Comparison of Ultra Sonography With Magnetic Resonance Image in Evaluation of Lesions Causing Impairment of Mobility of the Shoulder Joint

Document Type : Original Research

Authors
K. Yadav
S. MEHRA
ABVIMS & Dr. RML Hospital, New Delhi, India.
10.22034/IJMPP.9.3.1081
Abstract
Aims: To compare Ultrasonography (USG) with Magnetic Resonance Imaging (MRI) in the evaluation of lesions causing impairment of mobility of the shoulder joint.

Method and Materials: This study was a cross-sectional observational study. Sonographic examination of the shoulder was done using a linear high-frequency probe (7.5-15 MHz) on a Siemens machine, and MRI evaluation was performed on a 3T Siemens Skyra machine. Data was analyzed using standard statistical methods, and results were compared with Arthroscopy where possible.According to the inclusion criteria, the patients of all age groups presenting with symptoms of shoulder pain or restricted movement referred from the department of orthopedics were studied.

Findings: Fifty patients were included in the study. Sensitivity and specificity of USG in comparison with MRI for diagnosing supraspinatus, subscapularis, infraspinatus, and long head of biceps tendon pathologies in our study were 95.4%, 100%, 66.6%, and 100%, 60% and 100%, 80%, and 100%, respectively. The sensitivity and specificity of USG for detecting AC joint arthropathy were 88.2% and 100%, respectively, in our study. The Sensitivity and specificity of USG were 82.7% and 100%, respectively, in detecting Subacromial Subdeltoid bursitis (SASD), which was similar to other studies in the literature.

Conclusion: This study revealed that USG has good sensitivity, specificity, and diagnostic accuracy in diagnosing rotator cuff tendon tears and tendinosis, as well as for the diagnosis of Acromioclavicular (AC) joint arthroplasty. Moreover, it is a non-invasive technique, readily available, and cost-effective. MRI is the best modality for diagnosing laborligamentous pathologies at the shoulder.

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1. Sheah K, Bredella MA. Shoulder. In: Haaga JR, Boll DT, editor. CT AND MRI OF THE WHOLE BODY, 6th ed. Philadelphia: Elsevier; 2017. p. 2096-2140.
2. Greenspan A, Beltran J. Upper Limb 1: Shoulder Girdle. In: Steinbach LS, editor. Orthopedic Imaging, 5th ed. New York: Lippincott Williams & Wilkins; 2014. p. 238-355.
3. Jacobson JA. Shoulder Ultrasound. In: Kennedy Blvd JF, editor. FUNDAMENTALS OF MUSCULOSKELETAL ULTRASOUND, 3rd ed. Philadelphia: Elsevier; 2018: 55-126.
4. Stoller DW, Wolf EM, Li AE, Nottage WM, Tirman Philip TJ. The Shoulder. In: McAllister L, editor. MAGNETIC RESONANCE IMAGING IN ORTHOPAEDICS AND SPORTS MEDICINE, 3rd ed. Philadelphia: Lippincott Williams & Wilkins; 2007. p. 1131-1461.
5. Shrestha MS, Alam A. A comparative evaluation of rotator cuff injuries of the shoulder joint using high resolution ultrasound and magnetic resonance imaging. Med J Shree Birendra Hosp. 2011;10(1):9-14.
6. Youssef MA, Teima AH, Abduo YE, Salem LN. Ultrasonographic and MR diagnosis of rotator cuff disorders & shoulder joint instability. Egypt J Radiol Nucl Med. 2013;44(4):835-44.
7. Fischer CA, Weber MA, Neubecker C, Bruckner T, Tanner M, Zeifang F. Ultrasound vs. MRI in the assessment of rotator cuff structure prior to shoulder arthroplasty. J Orthop. 2015;12(1):23-30.
8. Netam SB, Kumar S, Jain V, Singh A, Singh RK, Jain V. Role of Ultrasonography in Evaluation of Rotator Cuff in Patients of Chronic Shoulder Pain in Comparison to Magnetic Resonance Imaging. Int J Sci Study. 2017;5(3):291-6.
9. Singh A, Thukral CL, Gupta K, Singh MI, Lata S, Arora RK. Role and correlation of high-resolution ultrasound and magnetic resonance imaging in evaluation of patients with shoulder pain. Pol J Radiol. 2017; 82:410.
10. Singh AP, Rao A, Devaru S, Amithavikrama. Role of Ultrasound in Evaluation of Shoulder Injuries: A Comparative Study of Ultrasound and MRI. Int J Anat Radiol Surg.2017;6(1):12-18.
11. Anand A, Chhadi S, Bhawalkar S. Comparison of ultrasound and MRI findings in rotator cuff injuries. Int J Contemp Med Surg Radiol. 2018;3(3):C96-100.
12. Naganna HP, Rangaswamy SM, Jaganathan NC, Lingaiah RK, Nagarajegowda PH. Study of Rotator Cuff Disorders by Ultrasound with Magnetic Resonance Imaging Correlation. Int J Contemp Med Surg Radiol:2018;3(1):70-75.
13. Skendzel JG, Jacobson JA, Carpenter JE, Miller BS. Long Head of Biceps Brachii Tendon Evaluation: Accuracy of preoperative Ultrasound. Am J Rontgenol. 2011; 197:942-8.
14. Kaur H, Tiwari P, Sharma M, Jha V, Sharma S. The spectrum of MRI findings in painful shoulder: A prospective study of 81 cases. Int J Radiol Diagn Imaging. 2020;3(1):202-6.
International Journal of Musculoskeletal Pain Prevention
Volume 9, Issue 3
July 2024
Pages 1081-1087