BACKGROUND: Radiological evaluation of rotator cuff tears are sensitive and specific. Accuracy may be low in diagnosing subscapularis tears. MATERIALS AND METHODS: We retrospectively reviewed shoulder arthroscopies performed by two surgeons over 45 months. We reviewed patients who had subscapularis repairs and their preoperative imaging. RESULT: 286 cases had imaging (193 MRIs, 93 USS) with 77 subscapularis repairs. MRI suggested 31 tears, arthroscopy confirmed 16 (30% sensitivity, 89% specificity). USS suggested 6 tears, arthroscopy confirmed 4 (13% Sensitivity, 97% specificity). DISCUSSION: Results demonstrated low accuracy for preoperative radiological subscapularis tear assessment. This has logistical, diagnostic and implications on treatment.
BACKGROUND: Radiological evaluation of rotator cuff tears are sensitive and specific. Accuracy may be low in diagnosing subscapularis tears. MATERIALS AND METHODS: We retrospectively reviewed shoulder arthroscopies performed by two surgeons over 45 months. We reviewed patients who had subscapularis repairs and their preoperative imaging. RESULT: 286 cases had imaging (193 MRIs, 93 USS) with 77 subscapularis repairs. MRI suggested 31 tears, arthroscopy confirmed 16 (30% sensitivity, 89% specificity). USS suggested 6 tears, arthroscopy confirmed 4 (13% Sensitivity, 97% specificity). DISCUSSION: Results demonstrated low accuracy for preoperative radiological subscapularis tear assessment. This has logistical, diagnostic and implications on treatment.
Authors: Bryan T Kelly; Riley J Williams; Frank A Cordasco; Sherry I Backus; James C Otis; Daniel E Weiland; David W Altchek; Edward V Craig; Thomas L Wickiewicz; Russell F Warren Journal: J Shoulder Elbow Surg Date: 2005 Mar-Apr Impact factor: 3.019
Authors: Daniel B Goldberg; Trent M Tamate; Morgan Hasegawa; Thomas J K Kane; Jae S You; Scott N Crawford Journal: Hawaii J Health Soc Welf Date: 2022-03
Authors: Ali S Farooqi; Alexander Lee; David Novikov; Ann Marie Kelly; Xinning Li; John D Kelly; Robert L Parisien Journal: Orthop J Sports Med Date: 2021-10-11