mri-arthroscopic correlation in rotator cuff tendon pathologies; a comparison between various centers

نویسندگان

sepideh sefidbakht imaging research center, shiraz university of medical sciences, shiraz, iran

omid reza momenzadeh bone and joint diseases research center, shiraz university of medical sciences, shiraz, iran

sakineh dehghani imaging research center, shiraz university of medical sciences, shiraz, iran

hadi gerami bone and joint diseases research center, shiraz university of medical sciences, shiraz, iran

چکیده

background: magnetic resonance imaging (mri) has long been considered a perfect imaging study for evaluation of shoulder pathologies despite occasional discrepancies between mr reports and arthroscopic findings. in this study we aim to evaluate impact of imaging center as an indicator of image quality on accuracy of mri reports in diagnosis of rotator cuff tendon pathologies. methods: we reviewed mr reports of 64 patients who underwent arthroscopy in university center hospital. mris were done in various centers including both university-affiliated and out-centers. all studies were reported by two radiologists in consensus unaware of the arthroscopic results or previous reports. an inter-observer agreement analysis using the kappa statistics was performed to determine consistency among imaging and surgical reports. results: kappa values for out-centers were as follows: 0.785 for biceps, 0.469 for suscapularis, 0.846 for supraspinatus and 0.785 for infraspinatus tendons. in university centers values were 0.799 for biceps, 0.802 for suscapularis, 0.789 for supraspinatus and 0.770 for infraspinatus tendons. conclusion: image reporting in university centers with proficient sequences increased accuracy of diagnosis in 3/4 of evaluated features and showed subtle decreased inter-observer agreement in 1/4 of features. uniformity of the scanners and protocols as well as evaluation on a workstation rather than hard copies cumulatively resulted in a meaningful increase in the accuracy of the same radiologists in diagnosis of rotator cuff tendon tear.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

MRI-Arthroscopic Correlation in Rotator Cuff Tendon Pathologies; A Comparison between Various Centers

    Background: Magnetic resonance imaging (MRI) has long been considered a perfect imaging study for evaluation of shoulder pathologies despite occasional discrepancies between MR reports and arthroscopic findings. In this study we aim to evaluate impact of imaging center as an indicator of image quality on accuracy of MRI reports in diagnosis of rotator cuff tendon pathologies. Methods: We re...

متن کامل

MRI-Arthroscopic Correlation in Rotator Cuff Tendon Pathologies; A Comparison between Various Centers.

BACKGROUND Magnetic resonance imaging (MRI) has long been considered a perfect imaging study for evaluation of shoulder pathologies despite occasional discrepancies between MR reports and arthroscopic findings. In this study we aim to evaluate impact of imaging center as an indicator of image quality on accuracy of MRI reports in diagnosis of rotator cuff tendon pathologies. METHODS We review...

متن کامل

Arthroscopic rotator cuff repair.

Arthroscopic rotator cuff repair is being performed by an increasing number of orthopaedic surgeons. The principles, techniques, and instrumentation have evolved to the extent that all patterns and sizes of rotator cuff tear, including massive tears, can now be repaired arthroscopically. Achieving a biomechanically stable construct is critical to biologic healing. The ideal repair construct mus...

متن کامل

Arthroscopic Rotator Cuff Repair: A Biomechanical Comparison of Single Row and Suture-Bridge Tendon Repair Constructs

INTRODUCTION: Rotator cuff tears are a very common source of pain and loss of function of the shoulder. As arthroscopic instrumentation and repair techniques have evolved, many studies have demonstrated success in repairing rotator cuff tears using these arthroscopic techniques alone compared with an open repair method. Despite these successful clinical outcomes, both open and arthroscopic rota...

متن کامل

Early outcome of arthroscopic rotator cuff repair: a matched comparison with mini-open rotator cuff repair.

PURPOSE The purpose of this study was to compare the early functional outcome of mini-open and arthroscopic rotator cuff repair. METHODS This was a retrospective study of 128 patients with chronic small- and medium-sized rotator cuff tears who underwent mini-open rotator cuff repair (MRCR) (n=63) or arthroscopic rotator cuff repair (ARCR) (n = 65). Data were collected prospectively at baselin...

متن کامل

A Comparison of Rehabilitation Methods After Arthroscopic Rotator Cuff Repair

CONTEXT Despite the significant attention directed toward optimizing arthroscopic rotator cuff repair, there has been less focus on rehabilitation after rotator cuff repair surgery. OBJECTIVE To determine the effect of different rehabilitation protocols on clinical outcomes by comparing early versus late mobilization approaches and continuous passive mobilization (CPM) versus manual therapy a...

متن کامل

منابع من

با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید


عنوان ژورنال:
the archives of bone and joint surgery

جلد ۴، شماره ۲، صفحات ۱۴۱-۱۴۴

میزبانی شده توسط پلتفرم ابری doprax.com

copyright © 2015-2023