[The value of sonographic diagnosis for the demonstration of Hill-Sachs lesions].
In a prospective study we evaluated the use of diagnostic ultrasound for Hill-Sachs lesions in unstable shoulder joints of 114 patients. In 38 patients we found a Hill-Sachs lesion by sonography. 31 patients underwent an arthroscopic procedure. The arthroscopic control of the sonographic findings showed a sensitivity of 95%, a specifity of 92%, an accuracy of 94%, a positive predictive value of 95%, and a negative predictive value of 92%. We also documented posttraumatic joint effusion. With these results ultrasound seems to be more reliable than x ray in the diagnosis of Hill-Sachs lesions.


CONCLUSIONS
With a high diagnostic value for detecting Hill-Sachs lesions ultrasound may replace difficult special x ray techniques.
Jerosch
J
J
Medizinische Einrichtungen, Universität Düsseldorf Orthopädische Klinik und Poliklinik.
Marquardt
M
M
D000293:Adolescent; D000328:Adult; D001182:Arthroscopy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011237:Predictive Value of Tests; D011446:Prospective Studies; D012008:Recurrence; D012680:Sensitivity and Specificity; D012783:Shoulder Dislocation / Q000150:complications / Q000175:diagnosis / Q000000981:diagnostic imaging*; D012784:Shoulder Fractures / Q000175:diagnosis / Q000000981:diagnostic imaging* / Q000209:etiology; D014463:Ultrasonography
Die Wertigkeit der Sonographischen Diagnostik zur Darstellung von Hill-Sachs-Läsionen.