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Journal of Bone and Joint Surgery - British Volume, Vol 87-B, Issue 6, 824-828.
doi: 10.1302/0301-620X.87B6.15836  
Copyright © 2005 by British Editorial Society of Bone and Joint Surgery
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Accuracy of CT arthrography in the assessment of tears of the rotator cuff

C. Charousset, MD, Orthopaedic Surgeon1; L. Bellaïche, MD, Radiologist1; L. D. Duranthon, MD, Orthopaedic Surgeon1; and J. Grimberg, MD, Orthopaedic Surgeon1

1 A. F. T. S., 60 rue de Courcelles, 75008 Paris, France.

Correspondence should be sent to Dr C. Charousset; e-mail: c.charousset{at}lafts.com

CT arthrography and arthroscopy were used to assess tears of the rotator cuff in 259 shoulders. Tear size was determined in the frontal and sagittal planes according to the classification of the French Arthroscopy Society.

CT arthrography had a sensitivity of 99% and a specificity of 100% for the diagnosis of tears of supraspinatus. For infraspinatus these figures were 97.44% and 99.52%, respectively and, for subscapularis, 64.71% and 98.17%. For lesions of the long head of the biceps, the sensitivity was 45.76% and the specificity was 99.57%.

Our study showed an excellent correlation between CT arthrography and arthroscopy when assessing the extent of a rotator cuff tear. CT arthrography should, therefore, be an indispensable part of pre-operative assessment. It allows determination of whether a tear is reparable (retraction of the tendon and fatty degeneration of the corresponding muscle) and whether this is possible by arthroscopy (degree of tendon retraction and extension to subscapularis).






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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General