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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
253
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pubmed:dateCreated |
1990-5-4
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pubmed:abstractText |
Fifty patients with signs and symptoms of chronic impingement syndrome and/or rotator cuff tear were evaluated with shoulder arthrograms and ultrasonography. Ninety asymptomatic shoulders of a comparable age had ultrasonography to serve as a control group. All controls had normal ultrasonograms with no hypoechoic or sonolucent areas. The 50 symptomatic shoulder patients had the following: 28 had a normal arthrogram with either normal ultrasonograms or buckling of the supraspinatus tendon; eight had normal arthrograms, but ultrasonography indicated a thin (less than 4 mm) irregular supraspinatus tendon; 11 had complete rotator cuff tears visualized on both arthrography and ultrasonography (nine of these 11 patients had surgery confirming complete tears in all); two had a false-positive sonogram, and one had a false-negative sonogram. Thus, the ultrasonography's overall positive predictive value to detect a full-thickness rotator cuff tear was 85%, its negative predictive value was 97%, its sensitivity was 92%, and its specificity was 95%. Real-time ultrasonography is a diagnostically sensitive and specific noninvasive method to evaluate patients with shoulder impingement syndrome, leading to the recommendation that it be used as a primary imaging technique to obviate or supplement arthrography in evaluating rotator cuff disease. However, static ultrasonographic pictures, without real-time ultrasonography as a supplement, were not helpful.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
Apr
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pubmed:issn |
0009-921X
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
118-22
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:2180600-Adult,
pubmed-meshheading:2180600-Aged,
pubmed-meshheading:2180600-Arthrography,
pubmed-meshheading:2180600-Diagnostic Errors,
pubmed-meshheading:2180600-Female,
pubmed-meshheading:2180600-Humans,
pubmed-meshheading:2180600-Joint Diseases,
pubmed-meshheading:2180600-Male,
pubmed-meshheading:2180600-Middle Aged,
pubmed-meshheading:2180600-Predictive Value of Tests,
pubmed-meshheading:2180600-Prospective Studies,
pubmed-meshheading:2180600-Shoulder Joint,
pubmed-meshheading:2180600-Ultrasonography
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pubmed:year |
1990
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pubmed:articleTitle |
A comparative study of ultrasonography and arthrography in evaluation of the rotator cuff.
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pubmed:affiliation |
Orthopaedic Surgery Service, Dwight David Eisenhower Army Medical Center, Fort Gordon, GA 30905-5650.
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pubmed:publicationType |
Journal Article,
Comparative Study
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