2020, Number 2
Diagnostic efficacy of high-resolution ultrasound in patients with rotator cuff ruptures
Language: Spanish
References: 10
Page: 1-18
PDF size: 395.37 Kb.
ABSTRACT
Introduction: Different studies relate the diagnosis of high-resolution ultrasound with the arthroscopic diagnosis of the rotator cuff. Both methods are favorable and show high sensitivity and specificity when they are compared.Objective: To establish diagnostic efficacy between the findings of high-resolution ultrasound and the arthroscopic diagnosis of partial and complete ruptures of the rotator cuff.
Methods: A cross-sectional analytical study was carried out, aimed at evaluating the diagnostic efficacy of high-resolution ultrasound in patients of Dr. Antonio Luaces Iraola Provincial General Teaching Hospital, in Ciego de Ávila, with a clinical diagnosis of partial and complete ruptures of the rotator cuff, from January 2016 to January 2019. The universe consisted of 62 patients with a clinical diagnosis of rotator cuff rupture who presented surgical indications, and who were also indicated for an imaging study with high-resolution ultrasound and, subsequently, performed arthroscopic surgery, taken as a criterion of truth.
Results: The male sex predominated, with an average age lower than those corresponding to female sex. The diagnostic findings by both methods showed agreement in more than two thirds of the patients who presented partial and complete ruptures of the rotator cuff’s thickness. Ultrasonography, according to the method used, was an effective diagnostic tool for partial and complete ruptures of the rotator cuff’s thickness.
Conclusions: High-resolution ultrasound showed an adequate correlation in the diagnosis of partial or complete ruptures of rotator cuff, as confirmed by arthroscopy. It is considered an effective diagnostic means.
REFERENCES
Vicente Pardo JM. Hombro doloroso e incapacidad temporal. El retorno al trabajo tras larga baja por hombro doloroso. Causalidad del trabajo en el hombro doloroso. Med Segur Trab [Internet]. 2016 [citado 12 Ene 2020];62(245):337-59. Disponible en: Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0465-546X2016000500006
Durán-Calle JJ, Crispin-Nina D. Correlación clínica y ultrasonográfica con los hallazgos intra-operatorios de pacientes con diagnóstico de ruptura de manguito rotador en el servicio de traumatología del Hospital Obrero Nº 1, durante el periodo 2010-2014. Cuadernos Hospital de Clínicas [Internet]. 2019 [citado 12 Ene 2020];60(1)11-6. Disponible en: Disponible en: http://www.scielo.org.bo/scielo.php?pid=S1652-67762019000100002&script=sci_arttext
Ríos-Fak J, Olivo-Meza A, Sierra-Suarez L, Almazán-Díaz A, Pérez-Jiménez F, Cruz-López F. Comparación de los resultados funcionales de los pacientes con reparación artroscópica de rupturas masivas del manguito rotador sola o combinada con acromioplastía y/o tenotomía del bíceps. Acta Ortop Mex [Internet]. Ene.-Feb 2018 [citado 12 Ene 2020];32(1):17-21. Disponible en: Disponible en: http://www.scielo.org.mx/pdf/aom/v32n1/2306-4102-aom-32-01-17.pdf
Toro-Saelzer F, Meleán-Quiroga P, Ruiz-Jiménez F, Moraga-Huerta C, González-Foretic F. Ruptura del manguito rotador: Correlación de hallazgos ultrasonográficos y artroscópicos. Acta Ortop Mex [Internet]., May-Jun 2011 [citado 12 Ene 2020];25(3):146-50. Disponible en: Disponible en: https://www.medigraphic.com/pdfs/ortope/or-2011/or113b.pdf
García Martínez O, Hernández Rodríguez AR, Candelario Álvarez JL, del Sol Peña R, Buess E. Rupturas parciales del espesor del manguito de los rotadores, diagnóstico y tratamiento artroscópico. Rev Cubana Ortop Traumatol [Internet]. 2014[citado 12 Ene 2020];28(2):136-52. Disponible en: Disponible en: http://scielo.sld.cu/scielo.php?pid=S0864-215X2014000200002&script=sci_arttext&tlng=pt
Frei R, Chládek P, Trc T, Kopecný Z, Kautzner J. Arthroscopic evaluation of ultrasonography and magnetic resonance imaging for diagnosis of rotator cuff tear. Ortop Traumatol Rehabil [Internet]. 2008 [citado 12 Ene 2020];10(2):111-4. Disponible en: Disponible en: https://pdfs.semanticscholar.org/28da/71fc303acbe43c2fd67cd7d3ad9cfcbe3301.pdf
Steven C, Bhalla S, Rowan K, Aippersbach S, Bicknell S. Comparison of 2 and 3 dimensional shoulder ultrasound to magnetic resonance imaging in a community hospital for the detection of supraspinatus rotator cuff tears with improved worktime room efficiency. Can Assoc Radiol L[Internet]. 2012 [citado 12 Ene 2020];63(3):170-6. Disponible en: Disponible en: https://journals.sagepub.com/doi/full/10.1016/j.carj.2011.02.003