Swen W A, Jacobs J W, Neve W C, Bal D, Bijlsma J W
Department of Rheumatology, Hospital Westfries Gasthuis, Hoorn, The Netherlands.
J Rheumatol. 1998 Sep;25(9):1800-6.
Sonography and arthrography are techniques used to detect rotator cuff tears (RCT). The diagnostic value of sonography executed by a rheumatologist versus that of arthrography performed by a radiologist for assessment of RCT was investigated among patients with unilateral chronic shoulder complaints without an underlying inflammatory rheumatic disease.
Forty-eight patients underwent sonography, arthrography, and surgical inspection, the results of surgical inspection being the gold standard.
Sensitivity for assessment of a full thickness RCT was 0.86 for sonography and 0.77 for arthrography, specificity was 0.88 for sonography and 0.92 for arthrography.
Compared to arthrography performed by the radiologist, sonography executed by the rheumatologist is as useful for assessment of full thickness rotator cuff tears. Sonography performed by the rheumatologist in combination with history taking and the physical examination during a single visit might change the routine daily practice of rheumatologists.
超声检查和关节造影是用于检测肩袖撕裂（RCT）的技术。在无潜在炎性风湿性疾病的单侧慢性肩部疾病患者中，研究了由风湿病学家进行的超声检查与由放射科医生进行的关节造影对评估肩袖撕裂的诊断价值。
48例患者接受了超声检查、关节造影和手术检查，手术检查结果为金标准。
超声检查对全层肩袖撕裂评估的敏感性为0.86，关节造影为0.77；超声检查的特异性为0.88，关节造影为0.92。
与放射科医生进行的关节造影相比，风湿病学家进行的超声检查对评估全层肩袖撕裂同样有用。风湿病学家在单次就诊时结合病史采集和体格检查进行超声检查，可能会改变风湿病学家的日常常规做法。
