The Archives of Bone and Joint Surgery

The Archives of Bone and Joint Surgery

Assessment of Correlation Between MRI and Arthroscopic Pathologic Findings in the Shoulder Joint

Document Type : RESEARCH PAPER

Authors
Omid Momenzadeh
Mohamad Gerami
Sepideh Sefidbakht
Sakineh Dehghani
Shiraz University of Medical Sciences, Chamran Hospital, Shiraz, Iran
10.22038/abjs.2015.4505
Abstract
 
Background: The objective of this study was to determine the diagnostic value of magnetic resonance imaging for shoulder joint pathologies and then compare the results with arthroscopy, the standard for joint diagnosis.
Methods: In this cross-sectional study, 80 patients with shoulder joint disorders, who underwent final arthroscopy, were studied. Based on patients’ medical history and physical examinations, shoulder MRI was requested if paraclinical investigations were. If non-surgical therapies failed, arthroscopy of the affected shoulder was done and the same structures were inspected. Subsequently, sensitivity, specificity, and positive and negative predictive values (PPV) and (NPV) of MRI were determined by arthroscopy comparisons.
Results: The highest sensitivity, specificity, PPV and NPV were found in MRI pathology reports that included: Hill-Sach lesion (0.910), infraspinatus tendon (0.985), supraspinatus tendon (0.930), and biceps tendon (0.954), respectively. Rotator interval (0.250), biceps labrum complex (0.805), subscapularis tendon (0.538) and anterior labrum lesions (0.604) had the lowest sensitivity, specificity, PPV and NPV, respectively.
Conclusion: The results showed that MRI can be a useful tool in ruling out possible abnormalities in the shoulder and to give clues to the most probable diagnosis. Although knowing some practical skills in order to successfully perform the procedure and experience of the radiologist with suitable feedback by surgeon is necessary.
Keywords
Arthroscopy
MRI
sensitivity
shoulder
specificity
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The Archives of Bone and Joint Surgery
Volume 3, Issue 4 - Serial Number 4
October 2015
Pages 286-290

  • Receive Date 22 February 2015
  • Revise Date 05 April 2015
  • Accept Date 27 June 2015