Hamidreza Aslani, MD; Hamid Farrokhi, MD; Hamed Vahedi, MD; Manoochehr Ghazaleh, MD
Abstract
Background: Rotator cuff tear is one of the most prevalent shoulder disorders in middle aged and old people and MRI is gold standard paraclinic diagnostic test. This research is aimed at assessing the accuracy of MRI reports in rotator cuff tears.Methods: A cross-sectional study was done from May 2005 ...
Read More
Background: Rotator cuff tear is one of the most prevalent shoulder disorders in middle aged and old people and MRI is gold standard paraclinic diagnostic test. This research is aimed at assessing the accuracy of MRI reports in rotator cuff tears.Methods: A cross-sectional study was done from May 2005 to February 2006 in two hospitals in Tehran. Fifty consecutive patients who had been investigated with MRI and then undergone shoulder arthroscopy were assessed. The reports on MRI findings of the shoulder were compared with the arthroscopic findings. The sensitivity, specificity, positive and negative predictive values of MRI in reference to the arthroscopic findings were studied.Results: MRI in these 27 men and 23 women showed 97.4% sensitivity, 45.4% specificity, 86.3% positive predictive value, 83.3% negative predictive value and 84% accuracy. The values for the same parameters were respectively 83.9%, 78.9%, 86.7%, 75% and 82% for complete and 50%, 76.2%, 28.6%, 88.9% and 70% for partial rotator cuff tears.Conclusions: The MRI reports for rotator cuff disease, in our center, are reliable for complete tears, but not for partial tears.
Hamidreza Aslani, MD; Hamid Farrokhi, MD
Abstract
Background: Despite being the largest rotator cuff tendon of the shoulder, the function and clinical relevance of subscapularis pathology has been largely ignored in the literature. Although more recent studies have focused on subscapularis tears, all have reported on techniques of open repair. The advent ...
Read More
Background: Despite being the largest rotator cuff tendon of the shoulder, the function and clinical relevance of subscapularis pathology has been largely ignored in the literature. Although more recent studies have focused on subscapularis tears, all have reported on techniques of open repair. The advent of arthroscopy and arthroscopic repair techniques has opened new frontiers in the diagnosis and repair of torn rotator cuff tendons, including the subscapularis. In this article, we review the short-term results of arthroscopic subscapularis repair. Methods: Ten patients with subscapularis tendon tear of the rotator cuff were analyzed in 8 men and 2 women with an average age of 49.7 years who had an average delay in treatment of 23.5 months. The clinical outcome, including the UCLA score was assessed prospectively for all patients with 3 month intervals.Results: The score for pain improved from 1.75 to 9 points (p < /em>
