ArticleBMC medical imaging2018
Evaluation of the diagnostic performance of the simple method of computed tomography in the assessment of patients with shoulder instability: a prospective cohort study.
Article in BMC medical imaging, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- A Comparative Study on the Diagnostic Value of CTA and MRA in Anterior Dislocation of Shoulder.Computational and mathematical methods in medicine · 2022Article
- Overuse-related instability of the elbow: the role of CT-arthrography.Insights into imaging · 2021Review
- Role of Ultrasound in the Detection of Rotator-Cuff Syndrome: An Observational Study.Medical science monitor : international medical journal of experimental and clinical research · 2019Observational
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Authors and funding
5 authors.
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Abstract
backgroundPhysical examinations may reveal the instability of a glenohumeral joint but cannot diagnose the bony Bankart lesions. Soft tissue Bankart lesion cannot be visualized on traditional radiogram. Magnetic resonance images have high cost and availability issues. The purpose of the study was to access the diagnostic performance of the Computed Tomography (CT) in the assessment of patients with shoulder instability and to diagnose the Bankart and bony Bankart lesions.
methodsA total of 145 patients with shoulder instability were included in the study. Patients were subjected to clinical examination tests, traditional radiography, and CT. Two orthopedic surgeons, two engineers (trained in musculoskeletal imaging), and two physiotherapists have analyzed the radiological images, CT scans, and the clinical examination tests respectively. The Chi-square test or one-way ANOVA/ Dunnett Multiple comparisons test was performed at 99% of confidence level.
resultsSensitivity (0.972 ± 0.18 vs. 1, p = 0.11) and accuracy (0.942 ± 0.17 vs. 1, p < 0.0001, q = 3.88) for the clinical examination tests combining the traditional radiological images were same to CT. However, the clinical examination tests combining the traditional radiological images had more inconclusive results (5 vs. 1), false-positive results (6 vs. 5), and false negative results (4 vs. 1) than CT. The area that detects the Bankart and bony Bankart lesions at least one time for CT was higher than that of the clinical examination tests combining the traditional radiological images.
conclusionCT should be considered for evaluation in patients with shoulder instability and suspected Bankart and bony Bankart lesions.
trial registrationResearchregistry3990 dated 15 December 2014 ( www.researchregistry.com ).
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