Archive | 2019
Sonographic Evaluation of Shoulder Pathologies associated with Rotator Cuff Tear in Patients with Restricted Shoulder Movements
Abstract
Introduction: Ultrasonography is an easily accessible diagnostic tool for evaluating shoulder pathologies. Study aimed at sonographic evaluation of non rotator cuff findings associated with rotator cuff tear in patients with restricted movements of shoulder. Material and Methods: This was a prospective study of 50 patients with restricted movements of shoulder who underwent shoulder sonography in Dept of Radiodiagnosis of our hospital with GE systems – LOGIQ 3 USG machine. Patients with rotator cuff tear were identified and other shoulder pathologies if any associated with them were identified and recorded. Results: Our study found that calcification of rotator cuff tendons, acromioclavicular joint osteoarthritis, peribicipital tendon fluid, Subacromial Subdeltoid bursal fluid were some of the pathologies associated with tear of rotator cuff tendons and they increased the positive predictive value for diagnosing rotator cuff tear by USG. Conclusion: Our study has found that in patients with restricted movements of shoulder; screening of affected shoulder for the nonrotator cuff disorders improves the diagnostic accuracy in detecting rotator cuff tear with USG.