Diagnostic accuracy of MRI for detection of tears and instability of proximal long head of biceps tendon: an evaluation of 100 shoulders compared with arthroscopy

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art_BAPTISTA_Diagnostic_accuracy_of_MRI_for_detection_of_tears_2019.PDF (1.7 MB)
Citações na Scopus
17
Tipo de produção
article
Data de publicação
2019
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
SPRINGER
Autores
ALVARENGA, Daniel
Citação
SKELETAL RADIOLOGY, v.48, n.11, p.1723-1733, 2019
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Objective To evaluate the diagnostic accuracy of magnetic resonance imaging (MRI) for detection of instability and tears of the proximal long head of biceps tendon (LHBT). To assess intraobserver and interobserver agreement. Materials and methods We performed a retrospective analysis of prospectively collected data of 100 consecutive shoulders who underwent non-contrast 1.5-T MRI prior to arthroscopic surgery due to rotator cuff injury. Images were independently analyzed by two musculoskeletal radiologists. LHBT was evaluated for presence of tearing (intact, longitudinal split, partial-thickness, or full-thickness) and position (normal, subluxated, and dislocated). Anterosuperior rotator cuff tears were also assessed. The reference standard was arthroscopic surgery. The ramp test was performed in order to evaluate LHBT stability. Diagnostic performance measures were determined and Kappa coefficients assessed agreement. Results Concerning the detection of overall tears, sensitivity ranged from 71 to 73% and specificity was 73%. The specificity for full-thickness tears ranged from 75 to 96%. Overall displacement showed sensitivity ranging from 51 to 58% and specificity ranging from 70 to 86%. The specificity of overall displacement combined with anterosuperior rotator cuff tears ranged from 73 to 91%. Interobserver Kappa values were between 0.59 and 0.69. Intraobserver Kappa values were between 0.74 and 0.82. Conclusions MRI has moderate accuracy and good agreement for detection of LHBT tears and instability. There is a tendency for increased specificity for full-thickness tears and for instability in the coexistence of anterosuperior rotator cuff tears.
Palavras-chave
MRI, Long head of biceps tendon, Tendon tears, Instability, Diagnostic accuracy
URI
https://observatorio.fm.usp.br/handle/OPI/33978
Referências
  1. Ahrens PM, 2007, J BONE JOINT SURG BR, V89B, P1001, DOI 10.1302/0301-620X.89B8
  2. Alpantaki K, 2005, J BONE JOINT SURG AM, V87A, P1580, DOI 10.2106/JBJS.D.02840
  3. Baumann B, 2008, J SHOULDER ELB SURG, V17, P14, DOI 10.1016/j.jse.2007.04.011
  4. Beall DP, 2003, AM J ROENTGENOL, V180, P633, DOI 10.2214/ajr.180.3.1800633
  5. Bennett WF, 2001, ARTHROSCOPY, V17, P107, DOI 10.1053/jars.2001.21024
  6. Borrero CG, 2018, SKELETAL RADIOL, V47, P203, DOI 10.1007/s00256-017-2783-6
  7. Braun S, 2011, AM J SPORT MED, V39, P790, DOI 10.1177/0363546510393942
  8. Buck FM, 2009, AM J ROENTGENOL, V193, P1367, DOI 10.2214/AJR.09.2738
  9. Creech MJ, 2016, KNEE SURG SPORT TR A, V24, P2156, DOI 10.1007/s00167-014-3383-9
  10. de Jesus JO, 2009, AM J ROENTGENOL, V192, P1701, DOI 10.2214/AJR.08.1241
  11. De Maeseneer M, 2012, EUR J RADIOL, V81, P934, DOI 10.1016/j.ejrad.2011.01.121
  12. Dubrow SA, 2014, OPEN ACCESS J SPORTS, V5, P81, DOI 10.2147/OAJSM.S58225
  13. Festa A, 2014, ARTHROSCOPY, V30, P1413, DOI 10.1016/j.arthro.2014.05.044
  14. Gaskin CM, 2009, SKELETAL RADIOL, V38, P959, DOI 10.1007/s00256-009-0720-z
  15. Gilmer BB, 2015, ARTHROSCOPY, V31, P29, DOI 10.1016/j.arthro.2014.07.025
  16. Habermeyer P, 2002, ROTATORENINTERVALL L, P333
  17. Holtby R, 2004, ARTHROSCOPY, V20, P231, DOI 10.1016/j.arthro.2004.01.008
  18. Houtz CG, 2011, J SHOULDER ELB SURG, V20, P537, DOI 10.1016/j.jse.2011.01.003
  19. Jung JY, 2009, SKELETAL RADIOL, V38, P659, DOI 10.1007/s00256-009-0660-7
  20. Kang Y, 2017, SKELETAL RADIOL, V46, P1335, DOI 10.1007/s00256-017-2669-7
  21. Knaut LA, 2010, REV BRAS REUMATOL, V50, P176, DOI 10.1590/S0482-50042010000200007
  22. Kuhn JE, 2007, AM J SPORT MED, V35, P437, DOI 10.1177/0363546506298108
  23. LANDIS JR, 1977, BIOMETRICS, V33, P159, DOI 10.2307/2529310
  24. Lee RW, 2016, SKELETAL RADIOL, V45, P1705, DOI 10.1007/s00256-016-2501-9
  25. Lenza M, 2013, COCHRANE DB SYST REV, V24, P9
  26. Malavolta EA, 2015, EUR J RADIOL, V84, P2250, DOI 10.1016/j.ejrad.2015.07.031
  27. Mohtadi NG, 2004, J SHOULDER ELB SURG, V13, P258, DOI 10.1016/j.jse.2004.01.003
  28. Morag Y, 2012, MAGN RESON IMAGING C, V20, P229, DOI 10.1016/j.mric.2012.01.012
  29. Motley GS, 2002, ARTHROSCOPY, V18, P1, DOI [10.1053/jars.2002.36465, DOI 10.1053/JARS.2002.36465]
  30. Oku Elaine Cristina, 2006, Rev. Bras. Reumatol., V46, P246, DOI 10.1590/S0482-50042006000400003
  31. Omoumi P, 2012, RADIOLOGY, V264, P812, DOI 10.1148/radiol.12112062
  32. Razmjou H, 2016, J SHOULDER ELB SURG, V25, P38, DOI 10.1016/j.jse.2015.06.020
  33. Skendzel JG, 2011, AM J ROENTGENOL, V197, P942, DOI 10.2214/AJR.10.5012
  34. Smith TO, 2012, MAGN RESON IMAGING, V20, P336, DOI 10.1016/j.mri.2011.12.008
  35. Spritzer CE, 2001, SKELETAL RADIOL, V30, P199, DOI 10.1007/s002560100334
  36. Tadros AS, 2015, SKELETAL RADIOL, V44, P1263, DOI 10.1007/s00256-015-2152-2
  37. Taylor SA, 2015, ARTHROSCOPY, V31, P215, DOI 10.1016/j.arthro.2014.10.017
  38. TUCKMAN GA, 1994, AM J ROENTGENOL, V163, P1183, DOI 10.2214/ajr.163.5.7976897
  39. Walch G, 1994, J Shoulder Elbow Surg, V3, P353, DOI 10.1016/S1058-2746(09)80020-7
  40. Watson ST, 2017, ARTHROSCOPY, V33, P1928, DOI 10.1016/j.arthro.2017.05.009
  41. Weishaupt D, 1999, INVEST RADIOL, V34, P463, DOI 10.1097/00004424-199907000-00004
  42. Williams Jr, 1997, J Am Acad Orthop Surg, V5, P97
  43. Yamaguchi K, 1999, DISORDERS SHOULDER D
  44. Zanetti M, 1998, AM J ROENTGENOL, V170, P1557, DOI 10.2214/ajr.170.6.9609174

Coleções
Artigos e Materiais de Revistas Científicas - FM/MDR
Artigos e Materiais de Revistas Científicas - HC/InRad
Artigos e Materiais de Revistas Científicas - HC/IOT
Artigos e Materiais de Revistas Científicas - LIM/41
Artigos e Materiais de Revistas Científicas - LIM/44