Musculoskeletal ultrasound (MSU) is frequently used by physical therapists and radiologists to improve specific diagnosis in rotator cuff related pathology. The evaluation of the rotator cable seems to be important as stabilizing structure when cuff tears occur.
To evaluate the inter-examiner agreement and reliability of MSU of the shoulder to detect rotator cuff-pathology and the involvement of the rotator cable in comparison to \"dissection\".
Physical therapists, a radiologist and an orthopedic surgeon (dissection) investigated 40 fresh frozen cadaver shoulders in order to detect shoulder pathology including rotator cable involvement. Examiners were blinded to each other\'s findings.
We found a strong and significant agreement between the raters: PTs, the radiologist and the dissector in this cadaver study for all rotator cuff, the long head of the biceps pathologies and in detecting abnormalities of the rotator cable. The kappa value was substantial to (almost) perfect agreement for all diagnostic outcome categories.
This study shows that among a limited group of physical therapists, one radiologist and a dissector a strong level of agreement with kappa values from substantial to (almost) perfect in finding subacromial pathology.
物理治疗师和放射科医师经常使用肌肉骨骼超声(MSU)来改善肩袖相关病理的特异性诊断。当袖带撕裂发生时,旋转器电缆的评估似乎作为稳定结构很重要。
与“解剖”相比,评估肩部MSU的检查者之间的一致性和可靠性,以检测肩袖病变和转子电缆的受累。
物理治疗师,放射科医生和整形外科医生(解剖)研究了40例新鲜冷冻尸体的肩膀,以检测包括旋转电缆受累在内的肩膀病理。审查员对彼此的发现视而不见。
我们在评分者之间发现了一个强大而重要的协议:PT,放射科医生和尸体解剖者研究了所有肩袖,二头肌病变的长头和检测旋转电缆的异常。对于所有诊断结果类别,kappa值实质上(几乎)完美一致。
这项研究表明,在一组有限的物理治疗师中,一名放射科医生和一名解剖人员在发现肩峰下病理时,与kappa值从实质到(几乎)完美的高度一致。