The association between irregular greater tuberosities and rotator cuff tears: a sonographic study.

Wohlwend, J R; Holsbeeck, Marnix van; Craig, J.G.; Shirazi, K K; Habra, G; Jacobsen, Gordon; Bouffard, Jeffrey A.

doi:10.2214/ajr.171.1.9648794

Cited by 72 publications

(28 citation statements)

References 7 publications

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“…Secondary indirect signs of RC tears include cortical irregularity of the greater tuberosity footprint, the "cartilage interface" sign, glenohumeral joint effusion, herniation of the SASD bursa and deltoid muscle, and SASD bursal effusion (53)(54)(55). Cortical irregularity and joint effusion have the highest sensitivity, specificity, and positive and negative predictive values for the detection of full-thickness SST tears at US (53).…”

Section: Common Indications and Diseasesmentioning

confidence: 99%

Comprehensive Shoulder US Examination: A Standardized Approach with Multimodality Correlation for Common Shoulder Disease

Lee¹,

Sheehan²,

Orwin³

et al. 2016

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1Shoulder pain is one of the most common musculoskeletal conditions encountered in primary care and specialty orthopedic clinic settings. Although magnetic resonance (MR) imaging is typically the modality of choice for evaluating the soft-tissue structures of the shoulder, ultrasonography (US) is becoming an important complementary imaging tool in the evaluation of superficial softtissue structures such as the rotator cuff, subacromial-subdeltoid bursa, and biceps tendon. The advantages of US driving its recent increased use include low cost, accessibility, and capability for realtime high-resolution imaging that enables dynamic assessment and needle guidance. As more radiologists are considering incorporating shoulder US into their practices, the development of a standardized approach to performing shoulder US should be a priority to facilitate the delivery of high-quality patient care. Familiarity with and comfort in performing a standardized shoulder US examination, as well as knowledge of the types of anomalies that can be evaluated well with US, will enhance the expertise of those working in musculoskeletal radiology practices and add value in the form of increased patient and health care provider satisfaction. This review describes the utility and benefits of shoulder US as a tool that complements MR imaging in the assessment of shoulder pain. A standardized approach to the shoulder US examination is also described, with a review of the basic technique of this examination, normal anatomy of the shoulder, common indications for shoulder US, and characteristic US findings of common shoulder diseases-with select MR imaging and arthroscopic correlation. Abbreviations: AC = acromioclavicular, IST = infraspinatus tendon, LHBT = long head of the biceps tendon, RC = rotator cuff, SASD = subacromial-subdeltoid, SST = supraspinatus tendon, SubST = subscapularis tendon

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Section: Common Indications and Diseasesmentioning

confidence: 99%

Comprehensive Shoulder US Examination: A Standardized Approach with Multimodality Correlation for Common Shoulder Disease

Lee¹,

Sheehan²,

Orwin³

et al. 2016

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“…The US view shows a large full-thickness tear of the supraspinatus tendon (arrow). The bursa lies above the insertion (arrowheads) no cuff visible [6,7,11,23,24,25,26,27,28,29]. The size of a complete tear is assessed in the coronal plane as the distance between the tendon extremity and the external part of the insertion facet, and, in the sagittal plane, the distance between both ends of the ruptured tendon.…”

Section: Figmentioning

confidence: 99%

Ultrasonographic rotator-cuff changes in veteran tennis players: the effect of hand dominance and comparison with clinical findings

et al. 2003

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The aim of this study was to correlate sonographic abnormalities of the rotator cuff with clinical findings in veteran tennis players. One hundred fifty individuals playing competition-level tennis, aged from 35 to 77 years (mean age 55 years), underwent physical and US examinations of their shoulders. The US abnormalities found in the dominant shoulder were compared with those observed in the non-dominant shoulder and in different subsets of players defined by the absence or presence of former and/or current pain. Tears of the long head of the biceps tendon were seen only in dominant shoulders ( n=8), and tears (23 complete and 20 partial) of the supraspinatus tendon were observed in 43 dominant vs 16 (3 complete and 13 partial) contralateral shoulders ( p<0.001). Subscapularis tendon calcifications were depicted in 23 dominant vs 12 contralateral shoulders ( p<0.05). Seventy players had no pain, 49 had former-but-not-current pain, and 31 had current pain. Abnormal thickening (>2 mm) and effusion of the subacromial-subdeltoid bursa and complete tear of the supraspinatus tendon were more frequent in the latter two groups ( p<0.001 and p<0.05), respectively. Although 90% of the players with a complete supraspinatus tear had experienced former pain, no relationship was found between current pain and the presence of a supraspinatus tear or tendon calcification. The rotator cuff may present important asymptomatic lesions, such as complete tears of the supraspinatus tendon or calcifications, that do not prevent the playing competitive tennis. The only US abnormality associated with pain was subacromial-subdeltoid bursa effusion.

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“…For example, cortical irregularity of the greater tuberosity at the attachment site of the supraspinatus indirectly indicates the presence of a rotator cuff tear with a sensitivity of 90% and a negative predictive value of 96% (16). Other information gained from radiography includes the presence of a subacromial enthesophyte or acromioclavicular osteophyte, which can cause cuff impingement.…”

Section: Imaging Of the Shouldermentioning

confidence: 99%

Imaging Algorithms for Evaluating Suspected Rotator Cuff Disease: Society of Radiologists in Ultrasound Consensus Conference Statement

et al. 2013

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The association between irregular greater tuberosities and rotator cuff tears: a sonographic study.

Cited by 72 publications

References 7 publications

Comprehensive Shoulder US Examination: A Standardized Approach with Multimodality Correlation for Common Shoulder Disease

Comprehensive Shoulder US Examination: A Standardized Approach with Multimodality Correlation for Common Shoulder Disease

Ultrasonographic rotator-cuff changes in veteran tennis players: the effect of hand dominance and comparison with clinical findings

Imaging Algorithms for Evaluating Suspected Rotator Cuff Disease: Society of Radiologists in Ultrasound Consensus Conference Statement

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