MRA improves sensitivity than MRI for the articular-sided partial-thickness rotator cuff tears

Li, Lianxin; Dong, Jinlei; Li, Qinghu; Dong, Jinye; Wang, Bingzhi; Zhou, Dongsheng; Liu, Fanxiao

doi:10.1177/00368504211059976

Cited by 5 publications

(7 citation statements)

References 30 publications

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“…MRI can more accurately evaluate the size and shape of tendon tears, degree of tendon tear retraction, and tendon and muscle quality ( 45 ). MR arthrography is more sensitive than plain MRI for the diagnosis of articular-sided partial-thickness rotator cuff tears ( Figure 13 ) ( 46 ).…”

Section: Upper Extremitymentioning

confidence: 99%

Top 15 musculoskeletal lesions in the aging recreational sporter: a pictorial review

Vanhoenacker¹

2023

Quant Imaging Med Surg

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Because of the increased life expectancy, the aging population can participate in recreational sports activities. The fact that activity is promoted as having a positive effect on mental and physical health is another factor that may contribute to a trend of increased participation in sports activities by middle-aged and older patients. Due to age-related degeneration of tendons, muscles, joints and decreasing Bone Mineral Density, the musculoskeletal (MSK) system in the aging patient is more vulnerable to trauma. Therefore, sports-related lesions are commonly encountered in the daily routine of most imaging departments. In our radiological practice, we have seen a trend for an increase in sport-related injury referrals particularly in a population aged 40 and over. Currently 10% of referrals for imaging studies for sport injuries are in patients older than 40-year-old. This article consists of a pictorial review of the imaging appearance of the most encountered MSK lesions in aging recreational sporters in a radiological practice according to their anatomical location. We have chosen the 15 most encountered acute and overuse sports-related lesions involving the lower and upper extremity that are referred to our department of medical imaging. We especially focus on the most characteristic imaging findings on ultrasound and magnetic resonance imaging (MRI). Because of the high prevalence of MSK lesions in older asymptomatic patients, imaging findings must be interpreted in conjunction with the clinical presentation.

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Section: Upper Extremitymentioning

confidence: 99%

Top 15 musculoskeletal lesions in the aging recreational sporter: a pictorial review

Vanhoenacker¹

2023

Quant Imaging Med Surg

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“…While acute trauma can cause rotator cuff tears, the condition often develops progressively over time, primarily due to degenerative changes associated with aging, vascular insufficiency, and intrinsic tendon degeneration. Irrespective of the etiology, accurate and timely diagnosis of rotator cuff tears is of paramount importance in guiding appropriate treatment decisions and optimizing patient outcomes ( 6 , 7 ). The size of rotator cuff tears is a critical factor in determining the appropriate course of clinical management, particularly regarding surgical intervention ( 7 ).…”

Section: Introductionmentioning

confidence: 99%

“…Small tears may often respond well to conservative treatments, such as physical therapy and anti-inflammatory medications, while larger tears often necessitate surgical repair to restore function and alleviate pain. Accurate measurement of tear size is thus essential for determining the most suitable treatment approach ( 6 , 8 , 9 ).…”

Section: Introductionmentioning

confidence: 99%

“…MRI, although considered the gold standard for soft tissue imaging, is associated with several drawbacks, including high cost, limited availability, long imaging times, and contraindications for patients with certain metallic implants or claustrophobia. MRA, on the other hand, requires joint injection of contrast material, which may be uncomfortable for patients and carries a risk of complications ( 2 , 6 , 8 , 10 ). Furthermore, both MRI and MRA are characterized by the need for a static supine position during imaging, limiting their ability to assess the shoulder dynamically, particularly during provocative maneuvers that replicate the patient's symptoms ( 2 , 8 , 10 , 11 ).…”

Section: Introductionmentioning

confidence: 99%

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Three-dimensional sonography has satisfied accuracy for detecting rotator cuff tears

Wang,

Zhang,

Dong

et al. 2024

Front. Surg.

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BackgroundRotator cuff injuries and tears are common causes of shoulder pain and dysfunction, necessitating accurate diagnostic methods to guide clinical decision-making. This study evaluates the diagnostic utility of three-dimensional (3D) shoulder sonography in identifying rotator cuff injury and tear patterns.MethodsA comprehensive search across seven electronic databases, which included Cochrane Library, Embase, PubMed, Cochrane Library, China Biology Medicine (CBM) database, CNKI, Wanfang, and VIP database. These databases were utilized to retrieve articles that assess the diagnostic value of 3D shoulder sonography for identifying rotator cuff injuries and tear patterns. The effectiveness of 3D shoulder sonography was assessed in terms of sensitivity, specificity, positive likelihood ratio (PLR), negative likelihood ratio (NLR), and diagnostic odds ratio (DOR). For each parameter, the 95% confidence intervals were calculated. Additionally, summary receiver operating characteristic curves (SROCs) were constructed, allowing for a comprehensive evaluation of diagnostic accuracy, which is reflected in the area under the SROC curve (AUC).ResultsScreening of 8,508 identified nine literatures eligible for inclusion in the meta-analysis, encompassing a total of 366 patients. The analysis of detecting any rotator cuff tear revealed a sensitivity of 0.97 and specificity of 0.87, yielding a DOR of 90.03 and an AUC of 0.98. Furthermore, 3D shoulder sonography demonstrated satisfactory accuracy in detecting both full and partial-thickness rotator cuff tears (Sensitivity: 0.92 vs. 0.83, specificity: 0.94 vs. 097, and AUC: 0.96 vs. 0.95).ConclusionThis study indicates that three-dimensional sonography has satisfied accuracy for detecting rotator cuff tears.

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“…Pain intensity is directly correlated with the presence of kinesiophobia. Recently, multiple studies [ 11 , 12 ] have focused on the shoulder pain caused by partial-thickness rotator cuff tears, and indicated that compared with interstitial and articular-sided partial-thickness RCTs, bursal-sided tears can result in more severe shoulder pain. However, the effect of kinesiophobia on postoperative function was not evaluated.…”

Section: Introductionmentioning

confidence: 99%

Kinesiophobia could affect shoulder function after repair of rotator cuff tears

Lyu

et al. 2022

BMC Musculoskelet Disord

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Purpose Kinesiophobia (fear of movement) is a major limiting factor in the return to pre-injury sport level after surgery of rotator cuff tears. The study aims to gain insights into how kinesiophobia affects shoulder pain and function after the repair of full-thickness rotator cuff tears. Methods A prospective study was conducted to evaluate patients who underwent rotator cuff repair between January 2019 and December 2019 in our institution. The patients were divided into a trial group with a high kinesiophobia (Tampa Scale for Kinesiophobia [TSK], TSK > 37) and a control group with a low kinesiophobia (TSK ≤ 37). The indicators of interest included the Constant-Murley scores, numerical rating scale (NRS), visual analogue scale (VAS), Oxford Shoulder Score (OSS), and the American shoulder and elbow score (ASES), shoulder function and strength, and range of motion (ROM) at 3 days, 6 weeks, and 12 months after repair of full-thickness rotator cuff tears. Results In total, 49 patients who underwent repair of full-thickness rotator cuff tears were enrolled, which was divided into a trial group involving 26 patients (mean TSK 52.54) and a control group involving 23 patients (mean TSK 33.43). There were no statistically significant differences in basic information such as age, gender, and length of stay in the two groups. The preoperative and early postoperative functional scores and the Tampa Scale for Kinesiophobia were statistically significant differences between the two groups. However, long-term postoperative follow-up showed no statistically significant difference in ASES, and Constant-Murley scores, OSS, and VAS scores between the two groups as the kinesiophobia changed from positive to negative. Conclusion Degree of kinesiophobia reduced during post-operative rehabilitation of rotator cuff repair patients, but high kinesiophobia is still present in a large portion of the patients after rotator cuff repair. Patients after rotator cuff repair will benefit from early recognition and prevention of kinesiophobia.

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MRA improves sensitivity than MRI for the articular-sided partial-thickness rotator cuff tears

Cited by 5 publications

References 30 publications

Top 15 musculoskeletal lesions in the aging recreational sporter: a pictorial review

Top 15 musculoskeletal lesions in the aging recreational sporter: a pictorial review

Three-dimensional sonography has satisfied accuracy for detecting rotator cuff tears

Kinesiophobia could affect shoulder function after repair of rotator cuff tears

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