Digital Subtraction Shoulder Arthrography in Determining Site and Size of Rotator Cuff Tear
Autor: | Heikki Jaroma, P. U. Farin |
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Rok vydání: | 1995 |
Předmět: |
Adult
Male medicine.medical_specialty Iohexol Contrast Media Sensitivity and Specificity Supraspinatus tendon Rotator Cuff Injuries Arthroscopy Rotator Cuff Humans Medicine Radiology Nuclear Medicine and imaging Rotator cuff Prospective Studies Arthrography Aged Rupture medicine.diagnostic_test Shoulder Joint business.industry Rotator cuff injury Subtraction General Medicine Shoulder arthrography Bursa Synovial Middle Aged medicine.disease eye diseases Radiographic Image Enhancement medicine.anatomical_structure Diagnostic Techniques Surgical Evaluation Studies as Topic Subtraction Technique Tears Female sense organs Radiology Shoulder Injuries business |
Zdroj: | Investigative Radiology. 30:544-547 |
ISSN: | 0020-9996 |
DOI: | 10.1097/00004424-199509000-00006 |
Popis: | Rationale and objectives To evaluate the value of digital subtraction arthrographic techniques in assessing the precise size and site of rotator cuff tear. Patients and methods Prospectively interpreted findings of 29 digital arthrographs were compared with results after surgery in 22 patients and with results after arthroscopy in 7 patients. Results Surgery or arthroscopy revealed 14 full-thickness and 2 partial-thickness tears. Digital subtraction arthrography showed 88% (14 of 16) of the rotator cuff tears, 86% (12 of 14) of the full-thickness tears, and 100% (2 of 2) of the partial-thickness tears. The site of a tear could be shown in 86% (12 of 14), but the size was evaluated to be less extensive than that seen at surgery in most tears (63%, 10 of 16). Conclusions The site of tears could be demonstrated in supraspinatus tendon tears, but measurements of the size of the tears were accurate only in small full-thickness and in partial-thickness tears. Very anterior and posterior tears may not be diagnosed with this method, and postexercise films were necessary to avoid false-negative findings. |
Databáze: | OpenAIRE |
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