Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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Comparative Study of MR-arthrography and Arthroscopy in Partial Thickness Rotator Cuff Tears

회전근 개 부분 파열에서 자기공명 관절조영술과 관절경 소견의 비교 연구

  • Kwon, Oh-Soo (Department of Orthopaedic Surgery, Daejeon St. Mary's Hospital, The Catholic University of Korea) ;
  • Park, Sang-Eun (Department of Orthopaedic Surgery, Daejeon St. Mary's Hospital, The Catholic University of Korea) ;
  • Shin, Eun-Su (Department of Orthopaedic Surgery, Daejeon St. Mary's Hospital, The Catholic University of Korea)
  • 권오수 (가톨릭대학교 의과대학 정형외과학교실 대전성모병원) ;
  • 박상은 (가톨릭대학교 의과대학 정형외과학교실 대전성모병원) ;
  • 신은수 (가톨릭대학교 의과대학 정형외과학교실 대전성모병원)
  • Published : 2009.06.15
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Abstract

Purpose: The purpose of this study was to assess the efficacy of MR arthrography to detect partial thickness rotator cuff tears. Materials and Methods: One hundred and seventy seven patients with a high suspicion for rotator cuff disease were studied by performing MR-arthrography and subsequent arthroscopy. The ability of MR-arthrography to detect partial thickness tears was evaluated according to the location of the tears. We determined the correspondence between the measurements of the articular side partial tears on MR arthrography and those on the arthroscopic findings. Results: The arthroscopic diagnosis of partial thickness rotator cuff tears was divided into 3 groups according to their location. There were 63 cases on the articular side, 41 cases on the bursal side and 20 cases on both sides. The sensitivity of MR-arthrography was 82% for the articular side tears and 11% for the bursal tears. The specificity was 88% for the articular side tears and 100% for the bursal tears. MR-arthrographic measurement correctly predicted 72% in 28 repaired cases of 56 articular side partial thickness tears. Conclusions: MR-arthrography may be a reliable tool for diagnosing articular side partial thickness rotator cuff tears, but it has limitations for bursal side tears.

목적: 회전근 개 부분 파열에 대한 정확한 진단을 위해서는 영상검사가 필수적이다. 이 논문의 목적은 자기공명 관절조영술과 관절경 소견을 비교하여 자기공명 관절조영술의 회전근 개 부분 파열에 대한 진단능력을 평가하는 데에 있다. 대상 및 방법: 신체 검사상 회전근 개 질환으로 의심되어 자기공명 관절조영술 및 관절경 수술이 시행된 177예의 환자를 대상으로 하였다. 파열의 자기공명 관절조영술 소견과 관절경 소견을 비교하여 회전근 개 파열의 위치에 따른 자기공명 관절조영술의 진단 능력을 평가하였다. 관절면 회전근개 부분 파열의 크기에 대한 일치도를 구하였다. 결과: 파열의 위치에 따라 관절면, 점액낭측 및 양면 파열의 3 군으로 분류하였으며 각각 56예, 26예, 17예였다. 자기공명 관절조영술은 관절면 회전근 개 부분 파열에 대한 민감도 82%, 특이도 88%를 보였으며 점액낭측 파열인 경우에는 민감도 11%, 특이도100%를 보였다. 관절면 회전근개 부분 파열의 크기에 대한 자기공명 관절조영술 소견과 관절경 소견의 일치도는 72%였다. 결론: 자기공명 관절조영술은 관절면 회전근 개 부분 파열의 진단에는 유용하나 점액낭측 파열의 진단에는 한계가 있었다.

Keywords

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