imaging test. In postoperative follow-up the degree of scar formation at the reinsertion of the tendon is adequately documented by ultrasonography.
406例肩部疼痛患者接受了双侧肩部超声检查。197例患者被诊断为肩袖损伤。在308例接受额外关节造影检查的患者中，有155例关节造影片显示肩袖撕裂。68例患者接受了手术。超声检查结果与关节造影结果以及手术结果之间存在良好的相关性，每种检查技术的敏感性均为91%。对36例术后患者进行了超声检查；所有患者均显示肩袖回声有轻度至显著增强。其高预测价值使超声检查成为诊断肩袖撕裂的首选方法。根据特定标准评估，超声检查通常能记录肩袖撕裂（大于1厘米）。只有在临床怀疑指数较高但超声检查结果不确定或为阴性的患者中，才应进行关节造影作为补充影像学检查。在术后随访中，超声检查能充分记录肌腱重新附着处的瘢痕形成程度。
