Bretzke C A, Crass J R, Craig E V, Feinberg S B
Invest Radiol. 1985 May-Jun;20(3):311-5. doi: 10.1097/00004424-198505000-00015.
Forty-eight patients with shoulder pain and 15 normal volunteers underwent rotator cuff imaging using high resolution real time ultrasound. The potential diagnostic value of sonography in detecting rotator cuff tears was evaluated by correlating ultrasound findings with surgical findings in 19 patients, 12 of whom also underwent preoperative arthrography. The preoperative ultrasound diagnosis was correct in 18 of the 19 patients undergoing surgery for possible rotator cuff tears. In the group of 12 surgical patients undergoing both preoperative arthrography and sonography, ultrasound correctly predicted the presence of a rotator cuff tear in 12 of 12 patients, while arthrography predicted cuff tears in only nine of 12. Good anatomic definition of the rotator cuff was obtained in both symptomatic and asymptomatic groups. The characteristic appearance of the normal and pathologic rotator cuff is described. Rotator cuff sonography promises to be a valuable new diagnostic tool for evaluating patients with suspected rotator cuff tears.
48例肩部疼痛患者和15名正常志愿者接受了高分辨率实时超声检查以评估肩袖。通过将19例患者的超声检查结果与手术结果进行对比，评估了超声检查在检测肩袖撕裂方面的潜在诊断价值，其中12例患者还接受了术前关节造影。19例因可能存在肩袖撕裂而接受手术的患者中，18例术前超声诊断正确。在12例同时接受术前关节造影和超声检查的手术患者中，超声检查正确预测了12例患者中的12例存在肩袖撕裂，而关节造影仅预测出12例中的9例存在肩袖撕裂。在有症状和无症状组中均获得了肩袖良好的解剖学定义。描述了正常和病理性肩袖的特征性表现。肩袖超声检查有望成为评估疑似肩袖撕裂患者的一种有价值的新诊断工具。
