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首页> 外文期刊>Journal of Clinical Ultrasound: JCU >Sonography of the shoulder after arthrography (arthrosonography): preliminary results.
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Sonography of the shoulder after arthrography (arthrosonography): preliminary results.

机译：关节造影（肩关节造影）后的肩部超声检查：初步结果。

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PURPOSE: The purpose of this study was to verify whether arthrosonography improves diagnostic accuracy in diseases of the shoulder and provides additional information for therapeutic planning, compared with conventional sonography. METHODS: We prospectively studied 113 consecutive patients with chronic shoulder pain. Sonography was performed before and after arthrography, with the radiologist blinded to the results of arthrography. When a rotator cuff tear was detected sonographically, its type, location, and size were recorded; we also evaluated any changes in the subacromial-subdeltoid bursa and any abnormalities in the biceps tendon sheath. The diagnostic accuracy of conventional sonography and arthrosonography was compared with that of arthrography for rotator cuff tear. Changes in the subacromial-subdeltoid bursa and biceps tendon sheath seen on conventional sonography were also compared with those seen on arthrosonography. RESULTS: The sensitivity and specificity of conventional sonography in the diagnosis of rotator cuff tear were 86% (25/29) and 95% (80/84), respectively; for arthrosonography, the values were 97% (28/29) and 95% (80/84), respectively. The differences in sensitivity and specificity for the 2 sonographic techniques were not statistically significant (p > 0.05). The accuracy in localizing the tear was also not significantly different between the 2 sonographic techniques. Synovial proliferation was more easily detected with arthrosonography than it was with conventional sonography in the subacromial-subdeltoid bursa (p < 0.01) and in the biceps tendon sheath (p < 0.0001). CONCLUSIONS: Our preliminary results suggest that although arthrosonography was not superior to conventional sonography in the diagnosis of rotator cuff tears, it may provide a better assessment of the size of tears and additional information about synovial proliferation in the subacromial-subdeltoid bursa and the biceps tendon sheath. Copyright 2002 John Wiley & Sons, Inc.
机译：目的：本研究的目的是验证与常规超声检查相比，超声检查是否可以提高肩部疾病的诊断准确性，并为治疗计划提供更多信息。方法：我们前瞻性研究了113例连续的慢性肩痛患者。超声检查是在关节造影术之前和之后进行的，放射科医生对关节造影术的结果视而不见。超声检查发现肩袖撕裂时，记录其类型，位置和大小;我们还评估了肩峰下三角肌滑囊的任何变化以及二头肌腱鞘的任何异常。比较了常规超声检查和关节造影的诊断准确性与关节镜检查对肩袖撕裂的诊断准确性。还比较了常规超声检查所见的肩峰下-三角肌下囊和二头肌腱鞘的变化与超声检查所见的变化。结果：常规超声检查诊断肩袖撕裂的敏感性和特异性分别为86％（25/29）和95％（80/84）。对于关节造影，该值分别为97％（28/29）和95％（80/84）。两种超声检查技术在敏感性和特异性上的差异无统计学意义（p> 0.05）。在两种超声检查技术之间，泪液定位的准确性也没有显着差异。与常规超声检查相比，在肩峰下-三角肌下囊（p <0.01）和二头肌腱鞘（p <0.0001）中，与常规超声检查相比，关节造影更容易检测到滑膜增生。结论：我们的初步结果表明，尽管在检查肩袖撕裂症时，关节造影术并不优于常规超声检查，但它可能提供更好的泪液大小评估以及有关肩峰下三角肌滑囊和二头肌腱滑膜增生的更多信息。鞘。版权所有2002 John Wiley＆Sons，Inc.

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