Can Preoperative Magnetic Resonance Imaging Predict the Reparability of Massive Rotator Cuff Tears?

Kim, Jung Youn; Park, Ji Seon; Rhee, Yong Girl

doi:10.1177/0363546517694160

Cited by 64 publications

(61 citation statements)

References 37 publications

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“…Our study cohort was comparable with larger previous studies investigating functional outcome prediction after tendon repair regarding patients' age, gender, pre‐ and postoperative function detected by CS, ASES, and DASH, as well as the cause of the SSP tear . Distribution of the MRI‐based morphologic parameters fatty infiltration, tendon retraction, and tear size were also comparable with previously reported studies . A relatively small tendon tear size within our study cohort is partially explained by our study protocol with selective inclusion of isolated supraspinatus tears.…”

Section: Discussionsupporting

confidence: 88%

Contrast‐Enhanced Ultrasound (CEUS) as Predictor for Early Retear and Functional Outcome After Supraspinatus Tendon Repair

Kamtchouing

Mick

Groß

et al. 2019

Journal Orthopaedic Research

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Supraspinatus (SSP) tendon tears represent a common indication for shoulder surgery. Yet, prediction of postoperative function and tendon retear remains challenging and primarily relies on morphologic magnetic resonance imaging (MRI)-based parameters, supported by patients' demographic data like age, gender, and comorbidities. Considering continuously high retear rates, especially in patients with larger tears and negative prognostic factors, improved outcome prediction could be of high clinical value. Contrastenhanced ultrasound (CEUS) enables an assessment of dynamic perfusion of the SSP muscle. As a potential surrogate for muscle vitality, CEUS might reflect functional properties of the SSP and support improved outcome prediction after tendon repair. Fifty patients with isolated SSP tendon tears were prospectively enrolled. Preoperatively, SSP muscle perfusion was quantified by CEUS and conventional morphologic parameters like tear size, fatty infiltration, and tendon retraction were assessed by MRI. At six months follow-up, shoulder function, tendon integrity, and muscle perfusion were reassessed. The predictive value of preoperative CEUS for postoperative shoulder function and tendon integrity was evaluated. 35 patients entered the statistical analysis. Preoperative CEUS-based assessment of SSP perfusion significantly correlated with early postoperative shoulder function (Constant, r = 0.48, p < 0.018) and tendon retear (r = 0.67, p < 0.001). CEUS-based subgroup analysis identified patients with exceptionally high, respectively low risk for tendon retear. CEUSbased assessment of the SSP seemed to predict early shoulder function and tendon retear after SSP repair and allowed to identify patient subgroups with exceptionally high or low risk for tendon retear.

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Section: Discussionsupporting

confidence: 88%

Contrast‐Enhanced Ultrasound (CEUS) as Predictor for Early Retear and Functional Outcome After Supraspinatus Tendon Repair

Kamtchouing

Mick

Groß

et al. 2019

Journal Orthopaedic Research

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“…Nonoperative management can result in the progression of fatty tissue infilltration and the decreased acromiohumeral distance, limiting shoulder function and increasing pain. 11 With the development of arthroscopic technology, there are many kinds of the rotator cuff suture methods from which surgeons can choose. Arthroscopic repair of the rotator cuff tears is associated with a significant re-tear rate.…”

Section: Discussionmentioning

confidence: 99%

The Chinese Knot Stitch Technique Using a Footprint Ultrasuture Anchor for Rotator Cuff Repair

Zheng

Xiao

Deng

et al. 2020

Arthroscopy Techniques

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Management of the rotator cuff presents specific challenges to orthopaedic surgeons. Several locking suture methods have been reported but often fail for a number of reasons. We describe a different technique that is easy to perform and inspired by the Chinese knot, an arthroscopic double-locking suture using a footprint ultrasuture anchor. This technique is similar to the suture-bridge structure on the bursal side of the tendon in that it increases tissue grip and stabilizes initial tendon-to-bone fixation. This technique is especially suitable for the patients who have bursal-side partialthickness or degenerative small-and medium-sized rotator cuff tears.

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“…A tangent sign is positive when atrophied supraspinatus muscle falls below a tangent line drawn between superior border of coracoid process and superior margin of scapular spine. This is assessed, just like Goutallier score, on the most lateral MRI image on which both coracoid process and scapular spine are still in contact with scapular body [32]. However a recent study by Kim et al showed that tangent sign alone was not a good predictive indicator of outcome of massive cuff repair.…”

Section: Investigationsmentioning

confidence: 99%

“…However a recent study by Kim et al showed that tangent sign alone was not a good predictive indicator of outcome of massive cuff repair. According to authors the single most predictive factor of successful repair in MRCT remains infraspinatus fatty infiltration <3 according to Goutallier [32].…”

Section: Investigationsmentioning

confidence: 99%

Options Before Reverse Total Shoulder Replacement

Hackney¹,

Lesniewski²,

Cowling³

2018

Advances in Shoulder Surgery

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Management of massive tears of the rotator cuff tears is one of the most difficult problems an upper limb surgeon encounters. Patients with similar tears can present with minimal discomfort through to a flail shoulder. There are a bewildering number of options available, many with published outcomes not always borne out in clinical practise. These range from rehabilitation, simple arthroscopic surgery, attempts at repair, complex tendon transfers and ultimately a reverse total shoulder replacement. More recently further options of patch augmentation and balloon arthroplasty have been added. This paper attempts to provide a critical assessment of the evidence available.

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Can Preoperative Magnetic Resonance Imaging Predict the Reparability of Massive Rotator Cuff Tears?

Cited by 64 publications

References 37 publications

Contrast‐Enhanced Ultrasound (CEUS) as Predictor for Early Retear and Functional Outcome After Supraspinatus Tendon Repair

Contrast‐Enhanced Ultrasound (CEUS) as Predictor for Early Retear and Functional Outcome After Supraspinatus Tendon Repair

The Chinese Knot Stitch Technique Using a Footprint Ultrasuture Anchor for Rotator Cuff Repair

Options Before Reverse Total Shoulder Replacement

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