Tears at the rotator cuff footprint: Prevalence and imaging characteristics in 305 MR arthrograms of the shoulder

Schaeffeler, Christoph; Müeller, Dirk; Kirchhoff, Chlodwig; Wolf, Petra; Rummeny, Ernst J.; Woertler, Klaus

doi:10.1007/s00330-011-2066-x

Cited by 58 publications

(47 citation statements)

References 29 publications

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“…Despite the standard anatomical reference of the rotator cuff footprint to all four tendons, many studies have delineated the footprint to the tendinous insertion sites of the supraspinatus and infraspinatus muscles only (Minagawa et al, 1998;Mochizuki et al,;Schaeffeler et al,;Stoppino et al, 2013). While no previous study has collectively investigated the tendinous medio-lateral, tendinous supero-inferior and the supero-inferior cuff distances of the rotator cuff complex as a whole, a few reports have explored certain aspects of these parameters (Dugas et al,;Ruotolo et al, 2004;Curtis et al,;Mochizuki et al,).…”

Section: Discussionmentioning

confidence: 99%

“…Despite its role as the ultimate dynamic stabilizer of the shoulder, the aetiological component of abnormalities encountered within and around the rotator cuff muscle complex remains an area of much question (Armfield et al, 2003;Jurch, 2009;Schaeffeler et al, 2011;Stoppino et al, 2013). Rotator cuff disease is thus the result of the combined interaction between intrinsic (vascularity, age) and extrinsic (mechanical, anatomical) factors (Schaeffeler et al,; Stoppino et al,).…”

Section: Introductionmentioning

confidence: 99%

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The Rotator Cuff Footprint: A Cadaveric Study of the Morphometry and Morphology

2016

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NAIDOO, N.; LAZARUS, L. & SATYAPAL, K. S.The rotator cuff footprint: A cadaveric study of the morphometry and morphology. Int. J. Morphol., 34(3):975-985, 2016. SUMMARY:The musculotendinous hood of the rotator cuff muscle complex is formed by four tendons which thicken and merge with the underlying glenohumeral capsule as they insert onto the respective regions of the humeral head. This insertional anatomy has been reported to exhibit several pathological patterns which serve as the basis for the operative repair of cuff tears. Since previous literature concentrated on macro-evaluations of tears specific to the supraspinatus tendon, the present study aimed to investigate the macro-morphological and morphometric parameters of all four rotator cuff tendons. Observation of the insertion site configurations and computation of the relative tendon morphometry were performed once the glenohumeral region in forty adult cadaveric specimens (n=80) were bilaterally dissected. Statistical analysis also reflected the demographic representation of the sample: (Age: 74.83±12.92 years old; Gender: 24 Males, 16 Females; Race: 38 White, 2 Black). The general mean supero-inferior and medio-lateral distances were recorded specific to the entire rotator cuff and each tendinous insertion site as follows: i) Subscapularis: 22.57±3. , Teres minor -Round (100 %). In view of the statistically significant P values, it may be postulated that knowledge of the superoinferior and medio-lateral distances may provide dimensional data required to obtain optimal cuff coverage during reconstruction procedures. Furthermore, the variation in the insertion patterns may indicate the progression of rotator tendon tears.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Rotator Cuff Footprint: A Cadaveric Study of the Morphometry and Morphology

2016

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“…Bei den Veränderungen der Rotatorenmanschette wird von Überkopfsportarten oder Traumen [16,17]. Diese…”

Section: Veränderungen Der Rotatorenmanschetteunclassified

MRT der Rotatorenmanschette – ein Update

Kreitner¹,

Mähringer‐Kunz²

2016

Radiologie up2date

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“…48 The reverse PASTA, in contrast, corresponds to a bursal-sided partial tear at the SSP footprint. 48 …”

Section: Algorithmic Approach To the Shouldermentioning

confidence: 99%

The Primer for Sports Medicine Professionals on Imaging

2012

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Because of its inherent superior soft tissue contrast and lack of ionizing radiation, magnetic resonance imaging (MRI) is highly suited to study the complex anatomy of the shoulder joint, particularly when assessing the relatively high incidence of shoulder injuries in young, athletic patients. This review aims to serve as a primer for understanding shoulder MRI in an algorithmical approach, including MRI protocol and technique, normal anatomy and anatomical variations of the shoulder, pathologic conditions of the rotator cuff tendons and muscles, the long head of the biceps tendon, shoulder impingement, labral and glenohumeral ligament pathology, MR findings in shoulder instability, adhesive capsulitis, and osteoarthritis.

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Tears at the rotator cuff footprint: Prevalence and imaging characteristics in 305 MR arthrograms of the shoulder

Abstract: Most RC tears detected with MR-A involve the SSP footprint and are articular-sided with predominance in younger patients, but concealed lesions are not as uncommon as previously thought.

Cited by 58 publications

References 29 publications

The Rotator Cuff Footprint: A Cadaveric Study of the Morphometry and Morphology

The Rotator Cuff Footprint: A Cadaveric Study of the Morphometry and Morphology

MRT der Rotatorenmanschette – ein Update

The Primer for Sports Medicine Professionals on Imaging

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