ReviewOrthopaedic journal of sports medicine2020
Detecting Rotator Cuff Tears: A Network Meta-analysis of 144 Diagnostic Studies.
Review in Orthopaedic journal of sports medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
36 citing papers in PubMed, 2 syntheses or guidelines pooled it, 70 citations in OpenAlex.
- MRA improves sensitivity than MRI for the articular-sided partial-thickness rotator cuff tears.Science progress · 2021Pooled it
- Reliable diagnosis of posterosuperior rotator cuff tears requires a combination of clinical tests.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Pooled it
- Comparative effects of corticosteroid injection combined with mobilization vs. mobilization alone on pain, function, and radiological outcomes in university volleyball players with subacromial impingement syndrome: a prospective randomized controlled trial.Frontiers in sports and active living · 2026Trial
- Article
- Rotator Cuff Disorders: Practical Recommendations for Conservative Management Based on the Literature.Medicina (Kaunas, Lithuania) · 2026Review
- Diagnostic accuracy of ultrasound compared to magnetic resonance imaging for rotator cuff tears: a systematic review.International journal of burns and trauma · 2026Article
- The Frequency of Musculoskeletal Disorders and Nerve Entrapment Syndromes Around the Shoulder in a Cohort of Egyptian Patients.Current rheumatology reviews · 2026Article
- Pathophysiology of subacromial pain syndrome: contributions of rotator cuff-related factors and pain sensitization.Pain reports · 2025Article
- Developing a three-dimensional convolutional neural network for automated full-volume multi-tissue segmentation of the shoulder with comparisons to Goutallier classification and partial volume muscle quality analysis.Journal of shoulder and elbow surgery · 2025Article
- Article
- Direct MR arthrography without image guidance: a practical guide, joint-by-joint.Skeletal radiology · 2025Review
- Clinical application of ultrasound-guided magnetic resonance arthrography for the diagnosis of supraspinatus tendon tears.Quantitative imaging in medicine and surgery · 2024Article
- Review
- Pre-operative Assessment of Shoulder Pathologies on MRI by a Radiologist and an Orthopaedic Surgeon.Malaysian orthopaedic journal · 2024Article
- Rotator Cuff Tears: Correlation Between Clinical Examination, Magnetic Resonance Imaging and Arthroscopy.Cureus · 2024Article
- SSR white paper: guidelines for utilization and performance of direct MR arthrography.Skeletal radiology · 2024Review
- Possibility of diagnosing rotator cuff tears in areas with scarce medical resources: can non-standard anteroposterior radiographs accurately predict rotator cuff tears?Frontiers in medicine · 2024Article
- Advancements in the diagnosis and management of rotator cuff tears. The role of artificial intelligence.Journal of orthopaedics · 2024Review
- Three-dimensional sonography has satisfied accuracy for detecting rotator cuff tears.Frontiers in surgery · 2024Article
- Glenohumeral Pathologies following Primary Anterior Traumatic Shoulder Dislocation-Comparison of Magnetic Resonance Arthrography and Arthroscopy.Journal of clinical medicine · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMany imaging techniques have been developed for the detection of rotator cuff tears (RCTs). Despite numerous quantitative diagnostic studies, their relative accuracy remains inconclusive. PURPOSE: To determine which of 3 commonly used imaging modalities is optimal for the diagnosis of RCTs. STUDY
designSystematic review; Level of evidence, 4.
methodsStudies evaluating the performance of magnetic resonance imaging (MRI), magnetic resonance arthrography (MRA), and ultrasound (US) used in the detection of RCTs were retrieved from the PubMed/MEDLINE and Embase databases. Diagnostic data were extracted from articles that met the inclusion/exclusion criteria. A network meta-analysis was performed using an arm-based model to pool the absolute sensitivity and specificity, relative sensitivity and specificity, and diagnostic odds ratio as well as the superiority index for ranking the probability of these techniques.
resultsA total of 144 studies involving 14,059 patients (14,212 shoulders) were included in this network meta-analysis. For the detection of full-thickness (FT) tears, partial-thickness (PT) tears, or any tear, MRA had the highest sensitivity, specificity, and superiority index. For the detection of any tear, MRI had better performance than US (sensitivity: 0.84 vs 0.81, specificity: 0.86 vs 0.82, and superiority index: 0.98 vs 0.22, respectively). With regard to FT tears, MRI had a higher sensitivity and superiority index than US (0.91 vs 0.87 and 0.67 vs 0.28, respectively) and a similar specificity (0.88 vs 0.88, respectively). The results for PT tears were similar to the detection of FT tears. A sensitivity analysis was performed by removing studies involving only 1 arm for FT tears, PT tears, or any tear, and the results remained stable.
conclusionThis network meta-analysis of diagnostic tests revealed that high-field MRA had the highest diagnostic value for detecting any tear, followed by low-field MRA, high-field MRI, high-frequency US, low-field MRI, and low-frequency US. These findings can help guide clinicians in deciding on the appropriate imaging modality.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.