Can subcoracoid cyst formation be a sign of anterosuperior rotator cuff tears and biceps pulley lesions? A prospective radiologic and arthroscopic correlation study

Türkmen, İsmail; Altun, Güray; Çelik, Haluk; Bilsel, Kerem

doi:10.1016/j.jse.2019.11.036

Cited by 6 publications

(9 citation statements)

References 18 publications

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“…The retraction and severity of posterosuperior (PS) rotator cuff tears may affect the development and progression of SSC tendon lesions. To further investigate their relationship, the retraction of PS rotator cuff tears was classified according to the Patte classification (grade I ~ III) [ 31 , 33 ]. We evaluated the severity of PS rotator cuff tear according to the thickness (full-thickness versus non full-thickness) and the number of tendon tears (normal/single versus multiple).…”

Section: Methodsmentioning

confidence: 99%

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Identifying key factors associated with subscapularis tendon tears and developing a risk prediction model to assist diagnosis

Wang

Xue

2022

BMC Musculoskelet Disord

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Background There are still some challenges in diagnosing subscapularis (SSC) tendon tears as accurately as posterosuperior rotator cuff tears on MRI. The omission of SSC tendon tear can lead to muscle atrophy, fatty infiltration, and increased tearing accompanied by aggravated shoulder pain and loss of function. An effective non-invasive evaluation tool will be beneficial to early identification and intervention. The study aims to identify sensitive predictors associated with SSC tendon tears and develop a risk prediction model to assist in diagnosis. Methods Data on 660 patients who received shoulder arthroscopic surgery with preoperative shoulder MRI were collected retrospectively. Of these, patients with SSC tendon tears were defined as the SSC tear group, and patients with intact SSC tendon were enrolled in the non-SSC tear group. Logistic regression analysis was used to identify the key predictors of SSC tendon tears which were then incorporated into the nomogram. Results Among 22 candidate factors, five independent factors including coracohumeral distance (CHD, oblique sagittal plane) (OR, 0.75; 95%CI, [0.67–0.84]), fluid accumulation (Y-face) (OR, 2.29; 95%CI, [1.20–4.38]), long head of biceps tendon (LHB) dislocation/subluxation (OR, 3.62; 95%CI, [1.96–6.68]), number of posterosuperior (PS) rotator cuff tears (OR, 5.36; 95%CI, [3.12–9.22]), and MRI diagnosis (based on direct signs) (OR, 1.88; 95%CI, [1.06–3.32]) were identified as key predictors associated with SSC tendon tears. Incorporating these predictors, the nomogram achieved a good C index with a good agreement on the risk estimation of calibration plots. Higher total points of the nomogram were associated with a greater risk of SSC tendon tears. Conclusion When evaluating the severity of SSC tendon injury, the combination of reliable predictors can improve the sensitivity and diagnostic performance of MRI. This model provides an individualized probability of risk prediction, which is convenient for clinicians to identify patients at high risk for SSC tendon tears to avoid missed diagnosis.

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Section: Methodsmentioning

confidence: 99%

“…1 ). Turkmen et al suggested that the prevalence of SSC tendon tears was higher in patients with subcoracoid cyst [ 33 ] (Fig. 1 ).…”

Section: Methodsmentioning

confidence: 99%

Identifying key factors associated with subscapularis tendon tears and developing a risk prediction model to assist diagnosis

Wang

Xue

2022

BMC Musculoskelet Disord

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“…Previous studies attempted to reveal the relationship between uid signal and subscapularis tendon tears [15,20,22]. They suggested that patients with subcoracoid cyst, lesser tuberosity cyst, and uid accumulation around the subscapularis were more likely to have subscapularis tendon tears.…”

Section: Discussionmentioning

confidence: 99%

“…We selected LHB subluxation/dislocation as a potential risk factor with evaluation on the axial plane of MRI [23](Figure . 1). Turkmen et al suggested that the prevalence of subscapularis tendon tears was higher in patients with subcoracoid cyst [22] (Figure .1). In this study, the subcoracoid cyst was measured on axial plane with fat-suppressed T2-weighted MRI.…”

Section: Imaging Characteristicsmentioning

confidence: 99%

“…The retraction and severity of PS rotator cuff tears may affect the development and progression of subscapularis tendon lesions. To further investigate their relationship, the retraction of PS rotator cuff tears was classi ed according to the Patte classi cation (grade I~III) [20,22]. Furthermore, the severity of PS rotator cuff tears was classi ed on the basis of tearing thickness.…”

Section: Imaging Characteristicsmentioning

confidence: 99%

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Identifying Key Factors Associated with Subscapularis Tendon Tears and Developing a Risk Prediction Model to Assist Diagnosis

Wang

xue

2021

Preprint

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Background: Subscapularis (SSC) tendon tears can cause pain and restricted motion of the shoulder, but accurate diagnosis of this lesion on magnetic resonance imaging (MRI) is challenging, especially in small and partial tears. There are no studies that have established a method to reliably assess the risk of subscapularis tendon tears.Methods: Data on 460 patients who received shoulder arthroscopic surgery with preoperative shoulder MRI were collected retrospectively. Of these, patients with SSC tendon tears were defined as the SSC tear group, and patients with intact subscapularis tendon were enrolled in the non-SSC tear group. Logistic regression analysis was used to identify the risk factors of SSC tendon tears which were then incorporated into the nomogram. Results: Among 22 candidate factors, five independent factors including coracohumeral distance CHD (oblique sagittal) (OR, 0.75; 95%CI, [0.67-0.84]), fluid accumulation (Y-face) (OR, 2.29; 95%CI, [1.20-4.38]), long head of biceps tendon (LHB) dislocation/subluxation (OR, 3.62; 95%CI, [1.96-6.68]), number of posterosuperior (PS) rotator cuff tears (OR, 5.36; 95%CI, [3.12-9.22]), and MRI diagnosis (OR, 1.88; 95%CI, [1.06-3.32]) were identified as key predictors associated with subscapularis tendon tears. Incorporating these predictors, the nomogram achieved a good C index with a good agreement on the risk estimation of calibration plots. Higher total points of the nomogram were associated with a greater risk of subscapularis tendon tears. Conclusion: The diagnostic accuracy of conventional 3.0-T MRI for SSC tendon tears was insufficient. Our study revealed critical predictors associated with subscapularis tendon tears. When evaluating the severity of subscapularis tendon injury, more attention should be paid to these tear-related factors. We developed and validated s satisfactory prediction model to improve the diagnostic performance of MRI which was convenient for clinicians to reach a consensus on risk assessment and identify the SSC tendon tears.

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Ultrasonography Outperforms Magnetic Resonance Imaging in Diagnosing Partial-Thickness Subscapularis Tear

Zhu

et al. 2022

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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Can subcoracoid cyst formation be a sign of anterosuperior rotator cuff tears and biceps pulley lesions? A prospective radiologic and arthroscopic correlation study

Cited by 6 publications

References 18 publications

Identifying key factors associated with subscapularis tendon tears and developing a risk prediction model to assist diagnosis

Identifying key factors associated with subscapularis tendon tears and developing a risk prediction model to assist diagnosis

Identifying Key Factors Associated with Subscapularis Tendon Tears and Developing a Risk Prediction Model to Assist Diagnosis

Ultrasonography Outperforms Magnetic Resonance Imaging in Diagnosing Partial-Thickness Subscapularis Tear

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