Ultrasound of tendon tears. Part 1: general considerations and upper extremity

Bianchi, Stefano; Martinoli, Carlo; Abdelwahab, Ibrahim Fikry

doi:10.1007/s00256-005-0956-1

Cited by 80 publications

(49 citation statements)

References 45 publications

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“…The sonographic evaluation of the rotator cuff was performed according to a standard protocol [22]. The ultrasound criteria for the diagnosis of full-thickness rotator cuff tears were as follows [6,35]:…”

Section: Methodsmentioning

confidence: 99%

Does an Arthroscopic Suture Bridge Technique Maintain Repair Integrity?: A Serial Evaluation by Ultrasonography

Park

Siti

Keum

et al. 2010

Clinical Orthopaedics &Amp; Related Research

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Section: Methodsmentioning

confidence: 99%

Does an Arthroscopic Suture Bridge Technique Maintain Repair Integrity?: A Serial Evaluation by Ultrasonography

Park

Siti

Keum

et al. 2010

Clinical Orthopaedics &Amp; Related Research

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“…During medieval times the presence of such sex differences was attributed to the conventional "man the hunter vs. woman the gatherer" labour division [14]. Contrary to the correlative relationship between osteolytic changes and tendon tears established by Bianchi et al [7], Cormick [8] described the development of tendon tears to be caused by enthesopathy and subsequent loss of tendon impliability. Despite the well-defined functional-anatomic unit formed by the rotator cuff, the glenohumeral joint is subject to a great degree of pathology [16,18].…”

Section: Discussionmentioning

confidence: 99%

Enthesopathic patterns of two South African female cadavers

2017

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Enthesopathy is considered to be an osseous phenomenon, either disease-specific or bone-site specific, which occurs at the enthesis of bone. Upon routine cadaveric dissection of the glenohumeral region in two Caucasian females, enthesopathy of the right proximal humerus was observed unilaterally in both cases. Case 1 exhibited an inconsistent pattern of bony protuberances and crests dispersed across the lesser and greater tuberosities of the right humeral head. Varying degrees of ossification of the distal subscapularis muscle was also observed. Case 2 presented with a distinctively large enthesophyte that protruded supero-medially from the proximal right humerus. In addition, ossification of the distal-most aspect of the supraspinatus muscle was identified. Cases 1 and 2 were both reflective of osteophytic enthesopathy as proliferative change was clearly visible on the proximal aspect of each humerus.Whilst the presence of enthesopathies may be indicative of underlying pathology, it may prove beneficial to the field of bioarchaeology for the remodelling of lifestyles of ancient civilizations through the provision of current day variations as seen in these two case studies. (Folia Morphol 2017; 76, 2: 326-330)

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“…F atty infiltration of the rotator cuff muscles secondary to tendon tears is frequent 1-9 and constitutes a major negative predictive factor for optimal outcomes after rotator cuff surgery. [10][11][12][13][14][15][16] In 1989, Goutallier et al 6 established the most commonly used classification system for assessing fatty infiltration of the rotator cuff muscles using computed tomographic (CT) images in the axial plane. Currently, the assessment of rotator cuff muscles by axial CT images has been widely replaced by ultrasound examination or parasagittal acquired magnetic resonance (MR) images.…”

Section: Discussionmentioning

confidence: 99%

Good Correlation of Goutallier Rating of Supraspinatus Fatty Changes on Axial and Reformatted Parasagittal Computed Tomographic Images

Müller¹,

Buck²,

Mamisch-Saupe³

et al. 2014

Journal of Computer Assisted Tomography

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UNLABELLED Traumatic tendon tear of the rotator cuff occurs frequently and leads to fatty muscle infiltration. With regard to the outcome, fatty infiltration of the rotator cuff muscles constitutes a major negative predictive factor after rotator cuff surgery. In 1989, Goutallier et al established his classification system for assessment of fatty infiltration of the rotator cuff muscles. He used computed tomographic (CT) images in the axial plane. Today, the assessment of rotator cuff muscles on axial CT images has been widely replaced by assessment on parasagittal acquired magnetic resonance images. This change raised 2 important questions. First, there is a controversy whether the Goutallier classification can simply be adopted for magnetic resonance imaging. The second question is whether the muscle assessment in the axial plane is interchangeable with that in the parasagittal plane. We hypothesize that the assessment of fatty muscle infiltration is the same on reformatted parasagittal CT images as on axial CT images METHODS Three independent readers, 2 radiologists and one shoulder surgeon, rated fatty changes of the supraspinatus muscle on CT scans of 91 shoulders. Goutallier grades were assessed on axial and reformatted parasagittal CT images in 2 separate reading sessions. The paired t test was used to find differences between grading results on axial and reformatted parasagittal images. The Pearson correlation coefficient and weighted kappa statistics were used to quantify linear correlation, intrareader, and interreader agreement. RESULTS Mean (SD) Goutallier grading among all readers was 0.80 (1.16) (range, 0-4) on axial images and 0.89 (1.05) (range, 004) on parasagittal reconstructions. We detected a trend toward a slightly higher Goutallier grading on parasagittal reconstructions; however, this result was not significant (P = 0.07). The Pearson correlation coefficient was 0.702 (P < 0.001). Weighted kappa statistics indicated a moderately good to good intrareader (range of weighted kappa, 0.53-0.62) and interreader (weighted kappa, axial images, 0.55; reformatted parasagittal images, 0.65) agreement. CONCLUSION Grading of fatty infiltration of the supraspinatus muscle on parasagittal CT images is comparable with the standard Goutallier grading on axial images and is characterized by a moderately good to good intrareader and interreader agreement. Assessment of parasagittal images is characterized by a slightly higher interreader agreement and may therefore be the preferable modality.

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Ultrasound of tendon tears. Part 1: general considerations and upper extremity

Cited by 80 publications

References 45 publications

Does an Arthroscopic Suture Bridge Technique Maintain Repair Integrity?: A Serial Evaluation by Ultrasonography

Does an Arthroscopic Suture Bridge Technique Maintain Repair Integrity?: A Serial Evaluation by Ultrasonography

Enthesopathic patterns of two South African female cadavers

Good Correlation of Goutallier Rating of Supraspinatus Fatty Changes on Axial and Reformatted Parasagittal Computed Tomographic Images

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