The role of grey-scale ultrasound in the diagnosis of adhesive capsulitis of the shoulder: a systematic review and meta-analysis

Wu, Huaiyu; Tian, Hongtian; Dong, Fajin; Liang, Weiyu; Song, Di; Zeng, Jieying; Ding, Zhimin; Shi, Yang; Luo, Hui; Xu, Jinfeng

2020

10.11152/mu-2430

Medical Ultrasonography   影响因子和分区

1844-4172

2066-8643

Aims: In this systematic review and meta-analysis, we discuss the value of grey-scale ultrasonography (US) in diagnosing adhesive capsulitis of the shoulder (ACS). Material and methods: We retrieved relevant studies from PubMed, Cochrane Library, and Embase before 8 April 2019. We selected 7 studies concerning 446 patients (490 shoulders) that used grey-scale US to diagnose ACS and magnetic resonance imaging (MRI) or arthroscopy as the reference standard. We assessed the diagnostic accuracy of US on the basis of combined sensitivity, specificity, likelihood ratio (LR), and the area under the summary receiver operating characteristic (SROC) curve (AUC). Results: The combined sensitivity, specificity, positive LR and negitive LR were found to be 88% (95%CI: 74-95), 96% (95%CI: 88-99), 23.89 (95%0: 6.31-90.51) and 0.12 (95%CI: 0.05-0.29), respectively. The AUC was 0.97 (95%0: 0.96-0.98). ACS was diagnosed on the basis of four US features: coracohumeral ligament thickening, inferior capsule/axillary recess capsule thickening, rotator interval abnormality, and restriction of the ranee of motion, The corresponding sensitivities were 64.4 (95%CI: 48.8-78.1), 82.1 (95%CI: 73.8-88.7), 82.6 (95%CI: 74.1-89.2) and 94.3 (95%CI: 84.3-98.8), respectively, and specificities were 88.9 (95%CI: 76.0-96.3), 95.7 (95%CI: 90.3-98.6), 93.9 (95%CI: 89.8-96.7), and 90.9 (95%CI: 75.7-98.1), respectively. Conclusions: Our meta-analysis showed that grey-scale US plays a significant role in the diagnosis of ACS. Because of its high sensitivity and specificity, US can be added to the existing clinical diagnosis program.

ultrasound adhesive capsulitis shoulder systematic review meta-analysis

SCI

英语

第一 ; 通讯

National Natural Science Foundation of China[81771841] ; Commission of Scientific and Technology of Shenzhen[JCYJ20170307095706970]

Acoustics ; Radiology, Nuclear Medicine & Medical Imaging

Acoustics ; Radiology, Nuclear Medicine & Medical Imaging

WOS:000566715700008

SOC ROMANA ULTRASONOGRAFE MEDICINA BIOLOGIE-SRUMB

Web of Science

Southern Univ Sci & Technol, Dept Ultrasound, Affiliated Hosp 1,Shenzhen Peoples Hosp, Clin Coll 2,Jinan Univ,Shenzhen Med Ultrasound En, 1017 Dongmen North Rd, Shenzhen 518020, Guangdong, Peoples R China

Wu, Huaiyu,Tian, Hongtian,Dong, Fajin,et al. The role of grey-scale ultrasound in the diagnosis of adhesive capsulitis of the shoulder: a systematic review and meta-analysis[J]. Medical Ultrasonography,2020,22(3):305-312.

Wu, Huaiyu.,Tian, Hongtian.,Dong, Fajin.,Liang, Weiyu.,Song, Di.,...&Xu, Jinfeng.(2020).The role of grey-scale ultrasound in the diagnosis of adhesive capsulitis of the shoulder: a systematic review and meta-analysis.Medical Ultrasonography,22(3),305-312.

Wu, Huaiyu,et al."The role of grey-scale ultrasound in the diagnosis of adhesive capsulitis of the shoulder: a systematic review and meta-analysis".Medical Ultrasonography 22.3(2020):305-312.