Shoulder arthroscopy: comparison of preoperative and intraoperative evaluations
Introduction: Magnetic resonance imaging (MRI) is a commonly used radiological technique for diagnosing rotator cuff and shoulder pathologies. Orthopedists usually evaluate the MRI findings themselves. Aim: This study aimed to assess the diagnostic consistency of MRI-written reports by rad...
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| Format: | Article |
| Language: | English |
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Pensoft Publishers
2025-04-01
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| Series: | Folia Medica |
| Online Access: | https://foliamedica.bg/article/147161/download/pdf/ |
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| author | Recep Öztürk Coşkun Ulucaköy Batuhan Ayhan Batuhan Yoğurt Yaman Karakoç |
| author_facet | Recep Öztürk Coşkun Ulucaköy Batuhan Ayhan Batuhan Yoğurt Yaman Karakoç |
| author_sort | Recep Öztürk |
| collection | DOAJ |
| description | Introduction: Magnetic resonance imaging (MRI) is a commonly used radiological technique for diagnosing rotator cuff and shoulder pathologies. Orthopedists usually evaluate the MRI findings themselves. Aim: This study aimed to assess the diagnostic consistency of MRI-written reports by radiologists in detecting impingement and rotator cuff damage in patients who undergo arthroscopic shoulder surgery. Methods: We conducted a retrospective analysis of surgical notes and preoperative MRI reports of patients who underwent shoulder arthroscopy due to shoulder pathology between January 2019 and June 2022 at our clinic. Patients with evidence of impingement or rotator cuff tear on clinical examination were included. MRI reports were compared with intraoperative findings to determine the presence of shoulder impingement and rotator cuff tear. Results: A total of 108 patients, 56 women and 52 men, with a mean age of 51 years, were included in the study. In surgical examinations of 37 patients in whom full-thickness rotator cuff tears were found on MRI reports, 27 had a full-thickness rotator cuff tear, and 10 had no rotator cuff tear requiring repair. In 27 of 51 patients who underwent rotator cuff tear repair, the full-thickness tear was reported on MRI, the partial tear was reported in 16, and the rotator cuff was intact in 8 cases. Impingement syndrome was reported in 73 of 90 patients who underwent total acromioplasty, and 34 of these patients also underwent rotator cuff repair. Conclusion: This study shows that the consistency of shoulder MRI reports written by radiologists is limited. While MRI provides valuable preliminary insights, its limitations in diagnostic accuracy necessitate corroboration with comprehensive clinical examinations and intraoperative findings. It is more appropriate for orthopedists to examine and interpret MR images and to decide on surgery based on the history, examination, and imaging findings. |
| format | Article |
| id | doaj-art-b28b8d7a877448c08921a7fb0b54dc23 |
| institution | OA Journals |
| issn | 1314-2143 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Pensoft Publishers |
| record_format | Article |
| series | Folia Medica |
| spelling | doaj-art-b28b8d7a877448c08921a7fb0b54dc232025-08-20T01:53:23ZengPensoft PublishersFolia Medica1314-21432025-04-016721510.3897/folmed.67.e147161147161Shoulder arthroscopy: comparison of preoperative and intraoperative evaluationsRecep Öztürk0Coşkun Ulucaköy1Batuhan Ayhan2Batuhan Yoğurt3Yaman Karakoç4Department of Orthopaedics and Traumatology, Dr Abdurrahman Yurtaslan Ankara Oncology Training and Research HospitalDepartment of Orthopaedics and Traumatology, Dr Abdurrahman Yurtaslan Ankara Oncology Training and Research HospitalDepartment of Orthopaedics and Traumatology, Dr Abdurrahman Yurtaslan Ankara Oncology Training and Research HospitalDepartment of Orthopaedics and Traumatology, Dr Abdurrahman Yurtaslan Ankara Oncology Training and Research HospitalDepartment of Orthopaedics and Traumatology, Dr Abdurrahman Yurtaslan Ankara Oncology Training and Research HospitalIntroduction: Magnetic resonance imaging (MRI) is a commonly used radiological technique for diagnosing rotator cuff and shoulder pathologies. Orthopedists usually evaluate the MRI findings themselves. Aim: This study aimed to assess the diagnostic consistency of MRI-written reports by radiologists in detecting impingement and rotator cuff damage in patients who undergo arthroscopic shoulder surgery. Methods: We conducted a retrospective analysis of surgical notes and preoperative MRI reports of patients who underwent shoulder arthroscopy due to shoulder pathology between January 2019 and June 2022 at our clinic. Patients with evidence of impingement or rotator cuff tear on clinical examination were included. MRI reports were compared with intraoperative findings to determine the presence of shoulder impingement and rotator cuff tear. Results: A total of 108 patients, 56 women and 52 men, with a mean age of 51 years, were included in the study. In surgical examinations of 37 patients in whom full-thickness rotator cuff tears were found on MRI reports, 27 had a full-thickness rotator cuff tear, and 10 had no rotator cuff tear requiring repair. In 27 of 51 patients who underwent rotator cuff tear repair, the full-thickness tear was reported on MRI, the partial tear was reported in 16, and the rotator cuff was intact in 8 cases. Impingement syndrome was reported in 73 of 90 patients who underwent total acromioplasty, and 34 of these patients also underwent rotator cuff repair. Conclusion: This study shows that the consistency of shoulder MRI reports written by radiologists is limited. While MRI provides valuable preliminary insights, its limitations in diagnostic accuracy necessitate corroboration with comprehensive clinical examinations and intraoperative findings. It is more appropriate for orthopedists to examine and interpret MR images and to decide on surgery based on the history, examination, and imaging findings.https://foliamedica.bg/article/147161/download/pdf/ |
| spellingShingle | Recep Öztürk Coşkun Ulucaköy Batuhan Ayhan Batuhan Yoğurt Yaman Karakoç Shoulder arthroscopy: comparison of preoperative and intraoperative evaluations Folia Medica |
| title | Shoulder arthroscopy: comparison of preoperative and intraoperative evaluations |
| title_full | Shoulder arthroscopy: comparison of preoperative and intraoperative evaluations |
| title_fullStr | Shoulder arthroscopy: comparison of preoperative and intraoperative evaluations |
| title_full_unstemmed | Shoulder arthroscopy: comparison of preoperative and intraoperative evaluations |
| title_short | Shoulder arthroscopy: comparison of preoperative and intraoperative evaluations |
| title_sort | shoulder arthroscopy comparison of preoperative and intraoperative evaluations |
| url | https://foliamedica.bg/article/147161/download/pdf/ |
| work_keys_str_mv | AT recepozturk shoulderarthroscopycomparisonofpreoperativeandintraoperativeevaluations AT coskunulucakoy shoulderarthroscopycomparisonofpreoperativeandintraoperativeevaluations AT batuhanayhan shoulderarthroscopycomparisonofpreoperativeandintraoperativeevaluations AT batuhanyogurt shoulderarthroscopycomparisonofpreoperativeandintraoperativeevaluations AT yamankarakoc shoulderarthroscopycomparisonofpreoperativeandintraoperativeevaluations |