Role of dynamic ultrasound versus MRI in diagnosis and assessment of shoulder impingement syndrome

Abstract Background Subacromial impingement is the most frequent cause of shoulder pain, accounting for up to 60% of all shoulder complaints; dynamic high-resolution ultrasonography can be used in the detection of different abnormalities causing and related to shoulder impingement. This is compared...

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Main Authors: Islam El-Hefnawi Abdel Fattah El-Shewi, Hatem Mohamed El Azizy, Amr Abd El Fattah Hassan Gadalla
Format: Article
Language:English
Published: SpringerOpen 2019-12-01
Series:The Egyptian Journal of Radiology and Nuclear Medicine
Subjects:
Online Access:https://doi.org/10.1186/s43055-019-0107-7
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author Islam El-Hefnawi Abdel Fattah El-Shewi
Hatem Mohamed El Azizy
Amr Abd El Fattah Hassan Gadalla
author_facet Islam El-Hefnawi Abdel Fattah El-Shewi
Hatem Mohamed El Azizy
Amr Abd El Fattah Hassan Gadalla
author_sort Islam El-Hefnawi Abdel Fattah El-Shewi
collection DOAJ
description Abstract Background Subacromial impingement is the most frequent cause of shoulder pain, accounting for up to 60% of all shoulder complaints; dynamic high-resolution ultrasonography can be used in the detection of different abnormalities causing and related to shoulder impingement. This is compared to MRI, which we considered as a standard in our cases. Results Fifty patients presented with symptoms of painful shoulder with 42 patients of them having limited movements of their shoulders. All patients had a conventional B-mode ultrasound examination, and dynamic sonographic examination was also performed in all patients. The results were compared to the MRI examination results of those patients. The addition of dynamic ultrasound examination for diagnosis of the painful shoulder showed the highest sensitivity in the assessment of impingement syndrome and for detection of different abnormalities affecting the shoulder joint (e.g., 85.7% for rotator cuff partial-thickness tear, 90% for rotator cuff full-thickness tear). Conclusion Based on our results, the static US combined with dynamic study can be a helpful tool in detecting different abnormalities of the painful shoulder especially impingement syndrome and its different causes.
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spelling doaj.art-cc642e68695044daaa0fccc7b37302b12022-12-21T17:14:44ZengSpringerOpenThe Egyptian Journal of Radiology and Nuclear Medicine2090-47622019-12-015011710.1186/s43055-019-0107-7Role of dynamic ultrasound versus MRI in diagnosis and assessment of shoulder impingement syndromeIslam El-Hefnawi Abdel Fattah El-Shewi0Hatem Mohamed El Azizy1Amr Abd El Fattah Hassan Gadalla2Faculty of Medicine, Cairo UniversityFaculty of Medicine, Cairo UniversityFaculty of Medicine, Cairo UniversityAbstract Background Subacromial impingement is the most frequent cause of shoulder pain, accounting for up to 60% of all shoulder complaints; dynamic high-resolution ultrasonography can be used in the detection of different abnormalities causing and related to shoulder impingement. This is compared to MRI, which we considered as a standard in our cases. Results Fifty patients presented with symptoms of painful shoulder with 42 patients of them having limited movements of their shoulders. All patients had a conventional B-mode ultrasound examination, and dynamic sonographic examination was also performed in all patients. The results were compared to the MRI examination results of those patients. The addition of dynamic ultrasound examination for diagnosis of the painful shoulder showed the highest sensitivity in the assessment of impingement syndrome and for detection of different abnormalities affecting the shoulder joint (e.g., 85.7% for rotator cuff partial-thickness tear, 90% for rotator cuff full-thickness tear). Conclusion Based on our results, the static US combined with dynamic study can be a helpful tool in detecting different abnormalities of the painful shoulder especially impingement syndrome and its different causes.https://doi.org/10.1186/s43055-019-0107-7Dynamic ultrasonographyMRIShoulder impingementRotator cuff disorders
spellingShingle Islam El-Hefnawi Abdel Fattah El-Shewi
Hatem Mohamed El Azizy
Amr Abd El Fattah Hassan Gadalla
Role of dynamic ultrasound versus MRI in diagnosis and assessment of shoulder impingement syndrome
The Egyptian Journal of Radiology and Nuclear Medicine
Dynamic ultrasonography
MRI
Shoulder impingement
Rotator cuff disorders
title Role of dynamic ultrasound versus MRI in diagnosis and assessment of shoulder impingement syndrome
title_full Role of dynamic ultrasound versus MRI in diagnosis and assessment of shoulder impingement syndrome
title_fullStr Role of dynamic ultrasound versus MRI in diagnosis and assessment of shoulder impingement syndrome
title_full_unstemmed Role of dynamic ultrasound versus MRI in diagnosis and assessment of shoulder impingement syndrome
title_short Role of dynamic ultrasound versus MRI in diagnosis and assessment of shoulder impingement syndrome
title_sort role of dynamic ultrasound versus mri in diagnosis and assessment of shoulder impingement syndrome
topic Dynamic ultrasonography
MRI
Shoulder impingement
Rotator cuff disorders
url https://doi.org/10.1186/s43055-019-0107-7
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