Sonography of the shoulder in patients with tears of the rotator cuff: accuracy and value for selecting surgical options.

Wiener, Stephen N.; Seitz, William H.

doi:10.2214/ajr.160.1.8416605

Cited by 208 publications

(126 citation statements)

References 15 publications

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“…Thus, it is possible that some patients in their study may have had chronic RCT or acute extension of chronic tears-in particular, those with nonvisualized cuffs. Other studies have reported the sonographic finding of nonvisualization of the cuff as indicative of a massive RCT, [16][17][18][19][20][21] a finding that our data suggested correlates with a chronic tear. Of the five patients in our study with nonvisualization of the rotator cuff, four (80%) had a chronic tear.…”

Section: Discussionsupporting

confidence: 73%

Sonographic differences in the appearance of acute and chronic full-thickness rotator cuff tears.

Teefey

Middleton

Bauer

et al. 2000

Journal of Ultrasound in Medicine

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This study was undertaken to identify differences in the sonographic appearance of acute and chronic full‐thickness rotator cuff tears. The ultrasonograms of 24 patients with an acute rotator cuff tear and 20 with a chronic tear were reviewed for tear size (width), location, and the presence and distribution of fluid. Among these 24 patients, 75% with a midsubstance tear location had an acute tear; 64% of patients with joint or bursal fluid had an acute tear; 80% of patients with a nonvisualized rotator cuff due to a massive tear had a chronic tear; and 73% of patients with no sonographic evidence of bursal or joint fluid had a chronic tear. In conclusion, a midsubstance location and the presence of joint or bursal fluid were more commonly associated with an acute tear. A nonvisualized cuff and the absence of joint and bursal fluid were more commonly observed with a chronic tear.

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Section: Discussionsupporting

confidence: 73%

Sonographic differences in the appearance of acute and chronic full-thickness rotator cuff tears.

Teefey

Middleton

Bauer

et al. 2000

Journal of Ultrasound in Medicine

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“…These partial-thickness tears are more frequent (18.5%) than full-thickness tears (11.7%) [7] and they can be painful. Some authors have reported sensitivity and specificity of US imaging in the diagnosis of these lesions as 94% and 93%, respectively [8] while others have reported 54% and 91%, respectively [9]. In addition to providing the diagnosis of these lesions, US plays an important role in presurgical planning [22,23].…”

Section: Discussionmentioning

confidence: 99%

US appearance of partial-thickness supraspinatus tendon tears: Application of the string theory. Pictorial essay

Guérini

Fermand

Godefroy

et al. 2012

Journal of Ultrasound

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The supraspinatus tendon is composed of 5 different layers consisting of intertwining bundles. On a front portion of the tendon, the layers become coated bundles which insert on the trochanter. At the insertion, the superficial or bursal surface of the tendon corresponding to the tendon fibers in contact with the subacromial bursa can be distinguished from the deep surface corresponding to the fibers in contact with the glenohumeral joint. A tendon tear may involve partial or total disruption of the tendon fibers and is called full-thickness tear if it affects the entire tendon, and partial-thickness tear if it involves only part of the tendon. Partial-thickness tears of the supraspinatus tendon include lesions of the superficial, deep and central surface or tendon delamination. A contrast enhanced examination requires injection of contrast agent into the joint (arthrography followed by computed tomography (CT) or magnetic resonance imaging (MRI)) to study the deep surface, and injection into the subacromial bursa (bursography followed by CT) to study the superficial surface. MRI and ultrasound (US) examination allow the study of these different tendon layers without the use of contrast agent (which is not possible at CT).Sommario Il tendine del sovraspinato ha una struttura lamellare composta da 5 diversi strati, costituiti da fasci intrecciati. Essi, su una sezione frontale del tendine, costituiscono dei veri e propri fasci che rivestono e si inseriscono sul trochite. A livello dell'inserzione distinguiamo il lato superficiale o bursale del tendine, corrispondente alle fibre tendinee in contatto con la borsa sottoacromiale, dal lato profondo, corrispondente alle fibre in contatto con l'articolazione gleno-omerale. La rottura tendinea è una soluzione di continuità, parziale o totale, delle fibre di un tendine; è definita a tutto spessore se interessa l'intero tendine, è definita non a tutto spessore se riguarda solo parte del tendine. Tra le lesioni non a tutto spessore del sovraspinato, si distinguono lesioni del versante superficiale, del versante profondo e lesioni centrali o slaminamenti. Se si realizza un esame con mezzo di contrasto, servirà iniettarlo nell'articolazione (artrografia seguita da TC o RM) per osservare la superficie profonda e iniettarlo nella borsa sottoacromiale (bursografia seguita da TC) per studiare la superficiale. La RM, come l'ecografia, consente di studiare senza mezzo di contrasto questi differenti strati tendinei (cosa non possibile mediante TC) e le loro rotture. ª

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“…In addition to the important diagnostic information [6] ultrasonography enabled us to control the position of the injection fluid. This technique allows a well-targeted anatomically guided therapy with low corticosteroid doses.…”

Section: Discussionmentioning

confidence: 99%

Local anaesthetic injection with and without corticosteroids for subacromial impingement syndrome

Plafki¹,

Steffen²,

Willburger³

et al. 2000

International Orthopaedics

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Fifty patients with impingement syndrome refractory to long-term conservative treatment were randomized to three treatment groups. All patients received an injection of 10 ml 0.5% bupivacaine, in group 1 without corticosteroid, in group 2 with crystalline corticosteroid and in group 3 with lipoid corticosteroid. Treatment in group 1 had to be stopped because of inefficacy. In groups 2 and 3 favorable results were achieved in 19 out of 40 patients.Résumé 50 patients avec conflit sous-aeromial, qui ne montraient pas d'amélioration après un long trâitement conservatif récevaient une injection dans la bourse subacromiale. Le premier groupe récevait une injection contenant un anaesthétique local pur, groupe 2 une mixture d'anaesthétique avec des corticostéroides cristalins et groupe 3 avec des corticostéroides lipoides. Le trâite-ment du groupe 1 devait être arrété cause d'inificacité. 19 de 40 patients du groupe 2 et 3 montraient une amé-lioration après 6 mois.

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Sonography of the shoulder in patients with tears of the rotator cuff: accuracy and value for selecting surgical options.

Cited by 208 publications

References 15 publications

Sonographic differences in the appearance of acute and chronic full-thickness rotator cuff tears.

Sonographic differences in the appearance of acute and chronic full-thickness rotator cuff tears.

US appearance of partial-thickness supraspinatus tendon tears: Application of the string theory. Pictorial essay

Local anaesthetic injection with and without corticosteroids for subacromial impingement syndrome

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