Assessment of rotator cuff repair integrity using ultrasound and magnetic resonance imaging in a multicenter study

作者：Codsi Michael J^*; Rodeo Scott A; Scalise Jason J; Moorehead Tara McDonnell; Ma C Benjamin

来源：Journal of Shoulder and Elbow Surgery, 2014, 23(10): 1468-1472.

DOI：10.1016/j.jse.2014.01.045

• Rotator cuff repair
• MRI
• ultrasound
• surgery
• arthroscopy

Background: This study compared ultrasound and magnetic resonance imaging (MRI) evaluation of the repaired rotator cuff to determine concordance between these imaging studies.
Methods: We performed a concordance study using the data from a prospective nonrandomized multi-center study at 13 centers. A suture bridge technique was used to repair 113 rotator cuff tears that were between 1 and 4 cm wide. Repairs were evaluated with MRI and ultrasound at multiple time points after surgery. The MRI scans were read by a central radiologist and the surgeon, and the ultrasounds were read by a local radiologist or the surgeon who performed the ultrasound.
Results: The concordance between the central radiologist's MRI reading and the investigator's MRI readings at all time points was 89%, with a kappa coefficient of 0.60. The concordance between the central radiologist's MRI and ultrasound readings at all time points was 85%, with a k coefficient of 0.40. The concordance between the investigator's MRI and ultrasound readings was 92%, with a k coefficient of 0.70.
Conclusions: In the community setting, ultrasound may be used to evaluate the integrity of a repaired rotator cuff tendon and constitutes a comparable alternative to MRI when evaluating the integrity of a rotator cuff repair. Clinical investigators should compare their postoperative ultrasound results with their postoperative MRI results for a certain time period to establish the accuracy of ultrasound before relying solely on ultrasound imaging to evaluate the integrity of their rotator cuff repairs.

• 出版日期2014-10