<b>Association of Biceps Tendon Tears with Rotator Cuff  Abnormalities:</b> Degree of Correlation with Tears of the Anterior and  Superior Portions of the Rotator Cuff

Beall, Douglas P.; Williamson, Eric E.; Ly, Justin Q.; Adkins, Mark C.; Emery, Robert L.; Jones, Thomas Peter; Rowland, Charles M.

doi:10.2214/ajr.180.3.1800633

Cited by 139 publications

(89 citation statements)

References 16 publications

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“…[1][2][3]10,13,14 This study demonstrates that by using such a technique, only a mean of 30 to 33 mm (28%-32%) of tendon can be seen, which is at the lower end of previously described technical reports using this technique. 4,8 When these data are further analyzed, it is apparent that the additional excursion with this technique is only 6 mm (lateral decubitus position range, 2-12 mm) and 9 mm (beach-chair position range, 2-14 mm) of the extra-articular portion of the tendon.…”

Section: Discussionmentioning

confidence: 47%

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Shoulder arthroscopy does not adequately visualize pathology of the long head of biceps tendon

Old

Saithna

Longo

et al. 2017

Journal of Shoulder and Elbow Surgery

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Section: Discussionmentioning

confidence: 47%

“…9,11,16,22 This also implies that published figures for sensitivities and specificities of common physical examination tests and imaging modalities based on arthroscopy as a gold standard are invalid. [1][2][3]10,13 It would therefore be appropriate for further research to revisit these values based on open exploration to obtain valid data.…”

Section: Discussionmentioning

confidence: 99%

Shoulder arthroscopy does not adequately visualize pathology of the long head of biceps tendon

Old

Saithna

Longo

et al. 2017

Journal of Shoulder and Elbow Surgery

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“…Tüm incelemelerde TSE T1 aksiyel, TSE T2 aksiyel, GRE 3D WATS-c aksiyel, TSE T2 oblik koronal, TSE T1 oblik koronal ve GRE 3D WATS-f oblik koronal sekanslar (5,8).…”

Section: Gereç Ve Yöntemlerunclassified

“…Tendon lokalizasyonunun boş olması veya tendonda retraksiyon olması tam kat yırtık olarak kabul edildi. Biseps tendonu uzun başı, tendon oluğunda veya oluk dışında olarak gruplandırıldı (5,8).…”

Section: Gereç Ve Yöntemlerunclassified

To Compare the Diagnostic Consistency of Shoulder MRI and Shoulder US after Rotator Cuff Repair

Altay¹,

Özkan²,

Karci³

et al. 2014

Turk J Phys Med Rehab

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ÖzetAmaç: Ultrasonografi (US) ve manyetik rezonans görüntüleme (MRG) rotator kılıfı görüntülemede yaygın olarak kullanılan radyolojik yöntemlerdir. Bu çalışmada amacımız, rotator kılıf hasarı nedeni ile omuz cerrahisi geçiren olgularda US ve MRG'nin tanısal tutarlılıklarını karşılaştırmaktır. Gereç ve AbstractObjective: Ultrasonography (US) and magnetic resonance imaging (MRI) are widely used radiological methods for the evaluation of the rotator cuff. Our purpose is to compare the accuracy of US and MRI in the diagnosis of rotator cuff injuries that underwent shoulder surgery. Material and Methods: A total of 24 patients who had undergone rotator cuff repair surgery were evaluated by MRI and US examinations. The study group included 5 men and 19 women, aged 36-72 years, who had undergone rotator cuff repair in the last 10-20 months. All individuals were right-sided. The right shoulder was operated on in 16 patients, and the left one was operated on in the rest. All patients were evaluated by physical examination, functional Constant test, shoulder MRI, and US. Results:The supraspinatus tendon could be demonstrated on MRI in 19 of 24 patients. Of these 19 subjects, 8 had tears. In 11 of 19 patients, the supraspinatus tendon was normal. US showed partial thickness tears in 10 and full thickness tears in 6 of 24 patients. US revealed the rotator cuff as normal in 8 patients. The infraspinatus tendon could be identified by MRI in 20 of 24 patients. Of these 20 patients, 17 had intact and 3 had tears of the infraspinatus tendon. US showed partial thickness tears in 4 and full thickness tears in 1 of 24 patients. US revealed the rotator cuff as normal in 19 patients. The mean Constant score value was 90.4 in the functional test. Increased glenohumeral joint fluid was seen in 20 and acromioclavicular joint fluid was seen in 6 of 24 patients. Conclusion: Our results indicate that MRI and US findings are in strong consistency (kappa means, 0.75) in the evaluation of patients who had surgical repair of rotator cuff injury. US is the preferred imaging method in the evaluation of the supraspinatus, infraspinatus, and biceps tendons on follow-up of these patients.

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“…These may cause persistent pain and loss of function of the shoulder. Even though tendon pathologies are seen in isolation, there is a greater incidence together with other intra-articular diseases such as rotator cuff diseases, SLAP lesions and instability [5][6][7]. In recent years, the opinion has emerged that LHBT disorders are an important source of shoulder pain [8,9].…”

Section: Introductionmentioning

confidence: 99%

Are we over-treating biceps tendon disorders?

Pehlivan¹,

Pehlivan²,

İmren³

et al. 2017

Med-Science

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The aim was to analyse biceps tendon disorders histopathologically in order to get a better understanding of the pathogenesis. A histopathological examination was made of tissue samples taken from 41 patients in subpectoral biceps tenodesis operations applied for a diagnosis of biceps tendinopathy. The mean age of the patients was 53,4 (range: 27-64). The mean Constant shoulder score was determined as 32 preoperatively and 84 postoperatively. The VAS (visual analog score) values were determined as mean 8.75 preoperatively and 2.18 postoperatively. As a result of the histopathological examinations, no findings suggestive of an acute or chronic inflammatory event were determined in any case. The histological findings determined were not sufficient to explain the pathophysiology of biceps tendinopathy diseases. The findings strengthened the view that extrinsic factors apart from the tendon could play a significant role in the pathogenesis of the disease. Therefore, we ask whether or not tendon decompression may be considered as a treatment option for biceps tendinopathies as in chronic compression tendinopathies.

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Association of Biceps Tendon Tears with Rotator Cuff Abnormalities: Degree of Correlation with Tears of the Anterior and Superior Portions of the Rotator Cuff

Cited by 139 publications

References 16 publications

Shoulder arthroscopy does not adequately visualize pathology of the long head of biceps tendon

Shoulder arthroscopy does not adequately visualize pathology of the long head of biceps tendon

To Compare the Diagnostic Consistency of Shoulder MRI and Shoulder US after Rotator Cuff Repair

Are we over-treating biceps tendon disorders?

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