الفهرس | Only 14 pages are availabe for public view |
Abstract Shoulder pain is considered one of the commonest musculoskeletal complaints presented to orthopedics and rheumatologists. It is commonly affected by degenerative changes, overuse and traumatic lesions. Many imaging techniques could be used in the assessment of painful shoulder joint, including plain radiographs, computerized tomography, magnetic resonance imaging and high-resolution ultrasonography. High resolution ultrasonography has advantages over other modalities in term of patient comfort, availability, low cost compared to CT and MRI, in addition to its diagnostic potential; its ability to be performed in real time for correlation with the exact site of patient complaint, comparison with the other healthy side, dynamic evaluation, its high resolution and power Doppler evaluation of different lesions. Ultrasonography also shows no hazards of radiation exposure compared to CT and plain radiographs, and no contraindications compared to MRI studies as for patients with pace makers. The aim of our study was to evaluate degree of intermethod agreement between high resolution ultrasonography and MRI in assessment of rotator cuff pathologies. This study included 52 patients, ranging in age from 19 to 78-year-old. They were referred to a private center, during the period from june to november 2018. Those patients were examined by high resolution ultrasound and MRI. Summary and Conclusion 123 In our study, high resolution ultrasonography could successfully diagnose many patients with soft tissue lesions. The main limitations were the assessment of bone marrow, deep articular cartilage, and soft tissue Both modalities, ultrasound and MRI, has almost equivalent ability in the evaluation of superficial structures such as tendons. The proper choice between one of them is determined according to; availability, referring clinician and the presence of a well-trained operator. Ultrasound is superior to MRI in the evaluation of soft tissue abnormalities adjacent to hardware, and in the evaluation of abnormalities that require certain dynamic movement or positioning to provide a proper diagnosis |