Rotator Cuff Tears; Correlation Between Clinical Findings, MRI and Arthroscopic Findings
Aim:The aim of this retrospective study was to compare the results of clinical examination and magnetic resonance imaging (MRI) with arthroscopic findings, to evaluate the role of rotator cuff (RC) examination tests in diagnosis and to reveal the agreement between observers.Methods:Our study include...
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Galenos Yayinevi
2019-12-01
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doaj-11b10917f233426a858e4079a876ab7c2020-11-25T01:59:32ZengGalenos YayineviHaseki Tıp Bülteni1302-00722147-26882019-12-0157441442010.4274/haseki.galenos.2019.552113049054Rotator Cuff Tears; Correlation Between Clinical Findings, MRI and Arthroscopic FindingsCem Yıldırım0Osman Görkem Muratoğlu1Duran Can Muslu2Ahmet Kamil Ertürk3Mehmet Mesut Sönmez4 Sağlık Bilimleri Üniversitesi, Haseki Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, İstanbul, Türkiye Düzce Atatürk Devlet Hastanesi, Ortopedi ve Travmatoloji Kliniği, Düzce, Türkiye Sağlık Bilimleri Üniversitesi, Haseki Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, İstanbul, Türkiye Sağlık Bilimleri Üniversitesi, Haseki Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, İstanbul, Türkiye Sağlık Bilimleri Üniversitesi, Haseki Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, İstanbul, Türkiye Aim:The aim of this retrospective study was to compare the results of clinical examination and magnetic resonance imaging (MRI) with arthroscopic findings, to evaluate the role of rotator cuff (RC) examination tests in diagnosis and to reveal the agreement between observers.Methods:Our study included 48 patients who underwent surgery for RC rupture between March 2015 and April 2016 in the Orthopedics and Traumatology Clinic at Haseki Training and Research Hospital. All patients had a clinical examination performed by a shoulder surgeon, an orthopedist and a senior resident. Jobe’s supraspinatus test and the painful arc test were used for rotator cuff tears during physical examination. Physical examination and MRI findings were compared with the arthroscopic findings.Results:Jobe’s supraspinatus evaluations showed moderate agreement between the participants, while painful arc evaluations showed poor between shoulder surgeon and specialist-assistant, and moderate between specialist and assistant. There was a statistically significant difference between the results of clinical examination done by the shoulder surgeon and MRI and arthroscopy results. Moderate correlation was found between arthroscopy and MRI results.Conclusion:Our results showed that clinical evaluation is insufficient in establishing the diagnosis of RC tear in a painful shoulder. MRI can be used safely in the diagnosis of RM tear, but its sensitivity is low in partial tears. http://www.hasekidergisi.com/archives/archive-detail/article-preview/rotator-cuff-tears-correlation-between-clinical-fi/31986 shoulder arthroscopymrirotator cuff tear |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Cem Yıldırım Osman Görkem Muratoğlu Duran Can Muslu Ahmet Kamil Ertürk Mehmet Mesut Sönmez |
spellingShingle |
Cem Yıldırım Osman Görkem Muratoğlu Duran Can Muslu Ahmet Kamil Ertürk Mehmet Mesut Sönmez Rotator Cuff Tears; Correlation Between Clinical Findings, MRI and Arthroscopic Findings Haseki Tıp Bülteni shoulder arthroscopy mri rotator cuff tear |
author_facet |
Cem Yıldırım Osman Görkem Muratoğlu Duran Can Muslu Ahmet Kamil Ertürk Mehmet Mesut Sönmez |
author_sort |
Cem Yıldırım |
title |
Rotator Cuff Tears; Correlation Between Clinical Findings, MRI and Arthroscopic Findings |
title_short |
Rotator Cuff Tears; Correlation Between Clinical Findings, MRI and Arthroscopic Findings |
title_full |
Rotator Cuff Tears; Correlation Between Clinical Findings, MRI and Arthroscopic Findings |
title_fullStr |
Rotator Cuff Tears; Correlation Between Clinical Findings, MRI and Arthroscopic Findings |
title_full_unstemmed |
Rotator Cuff Tears; Correlation Between Clinical Findings, MRI and Arthroscopic Findings |
title_sort |
rotator cuff tears; correlation between clinical findings, mri and arthroscopic findings |
publisher |
Galenos Yayinevi |
series |
Haseki Tıp Bülteni |
issn |
1302-0072 2147-2688 |
publishDate |
2019-12-01 |
description |
Aim:The aim of this retrospective study was to compare the results of clinical examination and magnetic resonance imaging (MRI) with arthroscopic findings, to evaluate the role of rotator cuff (RC) examination tests in diagnosis and to reveal the agreement between observers.Methods:Our study included 48 patients who underwent surgery for RC rupture between March 2015 and April 2016 in the Orthopedics and Traumatology Clinic at Haseki Training and Research Hospital. All patients had a clinical examination performed by a shoulder surgeon, an orthopedist and a senior resident. Jobe’s supraspinatus test and the painful arc test were used for rotator cuff tears during physical examination. Physical examination and MRI findings were compared with the arthroscopic findings.Results:Jobe’s supraspinatus evaluations showed moderate agreement between the participants, while painful arc evaluations showed poor between shoulder surgeon and specialist-assistant, and moderate between specialist and assistant. There was a statistically significant difference between the results of clinical examination done by the shoulder surgeon and MRI and arthroscopy results. Moderate correlation was found between arthroscopy and MRI results.Conclusion:Our results showed that clinical evaluation is insufficient in establishing the diagnosis of RC tear in a painful shoulder. MRI can be used safely in the diagnosis of RM tear, but its sensitivity is low in partial tears. |
topic |
shoulder arthroscopy mri rotator cuff tear |
url |
http://www.hasekidergisi.com/archives/archive-detail/article-preview/rotator-cuff-tears-correlation-between-clinical-fi/31986
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