The Journal of Bone and Joint Surgery, Vol 68, Issue 3 440-450, Copyright © 1986 by Journal of Bone and Joint Surgery, Inc
Ultrasonographic evaluation of the rotator cuff and biceps tendon
WD Middleton, WR Reinus, WG Totty, CL Melson and WA Murphy
Ultrasonography of the rotator cuff and biceps tendon was investigated in
106 patients who had been referred for arthrography of the shoulder. Both
the sensitivity and the specificity of ultrasound in detecting a tear of
the rotator cuff were 91 per cent. The predictive value of a negative
sonogram was 95 per cent and the predictive value of a positive sonogram
was 84 per cent. Ultrasonography proved to be superior to arthrography in
the examination of the normal and abnormal biceps tendon. Sonographically
detectable effusions from the tendon sheath of the biceps were present in
19 per cent of this population of patients. This finding was statistically
highly associated (90 per cent) with rotator cuff tears and other
soft-tissue abnormalities of the shoulder. Based on these results, it
appears that ultrasonography can be used as the initial imaging test for
many patients with suspected abnormalities of the rotator cuff or biceps
tendon.