Hill-Sachs lesion: sonographic detection.

Autor: Farin, P. U., Kaukanen, Erkki, Jaroma, Heikki, Harju, Arvi, Väätäinen, Urho, Kaukanen, E, Jaroma, H, Harju, A, Väätäinen, U
Zdroj: Skeletal Radiology; Aug1996, Vol. 25 Issue 6, p559-562, 4p
Abstrakt: Objective: To determine the value of ultrasonography (US) in the detection of Hill-Sachs lesion of the humerus in comparison with double-contrast computed tomographic arthrography (CTA) and with arthroscopy.Design and Patients: US and CTA were performed on 92 patients, 86 of whom subsequently underwent arthroscopy. The findings of US, CTA and arthroscopy in these 86 patients in the diagnosis of Hill-Sachs lesion were analyzed.Results and Conclusions: In the detection of Hill-Sachs lesion US showed a sensitivity of 91% (21 of 23), a specificity of 95% (60 of 63) and an accuracy of 94% (81 of 86) when compared with CTA, and a sensitivity of 94% (18 of 19), specificity of 91% (61 of 67) and accuracy of 91% (79 of 86) when compared with arthroscopy. In only 2% (2 of 86) of patients was there reduced visualization because of restriction of movement. Hill-Sachs lesion and its relationship to the humeral head can be reliably diagnosed with US. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index