The Journal of Bone and Joint Surgery, Vol 73, Issue 5 704-706, Copyright © 1991 by Journal of Bone and Joint Surgery, Inc
Evaluation of degenerative lesions of the rotator cuff. A comparison of arthrography and ultrasonography
GW Misamore and C Woodward
Methodist Sports Medicine Center, Indianapolis, Indiana 46202.
A prospective study was performed to determine the accuracy of arthrography
compared with ultrasonography in the evaluation of thirty-two patients who
had a degenerative lesion of the rotator cuff. Both tests were done
preoperatively, and the condition of the rotator cuff was determined
intraoperatively. Arthrography was accurate in the diagnosis of
twenty-eight (87 per cent) of the thirty-two patients (twenty who had a
full-thickness tear, seven who had a partial-thickness tear, and five who
had an untorn rotator cuff and tendinitis), while ultrasonography was
diagnostic in only twelve (37 per cent). In this specific population of
patients, arthrography was found to be superior to ultrasonography.