Orthopedics Book

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Shoulder Ultrasound

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  1. Indications
    1. Rotator Cuff Tear
  2. Advantages
    1. Much less expensive than MRI
    2. Much better tolerated than MRI
    3. High accuracy compared with MRI for Rotator Cuff Tear diagnosis
  3. Disadvantages
    1. Does not assess other shoulder structures (e.g. Shoulder labrum)
    2. Not yet widely accepted for rotator cuff evaluation
  4. Efficacy
    1. Accuracy is dependent on technician experience
    2. Greater accuracy than MRI for partial and full thickness Rotator Cuff Tears
      1. Test Sensitivity: 67% for partial thickness and 97 for full thickness tears
      2. Test Specificity: >93%
  5. References
    1. Burbank (2008) Am Fam Physician 77:453
    2. Dinnes (2003) Health Technol Assess 7:1

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