Three-dimensional ultrasonography in the diagnosis of rotator cuff lesions.
Two-dimensional (2-D) ultrasound (US) of rotator cuff lesions is a well-established tool. The aim of this study was to elucidate if the use of 3-D sonography can increase the diagnostic yield of US. A total of 40 patients were preoperatively evaluated using 2-D and 3-D sonography, and these results were compared to intraoperative findings. Ultrasound was performed on a 530D US machine (Kretztechnik, Zipf, Austria) with a 10-MHz transducer. We found an increased validity of 3-D imaging, mainly based on the higher reliability in the diagnosis of partial-thickness cuff lesions. Sensitivity and specificity were found to be 91% and 82% for 3-D sonography and 74% and 82% for 2-D sonography, respectively. With 3-D US partial-tear rotator cuff lesions can be predicted more accurately.
Wallny
T A
TA
Department of Orthopaedics, University of Bonn, Bonn, Germany. wallny@uni-bonn.de
Schild
R L
RL
Schulze Bertelsbeck
D
D
Hansmann
M E
ME
Kraft
C N
CN
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D021621:Imaging, Three-Dimensional; D008297:Male; D008875:Middle Aged; D011237:Predictive Value of Tests; D011446:Prospective Studies; D017006:Rotator Cuff / Q000000981:diagnostic imaging* / Q000601:surgery; D000070636:Rotator Cuff Injuries; D012680:Sensitivity and Specificity; D052256:Tendinopathy / Q000000981:diagnostic imaging; D014463:Ultrasonography