Correlation of radiographic and arthroscopic findings with rotator cuff tears and degenerative joint disease

2001 ◽  
Vol 10 (5) ◽  
pp. 428-433 ◽  
Author(s):  
Hilary R. Umans ◽  
Helene Pavlov ◽  
Mario Berkowitz ◽  
Russell F. Warren
Keyword(s):  
Rotator Cuff ◽  
Degenerative Joint Disease ◽  
Joint Disease ◽  
Rotator Cuff Tears ◽  
Arthroscopic Findings

Diagnosis of shoulder instability in dogs and cats: a retrospective study

1998 ◽  
Vol 34 (1) ◽  
pp. 42-54 ◽  
Author(s):  
JF Bardet
Keyword(s):  
Shoulder Instability ◽  
Shoulder Joint ◽  
Glenohumeral Joint ◽  
Degenerative Joint Disease ◽  
The Body ◽  
Joint Disease ◽  
Glenohumeral Instability ◽  
The Past ◽  
Arthroscopic Findings ◽  
Stability Results

The glenohumeral joint is a remarkable articulation providing the greatest range of motion of any joint in the body. Glenohumeral stability results from several mechanisms, including those that do not require expenditure of energy by muscle ("passive mechanisms") and those that do ("active mechanisms"). Glenohumeral instability has been recognized in 47 shoulders of 45 dogs and one cat. Cases are presented because of chronic foreleg lameness. Shoulder joint pain is obviated by the orthopedic examination. Only 57% of the involved shoulders presented with degenerative joint disease. Signs of instability are recognized under anesthesia using a craniocaudal or mediolateral drawer sign or both. This report describes the radiographic and arthroscopic findings of shoulder instability. Arthroscopy of the shoulder joint allows identification of all intra-articular pathologies. Shoulder instability, not fully recognized in the past, appears to be the most common cause of shoulder lameness in the dog.

ROLE OF MRI IN DIAGNOSIS OF ROTATOR CUFF TEAR ASSUMING ARTHROSCOPY AS GOLD STANDARD

2019 ◽  
Vol 3 (9) ◽  
Author(s):  
Dr. Chaturbhuj Prasad Swarnkar ◽  
Dr. Shiv Raj Meena
Keyword(s):  
Rotator Cuff ◽  
Positive Predictive Value ◽  
Negative Predictive Value ◽  
Shoulder Pain ◽  
Sensitivity And Specificity ◽  
Predictive Value ◽  
Gold Standard ◽  
Shoulder Joint ◽  
Rotator Cuff Tears ◽  
Arthroscopic Findings

Background- Rotator cuff tears are one of the most common causes of shoulder pain for which patients seek treatment. As in our daily work, the shoulder joint is the most frequently used, there is higher chance of having shoulder joint injury. The aim of the study is to compare the efficacy of MRI in diagnosing shoulder pathologies in comparison to arthroscopy, considering arthroscopy as the gold standard. Methods- 30 Patient with suspected rotator cuff injury patients, between 18-80 years of age was included in the study. MRI of the shoulder joint was done followed by shoulder arthroscopy. The data collected was analysed for the significant correlation between MRI of shoulder and arthroscopic findings by kappa statistics. Results- The accuracy of MRI in diagnosis of rotator cuff partial tears, was 90%, while sensitivity and specificity was 100.00%, 78.57% and positive predictive value was 84.21% and negative predictive value was 100.00% and accuracy of MRI in diagnosis of rotator cuff full tears, was 86.67%, while sensitivity and specificity was 63.64%, 100.00%) and positive predictive value was 100.00% and negative predictive value was 82.61% in our study. Conclusion- Our study demonstrates a high sensitivity and specificity for the MRI diagnosis of both partial and full thickness rotator cuff tears and good correlation with arthroscopic findings. Keywords: Rotator cuff, Shoulder pain, Arthroscopy, MRI.

Association between the Critical Shoulder Angle and Non-traumatic Rotator Cuff Tears

2019 ◽  
Vol 1 ◽  
pp. 88-91
Author(s):  
Aniket Jadhav ◽  
Sanjay Desai ◽  
Vikas Reddy ◽  
Robin Kuruvilla ◽  
Pranav Mahadeokar
Keyword(s):  
Rotator Cuff ◽  
Glenohumeral Joint ◽  
Study Groups ◽  
Joint Disease ◽  
Rotator Cuff Tears ◽  
Control Group ◽  
Study Group ◽  
Chi Square ◽  
Critical Shoulder Angle ◽  
Shoulder Angle

Background: Moor et al. developed a critical shoulder angle (CSA) as a radiological parameter for the development of rotator cuff injury and degenerative changes of the glenohumeral joint. The objective of this study is to evaluate the association between CSA and the development of non-traumatic rotator cuff tears (RCTs) to further validate this study. Materials and Methods: The study was performed as an observational study dividing subjects into control and study groups, differing in the presence of non-traumatic RCT. The study group comprised 50 subjects with 40 subjects in the control group. All acceptable radiographs were evaluated, to measure the CSA in accordance with Moor et al. Results: The mean CSA of control subjects was 31.79° (± 1.89°), while that of study subjects were 37.85° (± 2.25°). The relative variability in the control group was about 6% and that in the study group was also 6%, indicating internal homogeneity of the study groups. Chi-square test applied to the distribution gave a P = 0.00001, representing an excellent association between the study groups and the CSA. Conclusion: There is a significant association between larger CSA and RCTs (P = 0.00001). Individual (quantitative) anatomical parameters may imply altered biomechanics, which are likely to induce RCTs, independent of trauma and degenerative glenohumeral joint disease.

scholarly journals Correlation of MRI and Arthroscopic Findings With Clinical Outcome in Temporomandibular Joint Disorders: A Retrospective Cohort Study

2021 ◽  
Author(s):  
Kobbe Vervaeke ◽  
Pieter-Jan Verhelst ◽  
Kaan Orhan ◽  
Bodil Lund ◽  
Daniel Benchimol ◽  
...  
Keyword(s):  
Degenerative Joint Disease ◽  
Temporomandibular Joint Disorders ◽  
Joint Disease ◽  
Future Research ◽  
Short Term ◽  
Combined Analysis ◽  
Main Complaint ◽  
Arthroscopic Findings ◽  
The Absolute

Abstract Background: Arthroscopy is a minimally invasive diagnostic tool and treatment strategy in patients suffering from temporomandibular disorders (TMD) when conservative treatment fails. This study aimed to find specific variables on pre-operative MRI or during arthroscopy that could predict success of arthroscopic lysis and lavage.Methods: This retrospective analysis compared pre-operative maximum interincisal opening (MIO), pain and main complaint (pain, limited MIO or joint sounds) with results at short-term and medium-term follow-up (ST and MT respectively). Different variables scored on MRI or arthroscopy were used to make a stepwise regression model, subsequently a combined analysis was conducted using variables from both MRI and arthroscopy.Results: A total of 47 patients (50 joints) met the inclusion criteria. The main complaint improved by 62% and 53% at ST and MT respectively. The absolute or probable absence of a crumpled disc scored on MRI predicted success at ST and MT (p=0.0112 and p=0.0054), and remained significant at MT in the combined analysis (p=0.0078). Arthroscopic findings of degenerative joint disease predicted success at ST (p=0.0178), absolute or probable absence of discal reduction scored during arthroscopy significantly predicted success in the combined analysis at ST (p=0.0474).Conclusion: To improve selection criteria for patients undergoing an arthroscopic lysis and lavage of the TMJ, future research might focus on variables visualized on MRI. Although more research is needed, disc shape and in particular the absolute or probable absence of a crumpled disc might be used as predictive variable for success.

scholarly journals Rotator Cuff Tears; Correlation Between Clinical Findings, MRI and Arthroscopic Findings

2019 ◽  
Vol 57 (4) ◽  
pp. 414-420
Author(s):  
Cem Yıldırım ◽  
Osman Görkem Muratoğlu ◽  
Duran Can Muslu ◽  
Ahmet Kamil Ertürk ◽  
Mehmet Mesut Sönmez
Keyword(s):  
Rotator Cuff ◽  
Clinical Findings ◽  
Rotator Cuff Tears ◽  
Arthroscopic Findings

scholarly journals Diagnostic accuracy in rotator cuff tears: clinical tests vs MRI

2019 ◽  
Vol 5 (4) ◽  
pp. 727 ◽  
Author(s):  
Divakar Modipalli ◽  
Atmananda S. Hegde ◽  
Chethan B. Shetty
Keyword(s):  
Rotator Cuff ◽  
Negative Predictive Value ◽  
Clinical Examination ◽  
Predictive Value ◽  
Rotator Cuff Tears ◽  
Clinical Tests ◽  
Predictive Values ◽  
Rotator Cuff Injuries ◽  
Arthroscopic Findings ◽  
Mri Evaluation

<p class="abstract"><strong>Background:</strong> Till date there is a lack of consensus regarding validity of clinical tests in identifying the rotator cuff injuries and also the predictive value of noninvasive investigations done to confirm such shoulder pathology.</p><p class="abstract"><strong>Methods:</strong> We included 48 patients with shoulder complaints in our study who underwent blinded clinical examination and MRI of shoulder, whose findings were compared with arthroscopic findings and were statistically analyzed.<strong></strong></p><p class="abstract"><strong>Results:</strong> In the study group mean age was 47 years and 71% were males. When compared with arthroscopy, clinical examination for supraspinatus had better sensitivity (90) but low specificity and negative predictive value (NPV) (37.5). MRI evaluation of supraspinatus had specificity of 85 and NPV of 60. Infraspinatus had almost similar statistical values. MRI was found to have better specificity (89.5) in comparison with clinical examination (52.6) in subscapularis evaluation along with higher positive (67 vs. 30) and negative predictive value (94 vs. 90).</p><p class="abstract"><strong>Conclusions:</strong> Clinical examination is good in identifying lesion or tear of supraspinatus and subscapularis but may also have false positives, where usage of noninvasive MRI will reduce these false positive in comparison with gold standard arthroscopy. Although clinical examination is very useful for diagnosis of rotator cuff injuries, MRI could be used to improve specificity and predictive values in patients who are planned for surgical management of rotator cuff injury.</p>

scholarly journals Correlation of MRI and arthroscopic findings with clinical outcome in temporomandibular joint disorders: a retrospective cohort study

2022 ◽  
Vol 18 (1) ◽  
Author(s):  
Kobbe Vervaeke ◽  
Pieter-Jan Verhelst ◽  
Kaan Orhan ◽  
Bodil Lund ◽  
Daniel Benchimol ◽  
...  
Keyword(s):  
Degenerative Joint Disease ◽  
Temporomandibular Joint Disorders ◽  
Joint Disease ◽  
Future Research ◽  
Short Term ◽  
Combined Analysis ◽  
Main Complaint ◽  
Arthroscopic Findings ◽  
The Absolute

Abstract Background Arthroscopy is a minimally invasive diagnostic tool and treatment strategy in patients suffering from temporomandibular disorders (TMD) when conservative treatment fails. This study aimed to find specific variables on pre-operative MRI or during arthroscopy that could predict success of arthroscopic lysis and lavage. Methods This retrospective analysis compared pre-operative maximum interincisal opening (MIO), pain and main complaint (pain, limited MIO or joint sounds) with results at short-term and medium-term follow-up (ST and MT respectively). Different variables scored on MRI or arthroscopy were used to make a stepwise regression model, subsequently a combined analysis was conducted using variables from both MRI and arthroscopy. Results A total of 47 patients (50 joints) met the inclusion criteria. The main complaint improved by 62 and 53% at ST and MT respectively. The absolute or probable absence of a crumpled disc scored on MRI predicted success at ST and MT (p = 0.0112 and p = 0.0054), and remained significant at MT in the combined analysis (p = 0.0078). Arthroscopic findings of degenerative joint disease predicted success at ST (p = 0.0178), absolute or probable absence of discal reduction scored during arthroscopy significantly predicted success in the combined analysis at ST (p = 0.0474). Conclusion To improve selection criteria for patients undergoing an arthroscopic lysis and lavage of the TMJ, future research might focus on variables visualized on MRI. Although more research is needed, disc shape and in particular the absolute or probable absence of a crumpled disc might be used as predictive variable for success.

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