Magnetic resonance imaging of the shoulder in patients with rheumatoid arthritis.

Kieft, G. J.; Dijkmans, B.A.C.; Bloem, Johan L.; Kroon, Herman M.

doi:10.1136/ard.49.1.7

Cited by 57 publications

(15 citation statements)

References 11 publications

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“…Osseous abnormalities, bone defects, erosions and joint effusions, and synovial tissue in rheumatoid shoulders can be reliably detected with MRI (9). In shoulders with early destruction (Larsen grade 0-2), the soft tissue changes are usually readily visible, whereas in shoulders with severe destruction the findings are numerous with synovial hypertrophy, active or inactive pannus tissue, and bursal formation in association with cuff pathology and abnormal signal intensity (Fig.…”

Section: Discussionmentioning

confidence: 95%

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Magnetic resonance imaging of the rotator cuff in destroyed rheumatoid shoulder: comparison with findings during shoulder replacement

Soini¹,

Belt²,

Niemitukia³

et al. 2004

Acta Radiol

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In severely destroyed rheumatoid shoulder, the findings of soft tissues were incoherent both with MRI and at surgery. The integrity of tendons could not readily be elucidated with MRI because of an inflammatory process and scarred tissues; in surgery, too, changes were frequently difficult to categorize. Preoperative MRI of severely destroyed rheumatoid shoulder before arthroplasty turned out to be of only minor importance.

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Section: Discussionmentioning

confidence: 95%

“…In the rheumatoid shoulder, MRI can depict soft tissue and bone changes not clearly visible on plain radiographs (9). It characterizes effusions in the subacromial bursa, biceps tendon sheath, and in the glenohumeral joint similarly to ultrasound (1).…”

mentioning

confidence: 99%

Magnetic resonance imaging of the rotator cuff in destroyed rheumatoid shoulder: comparison with findings during shoulder replacement

Soini¹,

Belt²,

Niemitukia³

et al. 2004

Acta Radiol

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“…3,7 Some studies have shown that all muscles making up the rotator cuff (subscapularis, supraspinatus, infraspinatus, and teres minor) were thin and attenuated in RA shoulders with partial rupture of the rotator cuff. 6,8,16 Therefore, it is necessary to evaluate whether subscapularis transposition is an appropriate method for repairing a rotator cuff rupture in RA patients undergoing total shoulder arthroplasty.…”

Section: Discussionmentioning

confidence: 99%

Augmented subscapularis muscle transposition for rotator cuff repair during shoulder arthroplasty in patients with rheumatoid arthritis

Tanaka

Sakahashi

Hirose

et al. 2006

Journal of Shoulder and Elbow Surgery

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“…MRI is superior to US in depicting effusions,26 27synovial thickening and pannus tissue formation,4cartilage damage and intraosseus abnormality,4 28 and RC pathology 29. However, in comparison with US, MRI is less available, more expensive and time consuming, and less convenient to the patients.…”

Section: Discussionmentioning

confidence: 99%

“…Clinically, shoulder joint arthritis may often go unrecognised because of several reasons: the onset of the disease in the shoulder is often insidious, the shoulder joint is deeply seated, and synovial tissue swelling is difficult to detect 4. Plain radiography depicts rheumatoid involvement late.…”

mentioning

confidence: 99%

Ultrasound and operative evaluation of arthritic shoulder joints

Alasaarela

Hakala²

1998

Annals of the Rheumatic Diseases

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Objective-To assess the diagnostic value of ultrasonography (US) in the evaluation of arthritic shoulder joints. Methods-Twenty shoulders of 20 inpatients with arthritis were evaluated by US one day before the shoulder operation. Changes in the subacromial-subdeltoid bursa, biceps tendon and tendon sheath, rotatof cuV, and glenohumeral joint were recorded and compared with findings at operation. Results-In the detection of eVusion/ hypertrophy in the subacromial-subdeltoid bursa, US had a sensitivity of 93% and a specificity of 83%. For a biceps tendon rupture US had a sensitivity of 70% and a specificity of 100%. US missed three intraarticular biceps tendon ruptures. For eVusion/hypertrophy in the biceps tendon sheath US had a sensitivity of 100% and a specificity of 83%. For a rotator cuV tear US had a sensitivity of 83% and a specificity of 57%. US missed two small longitudinal rotator cuV tears. Three thin membranous, but intact, rotator cuV tendons were classified as full thickness tears by US. Synovial eVusion/hypertrophy was detected by US and at operation in all of the 12 glenohumeral joints that were evaluable at surgery. Conclusion-US is a reliable method in experienced hands for the evaluation of inflammatory changes of an arthritic shoulder. In advanced stages of rheumatoid shoulder joints, however, US is not useful, because destructive bone changes and tendon ruptures change the normal anatomy and restrict shoulder motions, limiting the visibility of US.

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Magnetic resonance imaging of the shoulder in patients with rheumatoid arthritis.

Cited by 57 publications

References 11 publications

Magnetic resonance imaging of the rotator cuff in destroyed rheumatoid shoulder: comparison with findings during shoulder replacement

Magnetic resonance imaging of the rotator cuff in destroyed rheumatoid shoulder: comparison with findings during shoulder replacement

Augmented subscapularis muscle transposition for rotator cuff repair during shoulder arthroplasty in patients with rheumatoid arthritis

Ultrasound and operative evaluation of arthritic shoulder joints

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