<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2306-4102</journal-id>
<journal-title><![CDATA[Acta ortopédica mexicana]]></journal-title>
<abbrev-journal-title><![CDATA[Acta ortop. mex]]></abbrev-journal-title>
<issn>2306-4102</issn>
<publisher>
<publisher-name><![CDATA[Colegio Mexicano de Ortopedia y Traumatología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2306-41022024000500279</article-id>
<article-id pub-id-type="doi">10.35366/117375</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Correlación y concordancia diagnóstica entre la resonancia magnética nuclear y artroscopía en la ruptura del manguito rotador: un estudio de 10 años en el Centro Médico Naval]]></article-title>
<article-title xml:lang="en"><![CDATA[Correlation and diagnostic agreement between magnetic resonance imaging and arthroscopy in rotator cuff rupture: a 10-year study at the Naval Medical Center]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Nicolás-Piña]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Muñoz-Galguera]]></surname>
<given-names><![CDATA[RA]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Díaz-De-Jesús]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Naval Escuela de Postgrados en Sanidad Naval Secretaría de Marina, Armada de México]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Naval Escuela de Postgrados en Sanidad Naval Secretaría de Marina, Armada de México]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Naval Escuela de Postgrados en Sanidad Naval Secretaría de Marina]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2024</year>
</pub-date>
<volume>38</volume>
<numero>5</numero>
<fpage>279</fpage>
<lpage>284</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2306-41022024000500279&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2306-41022024000500279&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2306-41022024000500279&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  la artroscopía es el estándar de referencia para detectar rupturas del manguito rotador, pero su carácter invasivo limita su uso generalizado. La resonancia magnética nuclear (RMN) es una alternativa precisa. La correlación y concordancia diagnóstica entre la RMN y la artroscopía no es clara en población mexicana.  Material y métodos:  se incluyeron adultos con síndrome del manguito rotador que se sometieron a artroscopía y RMN de hombro. Los hallazgos se clasificaron en ruptura total (100%), ruptura parcial grado I (&lt; 50%), ruptura parcial grado II (&#8805; 50%) o sin ruptura. Se evaluó la correlación y concordancia diagnóstica entre la RMN y la artroscopía. Se calculó la exactitud, sensibilidad, especificidad, valor predictivo positivo (VPP) y valor predictivo negativo (VPN) de la RMN para diagnosticar rupturas del manguito rotador.  Resultados:  incluimos 147 pacientes con síndrome del manguito rotador. La RMN identificó rupturas en 83%, de las cuales 91.8% fueron confirmadas por artroscopía. La concordancia diagnóstica entre la artroscopía y RMN fue moderada (kappa = 0.452, p = 0.0001). De igual manera, la artroscopía y la RMN tuvieron una concordancia moderada para clasificar las rupturas parciales grado I, parciales grado II y totales (kappa = 0.412, p = 0.0001). Se evidenciaron correlaciones significativas en la detección de rupturas parciales grado I, parciales grado II y totales (rho = 0.77, p = 0.0001) entre la RMN y artroscopía.  Conclusiones:  la resonancia magnética nuclear y la artroscopía exhibieron una concordancia diagnóstica moderada (kappa = 0.452, p = 0.0001), junto con una correlación positiva fuerte (rho = 0.77, p = 0.0001), para la detección de rupturas en el manguito rotador, independientemente del grado de severidad.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  arthroscopy is the gold standard for detecting rotator cuff tears, but its invasive nature limits widespread use. Magnetic resonance imaging (MRI) serves as a precise alternative. The correlation and diagnostic agreement between MRI and arthroscopy are unclear in the Mexican population.  Material and methods:  adults with rotator cuff syndrome who underwent shoulder arthroscopy and MRI were included. Findings were classified as total tear (100%), partial tear grade I (&lt; 50%), partial tear grade II (&#8805; 50%), or no tear. Concordance and correlation between MRI and arthroscopy were evaluated. The accuracy, sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of MRI for diagnosing rotator cuff tears were calculated.  Results:  we included 147 patients with rotator cuff syndrome. MRI identified tears in 83%, of which 91.8% were confirmed by arthroscopy. Diagnostic agreement between arthroscopy and MRI was moderate (kappa = 0.452, p = 0.0001). Similarly, arthroscopy and MRI showed moderate agreement in classifying partial tears grade I, partial tears grade II, and complete tears (kappa = 0.412, p = 0.0001). Significant correlations were found in detecting partial tears grade I, partial tears grade II, and complete tears (rho = 0.77, p = 0.0001) between MRI and arthroscopy.  Conclusions:  magnetic Resonance Imaging (MRI) and arthroscopy demonstrated moderate diagnostic agreement (kappa = 0.452, p = 0.0001) along with a strong positive correlation (rho = 0.77, p = 0.0001) for detecting rotator cuff tears, regardless of severity.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[artroscopía]]></kwd>
<kwd lng="es"><![CDATA[manguito rotador]]></kwd>
<kwd lng="es"><![CDATA[resonancia magnética]]></kwd>
<kwd lng="es"><![CDATA[correlación]]></kwd>
<kwd lng="en"><![CDATA[arthroscopy]]></kwd>
<kwd lng="en"><![CDATA[rotator cuff]]></kwd>
<kwd lng="en"><![CDATA[magnetic resonance]]></kwd>
<kwd lng="en"><![CDATA[correlation]]></kwd>
</kwd-group>
</article-meta>
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