Objective. To evaluate the supraspinatus muscle radiodensity on the outlet
view as an indication of a tendon tear.
Design and patients. Plain radiographs and magnetic resonance imaging (MRI)
examinations were obtained on both shoulders of 40 subjects aged 23-70 yea
rs, including 13 asymptomatic volunteers and 27 patients. Two readers analy
zed the superior contour and the heterogeneity of the supraspinatus muscle
radiodensity and compared them with the MRI findings.
Results and conclusion. Significant concordances (P<0.001) were found betwe
en the assessments of the superior contour and the heterogeneity of the mus
cle radiodensity, respectively, on plain radiographs and MR images. For the
diagnosis of a full-thickness tear, the analysis of the superior contour a
nd the heterogeneity of the muscle radiodensity reached an accuracy of 85%
and 80% respectively. Stepwise discriminant analyses showed low to moderate
benefit of considering the contour and the heterogeneity simultaneously. T
he inter- and intraobserver agreement ranged from moderate to good. We conc
lude that on the outlet view, modifications in the superior contour and het
erogeneity of the supraspinatus muscle radiodensity suggest a full-thicknes
s tear.