Sonography of the postoperative rotator cuff

Crass,; Craig, E V; Sb, Feinberg

doi:10.2214/ajr.146.3.561

Cited by 82 publications

(50 citation statements)

References 5 publications

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“…Following bursectomy, secondary signs of full-thickness tears could also fail as the distension liquid from joint communication. A higher accuracy might be achieved for full-thickness lesions where the use of dynamic scan could show diastasis edge of tears [21].…”

Section: Discussionmentioning

confidence: 99%

Humeral shaft fractures treated with antegrade intramedullary nailing: What are the consequences for the rotator cuff?

Verdano

Pellegrini

Schiavi

et al. 2013

International Orthopaedics (SICOT)

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Purpose The purpose of this study was to investigate the clinical and sonographic impact on the rotator cuff (RC) of the use of the anterolateral approach for nailing. Clinical assessment using the Constant score, simple shoulder test and through shoulder examination tests was carried out. The sonographic study investigated the integrity of the RC. Results Mean score on Constant's scale was 78.21 points, with most patients achieving a good result (79 % obtained more than 65 points). One patient had a limited functional outcome (Constant's score of 49 points). The sonographic findings described for supraspinatus tendon were a partial ruptures of less than 30 mm in three patients and a complete tendon rupture in one case.Conclusions The results of this study suggest that the use of the anterolateral approach for antegrade humeral nailing ensures a good functional result with no significant clinicalsonographic impact on the rotator cuff and a satisfactory long term clinical outcome.

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Section: Discussionmentioning

confidence: 99%

Humeral shaft fractures treated with antegrade intramedullary nailing: What are the consequences for the rotator cuff?

Verdano

Pellegrini

Schiavi

et al. 2013

International Orthopaedics (SICOT)

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“…Because clinical diagnosis of rerupture is difficult [13,22], an imaging modality is commonly required to evaluate tendon healing. Although ultrasound is accurate for diagnosing rerupture [6][7][8][9][10][11][12][13][14][15], the comprehensive assessment provided by MR imaging is preferred by many authors [3,17,21,34,36]. However, postoperative MR imaging has a number of drawbacks, including susceptibility artefacts [19], tendency to overcall full-thickness tears [24], risk of misinterpreting scar tissue as partial tear [19,25], and lack of accuracy in determining rerupture size [28].…”

Section: Discussionmentioning

confidence: 99%

“…Tendon rerupture has attracted preferential attention and has been extensively assessed by means of arthrography [2][3][4][5], ultrasound [6][7][8][9][10][11][12][13][14][15], arthrography combined with computed tomography (CT) [16][17][18], magnetic resonance (MR) imaging [13,[16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33], and MR arthrography [34].…”

Section: Introductionmentioning

confidence: 99%

MR assessment of the repaired rotator cuff: prevalence, size, location, and clinical relevance of tendon rerupture

et al. 2006

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The objectives of this study were to use magnetic resonance (MR) imaging to evaluate the prevalence, size, location, and clinical relevance of tendon rerupture following complete repair of full-thickness rotator cuff tear (RCT). A total of 78 surgically proven full-thickness rotator cuff tears in 74 patients were retrospectively included in the study. Clinical assessment was performed using the University of California at Los Angeles score. Postoperative MR imaging was evaluated to determine prevalence, size, and location of tendon rerupture. At a mean 48.4 months' follow-up, 62 shoulders (79.5%) had favorable outcomes and 45 shoulders (57.6%) showed rerupture on MR imaging studies. Reruptures were significantly more prevalent among patients with intermediate-to-bad outcomes (81.3%), with surgically demonstrated two-tendon tears (78.9%) or three-tendon tears (100%), and with preoperative fatty degeneration of the supraspinatus muscle greater than 1 (91.6%). Reruptures were also significantly larger in those subgroups. Complete repair of RCT of all sizes may have favorable outcomes in a significant proportion of patients in spite of a high prevalence of reruptures. Preoperative tear size and degree of muscle fatty degeneration influence the prevalence and rerupture size. After repair of supraspinatus tears, reruptures tend to invade the posterior aspect of the tendon.

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“…Prior to the evolution of MR imaging of the shoulder, ultrasonography (US) was shown to be a useful, albeit operator-dependent, modality for the preoperative assessment RC tendon pathologic conditions (16). In the patient who has undergone surgery, the bone and soft-tissue US landmarks around the tendon are distorted or absent and the tendons are hyperechoic, which leads to further difficulty in the diagnosis of a recurrent RC tear (17)(18)(19).…”

Section: Discussionmentioning

confidence: 99%

Shoulder after Rotator Cuff Repair: MR Imaging Findings in Asymptomatic Individuals—Initial Experience

Spielmann¹,

Forster²,

Kokan³

et al. 1999

Radiology

112

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Sonography of the postoperative rotator cuff

Cited by 82 publications

References 5 publications

Humeral shaft fractures treated with antegrade intramedullary nailing: What are the consequences for the rotator cuff?

Humeral shaft fractures treated with antegrade intramedullary nailing: What are the consequences for the rotator cuff?

MR assessment of the repaired rotator cuff: prevalence, size, location, and clinical relevance of tendon rerupture

Shoulder after Rotator Cuff Repair: MR Imaging Findings in Asymptomatic Individuals—Initial Experience

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