Dead men anti radiologists don't lie: a review of cadaveric and radiological studies of rotator cuff tear prevalence
Dead men anti radiologists don't lie: a review of cadaveric and radiological studies of rotator cuff tear prevalence
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DOI：
10.1308/003588406x94968
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发表时间：
2006-03-01
影响因子：
1.4
通讯作者：
Emery, R. J. H.
中科院分区：
文献类型：
--
作者：
Reilly, P.;Macleod, I.;Emery, R. J. H.
引言肩袖撕裂是一种常见的病理学，有不同的患病率reported.PPATIENTS和方法：进行文献综述，以确定尸体放射超声和磁共振成像（MRI）的肩袖撕裂的患病率。影像学研究分为有症状和无症状subjects.Results尸体肩袖撕裂被发现在4629肩，其中只有2553符合纳入标准。全层撕裂发生率为11.75%，部分撕裂发生率为18.49%，总撕裂发生率为30.24%。超声无症状组总撕裂率为38.9%，超声有症状组为41.4%。MRI无症状总发生率为26.2%，MRI有症状总发生率为49.4%。有症状和无症状放射学组之间的撕裂患病率是可以预期的。然而，在MRI无症状组中，旋转袖撕裂的放射学患病率超过了尸体。肩关节放射学检查中显示的撕裂可能无症状。肩关节的影像学表现与临床表现的相关性是很重要的。
INTROUCTION Rotator cuff tears are a common pathology with a varied prevalence reported.PPATIENTS AND METHODS: A literature review was undertaken to determine the cadaceric radiological ultrasonography and magnetic resonance imaging (MRI) prevalence of rotatator cuff tears. The radiological studies were subdivided into symptomatic and asymptomatic subjects.RESULTS Cadaverte rotator cuff tears were found in 4629 shoulders of which only 2553 met the inclusion criteria. The prevalence of full thickness tears was 11.75% and partial thickness 18.49% (total tears 30.24%). The total tear rate in ultrasound asymptomatic was 38.9% and ultrasound symptomatic 41.4%. The total rate in MRI asymptomatic was 26.2% whilst MRI symptomatic was 49.4%.DISCUSSION The unselected cadeveric population should contain both symptomatic and asymptomatic subjects. A prevalence of tears between the symptomatic and asymptomatic radiological groups would be expected. However, aprt from the MRI asymptomatic group, the radiological prevalence of rotar cuff tears exceeds the cadaveric.CONCLUSION Rotar cuff tears are frequently asymptomatic. Tears demonstrated during radiological investigation of the shoulder may be asymptomatic. It is important to correlate radiological and clinical findings in the shoulder.