2012, Number 1
<< Back
Rev Med Inst Mex Seguro Soc 2012; 50 (1)
Sensibility and specificity of ultrasonographic study in patients with rotator cuff injuries repaired with surgery
Prado-Orozco RP, Guevára-Dondé JE, Vázquez-Flores B, Mena-Monfort JM, Domínguez-Cazarín E, Gaytán-Fernández S, Torres-Hernández RM
Language: Spanish
References: 11
Page: 113-115
PDF size: 166.28 Kb.
ABSTRACT
Background: painful shoulder syndrome is a pathology that in
some cases requires surgical treatment. The objective was to
measure the sensibility and predictability of ultrasonographic study
in patients with rotator cuff injuries treated with open surgery.
Methods: thirty-two patients with confirmed rotator cuff injury
(either by US and/or arthrography) were surgically intervened
through opened surgery technique. Sensibility and specificity of
ultrasonographic study were measured and also functional results.
Results: functional results after open surgery were as follows;
excellent in twenty five, good in five and not satisfactory in two
patients. Ultrasound sensitivity was of 90 % and its specificity
was 81.81 % with a predictive positive value of 94.73 and a
predictive negative value of 90.17 %.
Conclusions: the shoulder function recuperation after open surgery
was satisfactory in most patients, allowing them going back
to the performance of their activities.
REFERENCES
Neer CS 2nd. Impingement lesions. Clin Orthop 1983; 173:70-77.
Neer CS 2nd. Anterior acromioplasty for the chronic impingement syndrome in the shoulder. J. Bone Joint Surg Am 1972;54A(1):41-50.
Hunt SA, Kwon YW, Zuckerman JD. The rotator interval: anatomy, pathology, and strategies for treatment. J Am Acad Orthop Surg 2007;15(4):218-227.
López-Espinosa OF, Pérez-Solares A, Mejía-Rohenes LC. Descripción del tipo de lesiones del manguito rotador más frecuentes en el hospital regional Ignacio Zaragoza. Rev Esp Med-Quir 2008;13(4):173-176.
Teefeey SA, Rubin DA, Middleton WD, Hildebolt CF, Leibold RA, Yamaguchi K. Detection and quantification of rotador cuff tears. J Bone and Joint Surg Am 2004;86- A(4):708-716.
Arenas PA, Ortega AA, Arenas MA, Ayala PH, Grabayo MA. Influencia de los datos radiográficos en el resultado del tratamiento del síndrome subacromial. Avanc Traum 2006;36(3):188-193.
Berestein M, Raijman M. Descompresión subacromial tratamiento artroscópico. Rev Asoc Arg Ortop Traumatol 2002;60(2):155-159.
Lew HL, Chen CP, Wang TG, Chew KTL. Introduction to musculoeskeletical diagnostic ultrasound examination of the upper limb. Am J Phys Med Rehab 2007;86(4):310-321.
Misamore GW, Ziegler DW, Rushton JL 2nd. Repair of the rotador cuff a comparasion of results in two populations of patients. J. Bone Joint Surg 1995;77(9):1335-1339.
Gerber C, Meyer DC, Schneeberger AG, Hoppeler H, Rechenberg B. Effect of tendon release and delayed repair on the structure of the muscles of the rotador cuff; an experimental study in sheep. J Bone Joint Surg Am 2004;86- A(9):1973-1982.
Prudnikov OE, Prudnikov LE, Prudnikov DO. Roturas del manguito rotador asociadas con la parálisis del deltoides. Cien años de errores evitables. Rev Cubana Ortop Traumatol 2007;21(1):1-15.
Full text