Accuracy of Ultrasound Imaging of the Rotator Cuff in Shoulders That Are Painful Postoperatively

Prickett, William D.; Teefey, Sharlene A.; Galatz, Leesa M.; Calfee, Ryan P.; Middleton, William D.; Yamaguchi, Ken

doi:10.2106/00004623-200306000-00016

Cited by 212 publications

(130 citation statements)

References 12 publications

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“…Ultrasonography was used in this study to diagnose a rotator cuff tear because it is reliable and accurate for imaging preoperative and postoperative rotator cuff tears [13,17,18]. Teefey et al reported ultrasonography was 96% accurate, 100% sensitive, and 85% specific for diagnosing full-thickness rotator cuff tears when using arthroscopy as the gold standard [17].…”

Section: Discussionmentioning

confidence: 99%

Cigarette Smoking Increases the Risk for Rotator Cuff Tears

Baumgarten

Gerlach

Galatz

et al. 2010

Clinical Orthopaedics &Amp; Related Research

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195

128

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There is little available evidence regarding risk factors for rotator cuff tears. Cigarette smoking may be an important risk factor for rotator cuff disease. The purpose of this study was to determine if cigarette smoking correlates with an increased risk for rotator cuff tears in patients who present with shoulder pain. A questionnaire was administered to 586 consecutive patients 18 years of age or older who had a diagnostic shoulder ultrasound for unilateral, atraumatic shoulder pain with no history of shoulder surgery. Three hundred seventy-five patients had a rotator cuff tear and 211 patients did not. Data regarding cigarette smoking were obtained for 584 of 586 patients. A history of smoking (61.9% versus 48.3%), smoking within the last 10 years (35.2% versus 30.1%), mean duration of smoking (23.4 versus 20.2 years), mean packs per day of smoking (1.25 versus 1.10 packs per day), and mean packyears of smoking (30.1 versus 22.0) correlated with an increased risk for rotator cuff tear. We observed a dosedependent and time-dependent relationship between smoking and rotator cuff tears. We observed a strong association between smoking and rotator cuff disease. This may indicate smoking is an important risk factor for the development of rotator cuff tears.

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Section: Discussionmentioning

confidence: 99%

Cigarette Smoking Increases the Risk for Rotator Cuff Tears

Baumgarten

Gerlach

Galatz

et al. 2010

Clinical Orthopaedics &Amp; Related Research

Self Cite

195

128

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“…Our study has several limitations. First, although ultrasound is reliable in diagnosing subscapularis tendon tears [19,26,30,35], we performed no sonographic investigation to confirm the integrity of the subscapularis tendon. CT is not accurate enough to evaluate the tendon.…”

Section: Discussionmentioning

confidence: 99%

Subscapularis Release in Shoulder Replacement Determines Structural Muscular Changes

Wilde

Coninck

Neve

et al. 2012

Clinical Orthopaedics &Amp; Related Research

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Background Osteotomy of the lesser tuberosity in shoulder arthroplasty allows bony healing of the subscapularis tendon but does not prevent fatty degeneration in its muscle. Occurrence or increase in fatty degeneration may depend on the surgical technique. Questions/purposes We (1) assessed fatty degeneration in the subscapularis muscle and its cross-sectional area after a C-block osteotomy of the lesser tuberosity with minimal mobilization of the subscapularis muscle, and (2) determined whether this technique had any adverse effect on function, fatty degeneration, and cross-sectional area of the subscapularis muscle. Methods We retrospectively examined 36 patients with shoulder replacements who had C-block osteotomies. Constant-Murley scores and clinical signs of subscapularis insufficiency were recorded. We radiographically assessed prosthetic placement. On CT scans, lesser tuberosity healing, fatty degeneration, and cross-sectional area of the subscapularis muscle were determined. The minimum followup was 13 months (mean, 18 months; range, 13-33 months).

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“…The accuracy of this modality in our institution has been well documented [20][21][22]24 . The maximum anteroposterior dimension of the tear was measured in transverse views (perpendicular to the long axis of the cuff) and designated as the width of the tear.…”

Section: Shoulder Ultrasonographymentioning

confidence: 99%