Investigations

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Orthopaedics

Rotator cuff tears

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calcification where the cuff inserts on the greater tuberosity is commonly seen in chronic tendinitis

erosion of the acromium process and a high riding humeral head may be seen in a long standing tear

osteoarthritis of the acromioclavicular joint - common finding in older patients



MRI - effective for visualising inflammation and tears

arthroscopy - permits diagnosis and treatment

ultrasound and MRI scanning are the two most useful investigations in diagnosis of rotator cuff impingement pathology

1) Arthritis Research Campaign (2010). Topical reviews - managing rotator cuff tears.

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	Sensitivity (%)	Specificity (%)
Clinical Examination	90	50
Ultrasound	85	92
Magnetic resonance imaging	86	90
Magnetic resonance arthrography	92	97

Investigations

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