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Comment on: Comparison of the results of ultraso-nographic evaluation and arthroscopy in patients scheduled for surgery of the supraspinatus tendon rupture

Michel Kandel

From the Department of Physiotherapy, Physiotherapy Michel Kandel, Oberriet, SG, Switzerland

How to cite this article:

Kandel M. Comment on: Comparison of the results of ultraso-nographic evaluation and arthroscopy in patients scheduled for surgery of the supraspinatus tendon rupture. Ann Saudi Med 2017; 37(2): 170.

DOI: 10.5144/0256-4947.2017.170

With respect to the following article published in 2014 in Annals of Saudi Medicine:

Görmeli C, and others, “Comparison of the Results of Ultrasonographic Evaluation and Arthroscopy in Patients Scheduled for Surgery of the Supraspinatus Tendon Rupture” Ann Saudi Medicine, 34.6 (2014), 522-6 .

By recalculating the data of the ultrasonographic results compared to the arthroscopic diagnosis (the usual means of diagnosis, i.e., the gold standard), represented in Table 1 in the original article, a statistical failure was found. The sensitivity and specificity of the tendinosis, full, and partial thickness tears were mixed up, as seen in the 2×2 tables and calculations at the right. The calculation of the humeral degeneration in Table 2 in the original article was correctly calculated.

The corrected calculation of the sensitivity and specificity of tendinosis, full, and partial thickness tears are shown in the tables at the right. The corrections do not affect the conclusions and the high validity of the ultrasonographic findings for supraspinatus pathology can be confirmed. The specificity, however, is higher than the sensitivity for these findings. These findings correlate with other studies, which compared ultrasonography findings with a gold standard in supraspinatus disorders.1,2

Görmeli and colleagues declined to respond.



Tendinosis No tendinosis
Partial tendinosis 5 1 6
No partial tendinosis 2 42 44
Total 7 43 50



No partial 
Partial thickness tear 18 4 22
No partial thickness 
4 24 28
Total 22 28 50



Full thickness
No full
thickness tear
Full thickness tear 15 3 18
No full thickness 
2 30 32
Total 17 33 50




1. Lenza M, Buchbinder R, Takwoingi Y, Johnston R V, Hanchard NC, Faloppa F. Magnetic resonance imaging, magnetic resonance arthrography and ultrasonog-raphy for assessing rotator cuff tears in people with shoulder pain for whom sur-gery is being considered. Cochrane da-tabase Syst Rev. 2013;9(9):CD009020. doi:10.1002/14651858.CD009020.pub2.

2. Vlychou M, Dailiana Z, Fotiadou A, Pap-anagiotou M, Fezoulidis I V, Malizos KN. Symptomatic partial rotator cuff tears: di-agnostic performance of ultrasound and magnetic resonance imaging with surgical correlation. Acta radiol. 2009;50(1):101-105. doi:10.1080/02841850802600764.

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