CLINICAL SCIENCE SESSION

ULTRASOUND: CAN
IT REPLACE MRI
ROTATOR CUFF
IN THE
TEARS?
EVALUATION OF THE
By: Priskila A. Sianipar Preceptor:
G1A216111 dr. Ali Imran Lubis, Sp.Rad
 CASE REPORT SESSION

ULTRASOUND: CAN
IT REPLACE MRI
TEARS
IN THE ROTATOR CUFF
?
EVALUATION OF THE
What is rotator cuff?
Rotator cuff
tears
An injury tears a
rotator cuff tendon
that’s been
weakened by age
or wear and tear.
Weakness in the arm
(and usually pain)
are the symptoms.
 The aim of this study

Detect the efficiency of ultrasound being

available, inexpensive dynamic study
compared to unenhanced MRI (our golden
standard) in the diagnosis of the rotator cuff
tears.
METHODS AND PATIENTS
40 patients were referred with clinical suspicion of rotator
cuff tear.
Human ethics committee approval was obtained.
Ultrasound and MRI were done for all patients by 2
different radiologists being blind to the results of the other
examination to minimize the bias.
 Female
Male
33% RESULTS

67%

3
Pain in the
6 shoulder
Limited range of
movement
21 Weakness
10
Instability
 NORMAL
7 patients – 17,5% PARTIAL THICKNESS TEAR by MRI
2 patients – 5%

Impingement with no
tendon affection

Osteoarthritic changes of
the acromioclavivular joint
Subacromial bursitis But were not recognized
by ultrasound

ROTATOR CUFF DISEASE

28 patients – 70%

FTT
18%
NORMAL by MRI

Tendinitis
36%

PTT
46%
PARTIAL THICKNESS TEAR by ultrasound
1 patients (2,5%)
By both modalities
 Ultrasound
Tendinitis (%) PTT (%) FTT(%)
Sensitivity 85 88 100
Specificity - 90 100
Accuracy 90 83 90
ppv - 94
NPV 86 80
?