Background
Review
Identification and selection of studies
• Published as full-text article, published in English and languages for which a full translation could be obtained. |
• Human studies only (no cadaveric studies). |
• Index test: MSK-DUSI. |
• Target condition(s): musculoskeletal soft tissue pathology. |
• Reference tests: MRI, surgical findings (arthroscopy or open surgery), arthrography and electromyography or nerve conduction studies. |
• Interpreted by radiolo |
• Individual diagnostic studies not included in prior systematic review/meta-analysis. |
• Sufficient quantitative data provided (minimum: two-by-two tables) |
Data extraction and analysis
Accuracy summary tables
Data interpretation
Results
Shoulder
Identified clinical conditions of the shoulder | Relevant studies found (Yes/No) |
---|---|
Full thickness cuff tears | Y |
Partial thickness cuff tears | Y |
Bursitis | Y |
Calcific tendinitis (Supraspinatus and long head the biceps) | Y |
Rotator cuff tendinopathy (includes tendinitis and tendinosis) | Y |
Rotator cuff muscle atrophy | Y |
Subacromial impingement | Y |
Long head of biceps: tears | Y |
Long head of biceps: dislocation | Y |
Long head of biceps: tendinopathy \(includes tendinitis and tendinosis) | Y |
Adhesive capsulitis | N |
Pectoralis tears | N |
Deltoid tears | N |
Study | Target Condition | Number of studies (Systematic Review) | Subjects | Mean Age (years) | Mean time from injury to ultrasound | Ultrasound transducer frequency (MHz) | Ultrasound reviewers |
---|---|---|---|---|---|---|---|
Systematic Review | |||||||
Lenza et al., 2013 [65] | RC FTT/PTT | 10 | 654 | N/S | <1 year | 5.0 to 15 | RAD |
Smith et al., 2011 [66] | RC FTT/PTT | 62 | 6007 | 52.2 | 1 year | 5.0 to 13 | RAD and Non-RAD |
Ottenheijm et al., 2010 [67] | RC FTT/PTT; Bursitis; CT; RCT | 23 | 1377 | 52 | <3 months | >7.5 | RAD and Non-RAD |
Kelly et al., 2009 [64] | RC FTT/PTT | 67 | N/S | N/S | N/S | N/S | RAD and Non-RAD |
de Jesus et al., 2009 [63] | RC FTT/PTT | 65 | N/S | N/S | N/S | N/S | RAD |
Diagnostic Study | |||||||
Alavekios et al., 2013 [68] | RC FTT | - | 200 | N/S | N/S | 12 to 15 | Non-RAD |
Le Corroller et al., 2008 [69] | RC FTT/PTT; Bursitis; RCT; LHB | - | 65 | 52.4 | N/S | 5.0 to 12 | RAD |
Murphey et al., 2013 [49] | RC FTT | - | 156 | N/S | 1 day | 4.7 to 13 | RAD and Non-RAD |
Ok et al., 2013 [70] | RC FTT/PTT | - | 51 | N/S | N/S | 12 | Non-RAD |
Khoury et al., 2008 [72] | RC Atrophy | - | 39 | 61 | N/S | 5.0 to 12 | RAD |
Strobel et al., 2005 [75] | RC Atrophy | - | 65 | 53.1 | N/S | 7.5 to 9 | RAD |
Armstrong et al., 2006 [71] | LHB | - | 71 | 59 | N/S | 7.5 to 9 | RAD |
Read et al., 1998 [73] | LHB; Impingement | - | 42 | 44 | 8.8 weeks | 7.5 | RAD |
Skendzel et al., 2011 [74] | LHB | - | 66 | 55 | <6.5 months | 10 to 17 | RAD |
- | AC | - | - | - | - | - | - |
- | Pec/Delt Tears | - | - | - | - | - | - |
Target Condition | Study | Reference Standard | Sensitivity | Specificity | LR+ | LR- |
---|---|---|---|---|---|---|
Systematic Review | ||||||
RC FTT | Lenza 2013 [65] | Arthroscopy or open surgery | 0.92 | 0.93 | 13.1 | 0.09 |
Smith 2011 [66] | Arthroscopy or open surgery | 0.96 | 0.93 | 13.7 | 0.04 | |
Ottenheijm 2010 [67] | Arthroscopy or MRI | 0.95 | 0.96 | 23.8 | 0.05 | |
Kelly 2009 [64] | MRI | 0.87 | 0.96 | 21.8 | 0.14 | |
de Jesus 2009 [63] | Arthroscopy or open surgery | 0.92 | 0.94 | 16.5 | 0.08 | |
Diagnostic Study | ||||||
Alavekios 2013 [68] | MRI | 0.95 | 0.90 | 9.50 | 0.06 | |
Le Corroller 2008 [69] | MRA | 0.91 | 0.91 | 10.1 | 0.10 | |
Murphey 2013 [49] | Arthroscopy | 0.90 | 0.97 | 30.0 | 0.10 | |
Ok 2013 [70] | Arthroscopy | 0.80 | 0.86 | 5.71 | 0.23 | |
Systematic Review | ||||||
RC PTT | Lenza 2013 [65] | Arthroscopy or open surgery | 0.52 | 0.93 | 7.43 | 0.52 |
Smith 2011 [66] | Arthroscopy or open surgery | 0.84 | 0.89 | 7.64 | 0.18 | |
Ottenheijm 2010 [67] | Arthroscopy or MRI | 0.72 | 0.93 | 10.3 | 0.30 | |
Kelly 2009 [64] | MRI | 0.67 | 0.94 | 11.2 | 0.35 | |
de Jesus 2009 [63] | Arthroscopy or open surgery | 0.67 | 0.94 | 11.2 | 0.35 | |
Diagnostic Study | ||||||
Le Corroller 2008 [69] | MRA | 0.71 | 0.98 | 35.5 | 0.30 | |
Ok 2013 [70] | Arthroscopy | 0.46 | 0.75 | 1.84 | 0.72 | |
Systematic Review | ||||||
Bursitis | Ottenheijm 2010 [67] | Arthroscopy or MRI | 0.79–0.81 | 0.94–0.98 | 12.8–41.5 | 0.20–0.22 |
Diagnostic Study | ||||||
Le Corroller 2008 [69] | MRA | 0.96 | 0.90 | 9.60 | 0.04 | |
Systematic Review | ||||||
CT | Ottenheijm 2010 [67] | Arthroscopy or MRI | 1.00 | 0.85–0.98 | 6.5–51.8 | 0.02–0.06 |
Systematic Review | ||||||
RCT | Ottenheijm 2010 [67] | Arthroscopy or MRI | 0.67–0.93 | 0.88–1.00 | 5.73–41.5 | 0.07–0.38 |
Diagnostic Study | ||||||
Le Corroller 2008 [69] | MRA | 0.89 | 0.96 | 22.3 | 0.12 | |
RC atrophy | Khoury 2008 [72] | MRI | 0.84 | 1.00 | - | 0.16 |
Strobel 2005 [75] | MRI | 0.78 | 0.81 | 4.11 | 0.27 | |
Subacromial impingement | Read 1998 [73] | Clinical Diagnosis | 0.97 | 0.63 | 2.62 | 0.05 |
LHB | ||||||
Full rupture | Armstrong 2006 [71] | Arthroscopy | 1.00 | 1.00 | - | - |
Le Corroller 2008 [69] | MRA | 0.86 | 0.98 | 43.0 | 0.14 | |
Read 1998 [73] | Arthroscopy | 0.75 | 1.00 | - | 0.25 | |
Skendzel 2011 [74] | Arthroscopy | 0.88 | 0.98 | 44.0 | 0.12 | |
Dislocation | Armstrong 2006 [71] | Arthroscopy | 0.96 | 1.00 | - | 0.04 |
Le Corroller 2008 [69] | MRA | 0.86 | 0.98 | 43.0 | 0.14 | |
Read 1998 [73] | Arthroscopy | 1.00 | 1.00 | - | - | |
Tendinitis | Le Corroller 2008 [69] | MRA | 0.86 | 0.98 | 43.0 | 0.14 |
Read 1998 [73] | Arthroscopy | 1.00 | 1.00 | - | - |
Target Condition | Recommendation |
---|---|
Tendons and soft tissue | Grade |
Calcific Tendinitis | 3 |
Full thickness rotator cuff tears | 3 |
LHB: dislocation | 3 |
LHB: full thickness tears | 3 |
LHB: tendinitis | 3 |
Rotator cuff tendinopathy | 3 |
Subacromial bursitis | 3 |
Partial thickness rotator cuff tears | 2 |
Rotator cuff atrophy | 2 |
Subacromial Impingement | 2 |
Adhesive capsulitis | Unknown |
Deltoid tears | Unknown |
LHB: partial thickness tears | Unknown |
Pectoralis tears | Unknown |
Elbow
Identified clinical conditions of the elbow | Relevant studies found (Yes/No) |
---|---|
Cubital tunnel syndrome | Y |
Lateral epicondylalgia (itis/osis) | Y |
Medial epicondylalgia (itis/osis) | Y |
Biceps tendon injury | Y |
Ulnar nerve subluxation | N |
Radial nerve compression | N |
Median nerve entrapment/pronator syndrome | N |
Lateral collateral ligament injury | N |
Medial collateral ligament injury | N |
Triceps tendon injury | N |
Bursitis | N |
Study | Target Condition | Number of studies (Systematic Review) | Subjects | Mean Age (years) | Mean time from injury to ultrasound | Ultrasound transducer frequency (MHz) | Ultrasound reviewers |
---|---|---|---|---|---|---|---|
Systematic Review | |||||||
Beekman et al., 2003 [80] | UNN/CTS | 7 | 542 | 39.2 | N/S | 5.0 to 12 | RAD and Non-RAD |
Dones et al., 2014 [76] | LE | 7 | 211 | 50 | >6 weeks | 5.0 to 15 | RAD and Non-RAD |
Diagnostic Study | |||||||
Lobo et al., 2013 [78] | BTI | - | 45 | 44 | 34.5 days | 6.0 to 17.5 | RAD |
Park et al., 2008 [79] | ME | - | 18 | 50 | 17.6 months | 7.5 to 15 | RAD |
- | UNS | - | - | - | - | - | - |
- | RNC | - | - | - | - | - | - |
- | MNE/PS | - | - | - | - | - | - |
- | LCL | - | - | - | - | - | - |
- | MCL | - | - | - | - | - | - |
- | Bursitis | - | - | - | - | - | - |
- | TTI | - | - | - | - | - | - |
Target Condition | Study | Reference Standard | Sensitivity | Specificity | LR+ | LR- |
---|---|---|---|---|---|---|
Systematic Review | ||||||
UNN/CTS | Beekman 2003 [80] | EMG or NCS | 0.46–1.00 | 0.71–0.97 | 2.88–14.3 | 0.00–0.64 |
LE | Dones 2014 [76] | Clinical Diagnosis | 0.64 | 0.82 | 3.56 | 0.44 |
Diagnostic Study | ||||||
ME | Park 2008 [79] | Clinical Diagnosis | 0.95 | 0.92 | 11.9 | 0.05 |
BTI | ||||||
Full Rupture | Lobo 2013 [78] | Clinical Diagnosis or open surgery | 0.95 | 0.71 | 3.28 | 0.07 |
Target Condition | Recommendation |
---|---|
Tendons and soft tissue | |
Medial epicondylalgia | 3 |
Lateral epicondylalgia | 3 |
BTI: full thickness tears | 2 |
BTI: partial thickness tears | Unknown |
Bursitis | Unknown |
LCL and MCL injury | Unknown |
Triceps tendon injury | Unknown |
Nerves | |
Cubital tunnel syndrome | 2 |
Median nerve entrapment | Unknown |
Radial nerve compression | Unknown |
Ulnar nerve subluxation | Unknown |
Wrist/hand
Identified clinical conditions of the wrist/hand | Relevant Studies Found (Yes/No) |
---|---|
Carpal tunnel syndrome | Y |
Ligament Injury | Y |
de Quervains | Y |
Ganglion Cyst | Y |
Guyons canal neuropathy | N |
Wartenberg syndrome | N |
Intersection syndrome | N |
Rugby/Jersey finger | N |
Trigger finger | N |
Tendinopathy (other) | N |
Study | Target Condition | Number of studies (Systematic Review) | Subjects | Mean Age (years) | Mean time from injury to ultrasound | Ultrasound transducer frequency (MHz) | Ultrasound reviewers |
---|---|---|---|---|---|---|---|
Systematic Review | |||||||
Cartwright et al., 2012 [81] | CTS | 45 | 1450 | N/S | N/S | N/S | RAD and Non-RAD |
Descatha et al., 2012 [82] | CTS | 13 | 456 | N/S | N/S | 3.0 to 13 | RAD and Non-RAD |
Roll et al., 2011 [83] | CTS | 23 | 890 | 48 | N/S | 5.0 to 18 | RAD and Non-RAD |
Beekman et al., 2003 [80] | CTS | 7 | 268 | N/S | N/S | 7.0 to 10 | RAD and Non-RAD |
Diagnostic Study | |||||||
Deniz et al., 2012 [84] | CTS | - | 54 | 46 | N/S | 10 | RAD |
Kim et al., 2012 [85] | CTS | - | 135 | 53 | N/S | N/S | N/S |
Moghtaderi et al., 2012 [86] | CTS | - | 79 | 43 | N/S | 10 to 13 | RAD |
Ooi et al., 2014 [87] | CTS | - | 51 | 55 | N/S | 5.0 to 17 | Non-RAD |
Tajika et al., 2013 [88] | CTS | - | 79 | 58.6 | N/S | 6.0 to 14 | Non-RAD |
Chuter et al., 2009 [90] | Ligament Injury | - | 127 | 40 | N/S | N/S | N/S |
Dao et al., 2004 [91] | Ligament Injury | - | 32 | 29 | N/S | 5.0 to 10 | RAD |
Finlay et al., 2004 [92] | Ligament Injury | - | 26 | 34 | N/S | 9.0 to 13 | RAD |
Hergan et al., 1995 [93] | Ligament Injury | - | 17 | N/S | N/S | N/S | N/S |
Melville et al., 2013 [96] | Ligament Injury | - | 26 | 40 | 33 days | 10 to 17 | RAD |
Taljanovic et al., 2008 [98] | Ligament Injury | - | 16 | 36.4 | <12 months | 9.0 to 12 | RAD |
Choi et al., 2011 [89] | DQ | - | 13 | 52.4 | 19 months | 5.0 to 17 | RAD |
Kwon et al., 2010 [95] | DQ | - | 40 | 51 | 7.5 months | 12 to 15 | RAD |
Kuwano et al., 2009 [94] | Ganglion | - | 183 | N/S | N/S | 8.5 | N/S |
Osterwalder et al., 1997 [97] | Ganglion | - | 83 | N/S | N/S | 7.5 | RAD |
- | Guyons canal | - | - | - | - | - | - |
- | WS | - | - | - | - | - | - |
- | Rugby/jersey finger | - | - | - | - | - | - |
- | Trigger Finger | - | - | - | - | - | - |
- | IS | - | - | - | - | - | - |
- | T (O) | - | - | - | - | - | - |
Target Condition | Study | Reference Standard | Sensitivity | Specificity | LR+ | LR- |
---|---|---|---|---|---|---|
Systematic Review | ||||||
CTS | Cartwright 2012 [81] | Clinical and NCS | 0.65–1.00 | 0.50–0.98 | 1.66–48.5 | 0.00–0.38 |
Descatha 2012 [82] | Clinical and NCS | 0.84 | 0.78 | 3.82 | 0.21 | |
Roll 2011 [83] | Clinical and NCS | 0.29 to 1.00 | 0.47 to 1.00 | 1.89–∞ | 0.00–0.71 | |
Beekman 2003 [80] | NCS | 0.70–0.88 | 0.57–0.96 | 1.70–27.3 | 0.13–0.48 | |
Diagnostic Study | ||||||
Deniz 2012 [84] | Clinical and NCS | 0.84 | 0.79 | 4.00 | 0.20 | |
Kim 2012 [85] | Clinical and NCS | 0.89 | 0.90 | 8.90 | 0.12 | |
Moghtaderi 2012 [86] | Clinical and NCS | 0.83 | 0.91 | 9.22 | 0.19 | |
Ooi 2014 [87] | NCS | 0.92 | 0.90 | 9.20 | 0.09 | |
Tajika 2013 [88] | NCS | 1.00 | 0.99 | 100 | - | |
Ligament Injury | ||||||
UCL (displaced) | Chuter 2009 [90] | Surgical Findings | 0.92 | N/S | - | - |
Hergan 1995 [93] | MRI | 0.88 | 0.83 | 5.18 | 0.15 | |
Melville 2013 [96] | Surgical Findings | 1.00 | 1.00 | - | - | |
UCL (non-displaced) | Hergan 1995 [93] | MRI | 0.88 | 0.91 | 9.78 | 0.13 |
Melville 2013 [96] | Surgical Findings | 1.00 | 1.00 | - | - | |
Scapholunate | Dao 2004 [91] | Arthroscopy | 0.46 | 1.00 | - | 0.54 |
Finley 2004 [92] | Arthrography | 1.00 | 1.00 | - | - | |
Taljanovic 2008 [98] | MRA | 1.00 | 0.92 | 12.5 | - | |
Lunotriquetral | Finley 2004 [92] | Arthrography | 0.25 | 1.00 | - | 0.75 |
Taljanovic 2008 [98] | MRA | 0.50 | 0.90 | 5.00 | 0.56 | |
TFCC | Finley 2004 [92] | Arthrography | 0.64 | 1.00 | - | 0.36 |
Taljanovic 2008 [98] | MRA | 0.86 | 1.00 | - | 0.14 | |
de Quervains | Choi 2011 [89] | Surgical Findings | 1.00 | N/S | - | - |
Kwon 2010 [95] | Surgical Findings | 1.00 | 0.96 | 25.0 | - | |
Ganglion Cyst | Kuwano 2010 [94] | Surgical Findings | 0.39 | 1.00 | - | 0.61 |
Osterwalder 1997 [97] | Histology and surgical findings | 0.93 | 0.86 | 6.64 | 0.08 |
Target Condition | Recommendation |
---|---|
Tendons and soft tissue | Grade |
de Quervains | 3 |
Ganglion cyst | 3 |
Lunotriquetral ligament injury | 2 |
Ulnar collateral ligament (displaced) | 2 |
Ulnar collateral ligament (non-displaced) | 2 |
Scapholunate ligament injury | 1 |
TFCC injury | 1 |
Intersection syndrome | Unknown |
Rugby/jersey finger | Unknown |
Trigger finger | Unknown |
Other tendinopathy | Unknown |
Nerves | |
Carpal tunnel syndrome | 2 |
Guyons canal neuropathy | Unknown |
Wartenberg syndrome | Unknown |
Hip
Identified clinical conditions of the hip | Relevant Studies Found (Yes/No) |
---|---|
Muscle/tendon injury (gluteal, psoas, hamstrings, quadriceps) | Y |
Bursitis (trochanteric, iliopsoas) | Y |
Meralgia paresthetica | Y |
Snapping hip syndrome (extra-articular) | N |
Sciatica | N |
Femoral nerve injury | N |
Study | Target Condition | Number of studies (Systematic Review) | Subjects | Mean Age (years) | Mean time from injury to ultrasound | Ultrasound transducer frequency (MHz) | Ultrasound reviewers |
---|---|---|---|---|---|---|---|
Systematic Review | |||||||
Westacott et al., 2011 [99] | Muscle/Tendon Injury | 7 | N/S | N/S | N/S | 7.5 to 18 | RAD |
Diagnostic Study | |||||||
Fearon et al., 2010 [100] | Bursitis | - | 24 | 56 | 33.8 months | 7.0 | N/S |
Suh et al., 2013 [101] | LFC/MP | - | 23 | 46 | 4 months | 5.0 to 12 | Non-RAD |
- | Sciatica | - | - | - | - | - | - |
- | Femoral Nerve | - | - | - | - | - | - |
- | Snapping hip (E) | - | - | - | - | - | - |
Target Condition | Study | Reference Standard | Sensitivity | Specificity | LR+ | LR- |
---|---|---|---|---|---|---|
Systematic Review | ||||||
Gluteal Tendon Tear | Westacott 2011 [99] | MRI | 0.79–1.00 | 0.95–1.00 | 15.8–∞ | 0.00–0.21 |
Diagnostic Study | ||||||
Trochanteric bursitis | Fearon 2010 [100] | Surgical findings and histology | 0.69 | 1.00 | - | 0.31 |
LFC/MP | Suh 2013 [101] | Clinical and NCS | 0.96 | 0.96 | 24.0 | 0.04 |
Target Condition | Recommendation |
---|---|
Tendons and soft tissue | Grade |
Gluteal tendon tears | 3 |
Trochanteric bursitis | 2 |
Iliopsoas bursitis | Unknown |
Psoas/hamstring/quadriceps injury | Unknown |
Snapping hip syndrome (extra-articular) | Unknown |
Nerves | |
Meralgia paresthetica | 3 |
Femoral nerve injury | Unknown |
Sciatica (causes) | Unknown |
Knee
Identified clinical conditions of the knee | Relevant studies found (Yes/No) |
---|---|
Quadriceps tendon injury | Y |
Patella tendon injury | Y |
Popliteus tendon injury | Y |
Anterior cruciate ligament injury | Y |
Lateral collateral ligament injury | Y |
Plica syndrome | Y |
Baker’s cyst | Y |
Meniscal tears | Y |
Meniscal cyst | Y |
Common peroneal neuropathy | Y |
Bursitis | N |
Ganglion | N |
Iliotibial band friction syndrome | N |
Hoffer’s fat pad syndrome | N |
Retinacula pathology | N |
Medial collateral ligament injury | N |
Posterior cruciate ligament injury | N |
Hamstring injury | N |
Gastrocnemius injury | N |
Study | Target Condition | Number of studies (Systematic Review) | Subjects | Mean Age (years) | Mean time from injury to ultrasound | Ultrasound transducer frequency (MHz) | Ultrasound reviewers |
---|---|---|---|---|---|---|---|
Diagnostic Study | |||||||
Bianchi et al., 1994 [104] | Tendinopathy/Tear | - | 29 | 41 | N/S | 7.5 | RAD |
Garrick et al., 2008 [107] | Tendinopathy/Tear | - | 63 | N/S | N/S | 10 to 14 | RAD |
Sekiya et al., 2010 [114] | Tendinopathy/Tear; Ligament Injury | - | 16 | N/S | N/S | 10 to 14 | RAD |
Warden et al., 2007 [120] | Tendinopathy/Tear | - | 30 | 27 | N/S | 10 to 14 | RAD |
Ward et al., 2001 [119] | Baker’s Cyst | - | 36 | 46 | 78 days | 7.0 to 10 | RAD |
Derks et al., 1986 [105] | Plica syndrome | - | 38 | N/S | N/S | 7.5 | RAD |
Paczesny et al., 2009 [110] | Plica Syndrome | - | 88 | 20 | 6 months | 12 | Non-RAD |
Fuchs et al., 2002 [106] | Ligament Injury | - | 193 | N/S | N/S | 10 to 14 | RAD |
Khan et al., 2006 [108] | Ligament Injury; Meniscal Tear | - | 60 | 35 | N/S | 7.5 | RAD |
Ptasznik et al., 1995 [112] | Ligament Injury | - | 37 | 27 | 3.3 weeks | 7.5 | RAD |
Skovgaard et al., 2000 [116] | Ligament Injury | - | 62 | 29.2 | 9 days | 7.0 | RAD |
Alizadeh et al., 2013 [102] | Meniscal Tear | - | 37 | 43.5 | N/S | 14 | RAD |
Azzoni et al., 2002 [103] | Meniscal Tear | - | 216 | 27.5 | N/S | 7.5 to 10 | RAD |
Najafi et al., 2006 [109] | Meniscal Tear | - | 100 | N/S | N/S | 6.5 | RAD |
Park et al., 2008 [79] | Meniscal Tear | - | 22 | 50.4 | N/S | 7.5 to 15 | RAD |
Shetty et al., 2008 [115] | Meniscal Tear | - | 35 | 47 | N/S | 5.0 to 13 | RAD |
Wareluk et al., 2012 [121] | Meniscal Tear | - | 80 | 36.2 | <1 month | 6.0 to 12 | Non-RAD |
Rutten et al., 1998 [113] | Meniscal cyst/Meniscal Tear | - | 50 | 51 | N/S | 7.5 | N/S |
Sorrentino et al., 2007 [117] | Meniscal cyst | - | 104 | 43 | N/S | 7 to 12 | RAD |
Visser et al., 2013 [118] | Nerve Injury | - | 103 | 53 | 5 weeks | 7 to 18 | N/S |
- | Bursitis | - | - | - | - | - | - |
- | Ganglion | - | - | - | - | - | - |
- | ITB friction | - | - | - | - | - | - |
- | HFPS | - | - | - | - | - | - |
- | Retinacula | - | - | - | - | - | - |
Target Condition | Study | Reference Standard | Sensitivity | Specificity | LR+ | LR- |
---|---|---|---|---|---|---|
Tendinopathy/Tear | Diagnostic Study | |||||
Full QTT | Bianchi 1994 [104] | Surgical Findings | 1.00 | 1.00 | - | - |
Patella Tendinopathy | Garrick 2008 [107] | Clinical and MRI | 0.87 | 0.79 | 4.14 | 0.16 |
Warden 2007 [120] | Clinical and MRI | 0.87 | 0.82 | 4.83 | 0.16 | |
Popliteus Tear | Sekiya 2010 [114] | Surgical Findings | 0.67 | 0.75 | 2.68 | 0.44 |
Ligament Injury | ||||||
Full ACL Tear | Fuchs 2002 [106] | MRI | 0.91 | 0.80 | 4.55 | 0.11 |
Khan 2006 [108] | MRI and Arthroscopy | 0.79 | 1.00 | - | 0.21 | |
Ptasznik 1995 [112] | Arthroscopy | 0.91 | 1.00 | - | 0.09 | |
Skovgaard 2000 [116] | Arthroscopy | 0.88 | 0.98 | - | - | |
Partial ACL Tear | Khan 2006 [108] | MRI and Arthroscopy | 0.00 | 0.00 | - | - |
LCL | Sekiya 2010 [114] | Surgical Findings | 0.33 | 1.00 | -. | 0.67 |
Plica Syndrome | Derks 1986 [105] | Arthroscopy | 0.92 | 0.73 | 3.41 | 0.11 |
Paczesny 2009 [110] | Arthroscopy | 0.90 | 0.83 | 5.29 | 0.12 | |
Baker’s Cyst | Ward 2001 [119] | MRI | 1.00 | 1.00 | - | - |
Meniscal Tear | ||||||
Medial Meniscus | Alizadeh 2013 [102] | MRI | 0.83 | 0.71 | 2.86 | 0.24 |
Azzoni 2002 [103] | MRI | 0.60 | 0.21 | 0.76 | 1.90 | |
Khan 2006 [108] | MRI and Arthroscopy | 0.93 | 0.93 | 13.3 | 0.08 | |
Najafi 2006 [109] | Arthroscopy | 1.00 | 0.95 | 20 | 0.00 | |
Park 2008 [79] | MRI | 0.86 | 0.85 | 5.73 | 0.16 | |
Rutten 1998 [113] | Surgical Findings | 0.82 | 0.75 | 3.29 | 0.24 | |
Shetty 2008 [115] | MRI | 0.86 | 0.69 | 2.77 | 0.20 | |
Wareluk 2012 [121] | Arthroscopy | 0.93 | 0.73 | 3.44 | 0.10 | |
Lateral Meniscus | Khan 2006 [108] | MRI and Arthroscopy | 0.88 | 1.00 | - | 0.12 |
Najafi 2006 [109] | Arthroscopy | 0.93 | 1.00 | - | 0.07 | |
Park 2008 [79] | MRI | 0.86 | 0.85 | 5.73 | 0.16 | |
Rutten 1998 [113] | Surgical Findings | 0.82 | 0.75 | 3.29 | 0.24 | |
Wareluk 2012 [121] | Arthroscopy | 0.67 | 0.96 | 16.8 | 0.34 | |
Meniscal Cyst | Rutten 1998 [113] | Surgical Findings | 0.97 | 0.86 | 6.93 | 0.03 |
Sorrentino 2007 [117] | MRI | 0.94 | 1.00 | - | 0.06 | |
Nerve Injury | ||||||
Common Peroneal Neuropathy | Visser 2013 [118] | NCS | 0.90 | 0.69 | 2.90 | 0.14 |
Target Condition | Recommendation |
---|---|
Tendons and soft tissue | Grade |
Full thickness quadriceps tendon tears | 3 |
Patella tendinopathy | 3 |
Baker’s Cyst | 2 |
Medial patella plica syndrome | 2 |
Meniscal cyst | 2 |
Ganglion cyst | Unknown |
Hamstring/ITB/gastrocnemius injury | Unknown |
Hoffa’s fat pad syndrome | Unknown |
Pes anserinus tendinobursitis | Unknown |
Internal knee derangement and associated injury | |
Full ACL tears | 0a
|
Partial ACL tears | 0 |
Medial meniscus tears | 0a
|
Lateral meniscus tears | 0a
|
LCL injury | 0a
|
Popliteal injury | 0a
|
MCL injury | Unknown |
PCL injury | Unknown |
Nerves | |
Common peroneal neuropathy | 2 |
Ankle/foot
Identified clinical conditions of the ankle/foot | Relevant studies found (Yes/No) |
---|---|
Plantaris tendon injury | Y |
Plantar plate injury | Y |
Peroneal tendon injury | Y |
Achilles tendon injury | Y |
Posterior tibial tendon injury | Y |
Anterior talofibular ligament injury | Y |
Posterior talofibular ligament injury | Y |
Calcaneofibular ligament injury | Y |
Deltoid ligament injury | Y |
Syndesmotic injury | Y |
Morton’s neuroma | Y |
Anterolateral impingement | Y |
Peroneal subluxation | Y |
Plantar fasciitis | Y |
Tarsal tunnel syndrome | N |
Bursitis | N |
Retinacula pathology | N |
Ganglion | N |
Tibialis anterior injury | N |
Gastrocnemius tears | N |
Study | Target Condition | Number of studies (Systematic Review) | Subjects | Mean Age (years) | Mean time from injury to ultrasound | Ultrasound transducer frequency (MHz) | Ultrasound reviewers |
---|---|---|---|---|---|---|---|
Diagnostic Study | |||||||
Bianchi et al., 2011 [122] | Tendinopathy/Tear | - | 5 | 47.2 | 8 days | 12.5 to 17.5 | RAD |
Carlson et al., 2013 [123] | Tendinopathy/Tear | - | 8 | 51.9 | N/S | N/S | RAD and Non-RAD |
Grant et al., 2005 [127] | Tendinopathy/Tear | - | 58 | 45.2 | 11.2 months | 11 to 15 | RAD |
Gregg et al., 2006 [128] | Tendinopathy/Tear | - | 52 | 57 | N/S | 11 | RAD and Non-RAD |
Hartgerink et al., 2001 [131] | Tendinopathy/Tear | - | 26 | 40 | N/S | 7.5 to 12 | RAD |
Kainberger et al., 1990 [134] | Tendinopathy/Tear | - | 73 | 38 | N/S | 5.0 to 10 | N/S |
Kalebo et al., 1992 [135] | Tendinopathy/Tear | - | 37 | 35 | N/S | 7.5 | RAD |
Kayser et al., 2005 [137] | Tendinopathy/Tear | - | 13 | N/S | N/S | 7.5 | RAD |
Klein et al., 2012 [138] | Tendinopathy/Tear | - | 42 | N/S | N/S | 15 to 16 | Non-RAD |
Klein et al., 2013 [139] | Tendinopathy/Tear | - | 50 | N/S | N/S | 15 to 16 | Non-RAD |
Nallamshetty et al., 2005 [144] | Tendinopathy/Tear | - | 18 | 61 | N/S | 10 | Non-RAD |
Premkumar et al., 2002 [149] | Tendinopathy/Tear | - | 31 | 43 | N/S | 10 | RAD |
Rockett et al., 1998 [150] | Tendinopathy/Tear | - | 28 | N/S | N/S | 7.5 to 10 | RAD |
Waitches et al., 1998 [156] | Tendinopathy/Tear | - | 33 | N/S | N/S | 7.5 to10 | RAD |
Cheng et al., 2014 [124] | Ligament Injury | - | 120 | 32 | 2.2 years | 5.0 to 17 | RAD |
Guillodo et al., 2010 [129] | Ligament Injury | - | 56 | 30.1 | 7.6 months | 5.0 to 12 | Non-RAD |
Gun et al., 2013 [130] | Ligament Injury | - | 65 | 34 | N/S | 7.5 | Non-RAD |
Henari et al., 2011 [132] | Ligament Injury | - | 12 | 41 | <2 days | N/S | Non-RAD |
Hua et al., 2012 [133] | Ligament Injury | - | 83 | N/S | N/S | 7.5 | RAD |
Margetic et al., 2012 [141] | Ligament Injury | - | 30 | N/S | 1 week | 7.0 to 15 | RAD |
Mei-Dan et al., 2009 [143] | Ligament Injury | - | 47 | 27 | 12 days | 7.5 to 12 | RAD |
Oae et al., 2010 [146] | Ligament Injury | - | 34 | 29 | 1 week | 9.0 | Non-RAD |
van Dijk et al., 1996 [155] | Ligament Injury | - | 160 | N/S | <1 week | N/S | RAD |
Fazal et al., 2012 [126] | Morton’s Neuroma | - | 47 | 46 | N/S | 5.0 t o12 | RAD |
Kankanala et al., 2007 [136] | Morton’s Neuroma | - | 48 | 52.6 | N/S | 13.5 | RAD |
Lee et al., 2007 [140] | Morton’s Neuroma | - | 17 | 48.6 | N/S | 9.0 | RAD |
Oliver et al., 1998 [147] | Morton’s Neuroma | - | 37 | 49.6 | N/S | 7.5 | RAD |
Pastides et al., 2012 [148] | Morton’s Neuroma | - | 36 | 43.8 | N/S | N/S | N/S |
Sharp et al., 2003 [152] | Morton’s neuroma | - | 25 | 52 | 8 months | 12 | RAD |
Sobiesk et al., 1997 [153] | Morton’s Neuroma | - | 20 | N/S | N/S | 7.5 | RAD |
Torres-Claramunt et al., 2012 [154] | Morton’s Neuroma | - | 37 | 60.6 | N/S | 7.5 to 9.0 | RAD |
Cochet et al., 2010 [125] | Impingement | - | 41 | 32 | N/S | 5.0 to 12 | RAD |
McCarthy et al., 2008 [142] | Impingement | - | 17 | 32 | 14 months | 5.0 to 12 | RAD |
Neustadter et al., 2004 [145] | Peroneal Subluxation | - | 13 | 30.4 | N/S | 12 to 13 | Non-RAD |
Sabir et al., 2005 [151] | Plantar Fasciitis | - | 77 | 45.9 | N/S | 6.0 to 9.0 | RAD |
- | TTS | - | - | - | - | - | - |
- | Bursitis | - | - | - | - | - | - |
- | Retinacula | - | - | - | - | - | - |
- | Ganglion | - | - | - | - | - | - |
Target Condition | Study | Reference Standard | Sensitivity | Specificity | LR+ | LR- |
---|---|---|---|---|---|---|
Diagnostic Study | ||||||
Tendinopathy/Tear | ||||||
Plantaris Tendon Tear | Bianchi 2011 [122] | MRI | 1.00 | 1.00 | - | - |
Plantar Plate Tear | Carlson 2013 [123] | Surgical Findings | 1.00 | 0.60 | 2.50 | - |
Gregg 2006 [128] | MRI | 0.86 | 0.64 | 2.39 | 0.22 | |
Klein 2013 [139] | MRI | 0.91 | 0.25 | 1.21 | 0.36 | |
Klein 2012 [138] | MRI | 0.92 | 0.25 | 1.23 | 0.32 | |
Peroneal Tendon Tear | Grant 2005 [127] | Surgical Findings | 1.00 | 0.85 | 6.67 | - |
Waitches 1998 [156] | Surgical Findings | 1.00 | 0.79 | 4.76 | - | |
Achilles Tendinopathy | Hartgerink 2001 [131] | Surgical Findings | 1.00 | 0.83 | 5.88 | - |
Kainberger 1990 [134] | Clinical and MRI | 0.72 | 0.83 | 4.24 | 0.34 | |
Kalebo 1992 [135] | Surgical Findings | 0.94 | 1.00 | - | 0.06 | |
Kayser 2005 [137] | MRI | 0.50 | 0.81 | 2.63 | 0.62 | |
Posterior Tibial Tendinopathy | Nallamshetty 2005 [144] | MRI | 0.78 | 1.00 | - | 0.22 |
Premkumar 2002 [149] | MRI | 0.80 | 0.90 | 8.00 | 0.22 | |
Rockett 1998 [150] | Surgical Findings | 1.00 | 0.90 | 10.0 | - | |
Waitches 1998 [156] | Surgical Findings | 1.00 | 1.00 | - | - | |
Ligament Injury | ||||||
ATF | Cheng 2014 [124] | Surgical Findings | 0.99 | 0.96 | 24.8 | 0.01 |
Guillodo 2010 [129] | Arthrography | 0.85 | 1.00 | - | 0.15 | |
Gun 2013 [130] | MRI | 0.94 | 1.00 | - | 0.06 | |
Hua 2012 [133] | Surgical Findings | 0.98 | 0.92 | 12.3 | 0.02 | |
Margetic 2012 [141] | MRI | 1.00 | 1.00 | - | - | |
Oae 2010 [146] | Surgical Findings | 1.00 | 0.33 | 1.49 | - | |
van Dijk 1996 [155] | Arthrography | 0.92 | 0.64 | 2.56 | 0.13 | |
PTF | Cheng 2014 [124] | Surgical Findings | 1.00 | 1.00 | - | - |
CF | Cheng 2014 [124] | Surgical Findings | 0.94 | 0.91 | 10.4 | 0.07 |
Margetic 2012 [141] | MRI | 1.00 | 1.00 | - | - | |
Deltoid | Henari 2011 [132] | Arthrography | 1.00 | 1.00 | - | - |
Syndesmotic | Mei-Dan 2009 [143] | MRI | 1.00 | 1.00 | - | - |
Morton’s Neuroma | Fazal 2012 [126] | Surgical Findings | 0.96 | 1.00 | - | 0.04 |
Kankanla 2007 [136] | Surgical and Histology | 0.91 | 1.00 | - | 0.09 | |
Lee 2007 [140] | Surgical Findings | 0.79 | 1.00 | - | 0.21 | |
Oliver 1998 [147] | Surgical and Histology | 0.96 | 1.00 | - | 0.04 | |
Pastides 2012 [148] | Surgical Findings | 0.90 | 1.00 | - | 0.10 | |
Sharp 2003 [152] | Surgical and Histology | 0.79 | 1.00 | - | 0.21 | |
Sobiesk 1997 [153] | Surgical Findings | 1.00 | 0.83 | 5.88 | - | |
Torres-Claramunt 2012 [154] | Surgical and Histology | 0.57 | 1.00 | - | 0.43 | |
Anterolateral Impingement | Cochet 2010 [125] | Arthrography | 0.77 | 0.57 | 1.79 | 0.40 |
McCarthy 2008 [142] | Surgical Findings | 1.00 | 1.00 | - | - | |
Peroneal Subluxation | Neustadter 2004 [145] | Surgical Findings | 1.00 | 1.00 | - | - |
Plantar Fasciitis | Sabir 2005 [151] | MRI | 0.80 | 0.89 | 7.27 | 0.22 |
Target Condition | Recommendation |
---|---|
Tendons and soft tissue | Grade |
Anterior talofibular ligament injury | 3 |
Calcaneofibular ligament injury | 3 |
Peroneal tendon tears | 3 |
Peroneal subluxation | 3 |
Posterior tibial tendinopathy | 3 |
Plantaris Tendon tears | 3 |
Plantar fasciitis | 3 |
Achilles tendinopathy | 2 |
Deltoid ligament injury | 2 |
Plantar plate tears | 2 |
Syndesmotic Injury | 2 |
Anterolateral ankle impingement | 0 |
Posterior talofibular ligament injury | 0 |
Bursitis | Unknown |
Ganglion cyst | Unknown |
Retinaculum pathology | Unknown |
Tibialis anterior tendinopathy | Unknown |
Nerves | |
Morton’s neuroma | 2 |
Tarsal tunnel syndrome | Unknown |