Middleton W D, Reinus W R, Totty W G, Melson C L, Murphy W A
J Bone Joint Surg Am. 1986 Mar;68(3):440-50.
Ultrasonography of the rotator cuff and biceps tendon was investigated in 106 patients who had been referred for arthrography of the shoulder. Both the sensitivity and the specificity of ultrasound in detecting a tear of the rotator cuff were 91 per cent. The predictive value of a negative sonogram was 95 per cent and the predictive value of a positive sonogram was 84 per cent. Ultrasonography proved to be superior to arthrography in the examination of the normal and abnormal biceps tendon. Sonographically detectable effusions from the tendon sheath of the biceps were present in 19 per cent of this population of patients. This finding was statistically highly associated (90 per cent) with rotator cuff tears and other soft-tissue abnormalities of the shoulder. Based on these results, it appears that ultrasonography can be used as the initial imaging test for many patients with suspected abnormalities of the rotator cuff or biceps tendon.
对106例因肩部关节造影而转诊的患者进行了肩袖和肱二头肌肌腱的超声检查。超声检测肩袖撕裂的敏感性和特异性均为91%。超声检查阴性的预测值为95%，阳性的预测值为84%。在正常和异常肱二头肌肌腱的检查中，超声检查被证明优于关节造影。在这群患者中，19%的人超声检查可发现肱二头肌腱鞘积液。这一发现与肩袖撕裂和肩部其他软组织异常在统计学上高度相关（90%）。基于这些结果，超声检查似乎可以作为许多疑似肩袖或肱二头肌肌腱异常患者的初始影像学检查方法。
