THE DIAGNOSTIC VALUE OF MAGNETIC RESONANCE IMAGING IN SUBACROMIAL IMPINGEMENT SYNDROME

2021 ◽  
Vol 62 (6) ◽  
Author(s):  
Dang Bich Nguyet ◽  
Nguyen Tien Long ◽  
Bui Van Lenh ◽  
Nguyen Quang Trung

The retrospective study was performed on 45 patients with subacromial impingement syndrome who underwent magnetic resonance imaging (MRI) which then were compared with the results of their arthroscopy. Results: 95.2% out of the cases were found to have type II and III acromion morphology; 73.8% had subacromial enthesophyte spurs; 66.7% had subacromial bursitis; 97.6% showed lesions of supraspinatus tendons in which partial–thickness rotator cuff tear was the most commonly seen. MRI showed a sensitivity (Sn) of 91.6%, specificity (Sp) of 72.2%, positive predictive value (PPV) of 81.4%, negative predictive value (NPV) of 86.67% in diagnosing subacromial bursitis. For partial-thickness rotator cuff tear, it showed a Sn of 92.5%, Sp of 93.3%, PPV of 96.1%, NPV of 87.5%. In evaluation of full-thickness rotator cuff tear, MRI showed a Sn of 100% and Sp of 100%.

BMJ Open ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. e052092
Author(s):  
Joshua R Zadro ◽  
Zoe A Michaleff ◽  
Mary O'Keeffe ◽  
Giovanni E Ferreira ◽  
Romi Haas ◽  
...  

ObjectivesExplore how people perceive different labels for rotator cuff disease in terms of words or feelings evoked by the label and treatments they feel are needed.SettingWe performed a content analysis of qualitative data collected in a six-arm, online randomised controlled experiment.Participants1308 people with and without shoulder pain read a vignette describing a patient with rotator cuff disease and were randomised to one of six labels: subacromial impingement syndrome, rotator cuff tear, bursitis, rotator-cuff-related shoulder pain, shoulder sprain and episode of shoulder pain.Primary and secondary outcomesParticipants answered two questions (free-text response) about: (1) words or feelings evoked by the label; (2) what treatments they feel are needed. Two researchers iteratively developed coding frameworks to analyse responses.Results1308/1626 (80%) complete responses for each question were analysed. Psychological distress (21%), uncertainty (22%), serious condition (15%) and poor prognosis (9%) were most often expressed by those labelled with subacromial impingement syndrome. For those labelled with a rotator cuff tear, psychological distress (13%), serious condition (9%) and poor prognosis (8%) were relatively common, while minor issue was expressed least often compared with the other labels (5%). Treatment/investigation and surgery were common among those labelled with a rotator cuff tear (11% and 19%, respectively) and subacromial impingement syndrome (9% and 10%) compared with bursitis (7% and 5%).ConclusionsWords or feelings evoked by certain labels for rotator cuff disease and perceived treatment needs may explain why some labels drive management preferences towards surgery and imaging more than others.


2018 ◽  
Vol 53 (1) ◽  
pp. 38 ◽  
Author(s):  
Jun-Sung Won ◽  
Woo-Seung Lee ◽  
Jae-Hong Park ◽  
Seung-Nam Ko ◽  
In-Wook Seo

2021 ◽  
Vol 62 (5) ◽  
Author(s):  
Vuong Thu Ha ◽  
Dang Thi Bich Nguyet ◽  
Nguyen Tien Long ◽  
Le Tuan Linh ◽  
Bui Van Lenh ◽  
...  

Objective: To study on the value of conventional magnetic resonance imaging in the diagnosis of rotator cuff tear in comparison with surgery.Subjects and research methods: Cross-sectional descriptive study on 69 patients with rotator cuff lesions undergoing magnetic resonance imaging at Hanoi Medical University Hospital Departmentof Diagnostic Imaging, all patients have surgery after that.Results: Among the number of patients operated, the highest proportion was the complete tendon rupture group (accounting for 60.9%), followed by the full-thickness tear group (14.5%) and thearticular-surface tear group (14.5%). , the groups of synovial-surface tear, intrasubstance tear, simple tendinopathy accounted for the least percentage. Regarding post-operative comparison: For completetendon tear, the sensitivity of magnetic resonance is 100%, specificity is 95.7%; in full-thickness tear, the sensitivity and specificity of magnetic resonance were 100% and 98.7%. The sensitivityof conventional magnetic resonance in the diagnosis of partial tear such as articular-surface tears, synovial-surface tear is 50-60% and specificity is 74.9-98.7%.Conclusion: Routine magnetic resonance imaging is a valuable method in diagnosing rotator cuff tears. The sensitivity and specificity of magnetic resonance are high in the diagnosis of major tendon tears (complete and full-thickness tears) than in cases of partial tear (articular or synovial surface tear).


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