nach oben

Archives of Orthopaedic and Trauma Surgery

Erschienen in:

11.11.2017 | Arthroscopy and Sports Medicine

Early postoperative magnetic resonance imaging findings after arthroscopic rotator cuff repair: T2 hyperintensity of the capsule can predict reduced shoulder motion

verfasst von: Ji Na Kim, Soon Tae Kwon, Kyung Cheon Kim

Erschienen in: Archives of Orthopaedic and Trauma Surgery | Ausgabe 2/2018

Einloggen, um Zugang zu erhalten

Abstract

Introduction

The purpose of this study was to investigate whether postoperative shoulder magnetic resonance imaging (MRI) findings correlate with postoperative shoulder range of motion (ROM) at about 4 months after arthroscopic rotator cuff repair (ARCR).

Materials and methods

Signal-intensity changes of the capsule, pericapsular soft tissue at the axillary recess, and subcoracoid fat triangle, as well as the thickness of the capsule at the axillary recess and coracohumeral ligament were assessed on preoperative and postoperative MR images of 232 patients. The ROM was evaluated preoperatively and at about 4 months after ARCR.

Results

T2 hyperintensity of the capsule, pericapsular soft tissue at the axillary recess, and signal change of the subcoracoid fat triangle were detected in 155, 107, and 89 cases, respectively, on postoperative MRI. Among these cases, 129, 98, and 69 cases, respectively, showed newly developed signal changes. The mean thicknesses of the capsule and coracohumeral ligament were 1.89 ± 0.69 and 1.64 ± 0.51 mm, respectively, on preoperative MRI and 3.74 ± 1.12 and 2.42 ± 0.56 mm, respectively, on postoperative MRI. At the 4-month follow-up, the mean external rotation (ER), internal rotation (IR), abduction, forward flexion, and extension were 77, 73, 76, 83, and 82%, respectively, of the contralateral side. Newly developed T2 hyperintensity of the capsule and pericapsular soft tissue at the axillary recess on postoperative MRI significantly correlated with the postoperative limitation of ER (p = 0.039) and IR (p = 0.020).

Conclusions

Newly developed signal changes of the capsule, pericapsular soft tissue at the axillary recess, and subcoracoid fat triangle were often detected on postoperative MRI at 4 months after ARCR. Furthermore, newly developed T2 hyperintensity of the capsule and pericapsular soft tissue at the axillary recess correlated with limited ROM in ER and IR at 4 months after ARCR.

Chung SW, Huong CB, Kim SH, Oh JH (2013) Shoulder stiffness after rotator cuff repair: risk factors and influence on outcome. Arthroscopy 29(2):290–300. https://doi.org/10.1016/j.arthro.2012.08.023 CrossRefPubMed

Fermont AJ, Wolterbeek N, Wessel RN, Baeyens JP, de Bie RA (2015) Prognostic factors for recovery after arthroscopic rotator cuff repair: a prognostic study. J Shoulder Elbow Surg 24(8):1249–1256. https://doi.org/10.1016/j.jse.2015.04.013 CrossRefPubMed

Tauro JC (2006) Stiffness and rotator cuff tears: incidence, arthroscopic findings, and treatment results. Arthroscopy 22(6):581–586. https://doi.org/10.1016/j.arthro.2006.03.004 CrossRefPubMed

Brislin KJ, Field LD, Savoie FH 3rd (2007) Complications after arthroscopic rotator cuff repair. Arthroscopy 23 (2):124–128. https://doi.org/10.1016/j.arthro.2006.09.001 CrossRefPubMed

Crim J, Burks R, Manaster BJ, Hanrahan C, Hung M, Greis P (2010) Temporal evolution of MRI findings after arthroscopic rotator cuff repair. Am J Roentgenol 195(6):1361–1366. https://doi.org/10.2214/ajr.10.4436 CrossRef

Stahnke K, Nikulka C, Diederichs G, Haneveld H, Scheibel M, Gerhardt C (2016) Serial MRI evaluation following arthroscopic rotator cuff repair in double-row technique. Arch Orthop Trauma Surg 136(5):665–672. https://doi.org/10.1007/s00402-016-2409-9 CrossRefPubMed

Heuberer PR, Smolen D, Pauzenberger L, Plachel F, Salem S, Laky B, Kriegleder B, Anderl W (2017) Longitudinal long-term magnetic resonance imaging and clinical follow-up after single-row arthroscopic rotator cuff repair: clinical superiority of structural tendon integrity. Am J Sports Med 45(6):1283–1288. https://doi.org/10.1177/0363546517689873 CrossRefPubMed

Thakkar RS, Thakkar SC, Srikumaran U, McFarland EG, Fayad LM (2014) Complications of rotator cuff surgery-the role of postoperative imaging in patient care. Br J Radiol 87(1039):20130630. https://doi.org/10.1259/bjr.20130630 CrossRefPubMedPubMedCentral

Mohana-Borges AV, Chung CB, Resnick D (2004) MR imaging and MR arthrography of the postoperative shoulder: spectrum of normal and abnormal findings. Radiographics 24(1):69–85. https://doi.org/10.1148/rg.241035081 CrossRefPubMed

10.

Woertler K (2007) Multimodality imaging of the postoperative shoulder. Eur Radiol 17(12):3038–3055. https://doi.org/10.1007/s00330-007-0649-3 CrossRefPubMed

11.

Zlatkin MB (2002) MRI of the postoperative shoulder. Skeletal Radiol 31(2):63–80. https://doi.org/10.1007/s00256-001-0460-1 CrossRefPubMed

12.

Gondim Teixeira PA, Balaj C, Chanson A, Lecocq S, Louis M, Blum A (2012) Adhesive capsulitis of the shoulder: value of inferior glenohumeral ligament signal changes on T2-weighted fat-saturated images. Am J Roentgenol 198(6):W589CrossRef

13.

Sofka CM, Ciavarra GA, Hannafin JA, Cordasco FA, Potter HG (2008) Magnetic resonance imaging of adhesive capsulitis: correlation with clinical staging. HSS J 4(2):164–169. https://doi.org/10.1007/s11420-008-9088-1 CrossRefPubMedPubMedCentral

14.

Lefevre-Colau MM, Drape JL, Fayad F, Rannou F, Diche T, Minvielle F, Demaille-Wlodyka S, Mayoux-Benhamou MA, Fermanian J, Poiraudeau S, Revel M (2005) Magnetic resonance imaging of shoulders with idiopathic adhesive capsulitis: reliability of measures. Eur Radiol 15(12):2415–2422. https://doi.org/10.1007/s00330-005-2830-x CrossRefPubMed

15.

Connell D, Padmanabhan R, Buchbinder R (2002) Adhesive capsulitis: role of MR imaging in differential diagnosis. Eur Radiol 12(8):2100–2106. https://doi.org/10.1007/s00330-002-1349-7 CrossRefPubMed

16.

Sonnabend DH, Howlett CR, Young AA (2010) Histological evaluation of repair of the rotator cuff in a primate model. J Bone Joint Surg Br 92(4):586–594. https://doi.org/10.1302/0301-620x.92b4.22371 CrossRefPubMed

17.

Iannotti JP, Deutsch A, Green A, Rudicel S, Christensen J, Marraffino S, Rodeo S (2013) Time to failure after rotator cuff repair: a prospective imaging study. J Bone Joint Surg Am 95(11):965–971. https://doi.org/10.2106/jbjs.l.00708 CrossRefPubMed

18.

Kluger R, Bock P, Mittlbock M, Krampla W, Engel A (2011) Long-term survivorship of rotator cuff repairs using ultrasound and magnetic resonance imaging analysis. Am J Sports Med 39(10):2071–2081. https://doi.org/10.1177/0363546511406395 CrossRefPubMed

19.

Oh JH, Kim SH, Lee HK, Jo KH, Bin SW, Gong HS (2008) Moderate preoperative shoulder stiffness does not alter the clinical outcome of rotator cuff repair with arthroscopic release and manipulation. Arthroscopy 24(9):983–991. https://doi.org/10.1016/j.arthro.2008.06.007 CrossRefPubMed

20.

Namdari S, Green A (2010) Range of motion limitation after rotator cuff repair. J Shoulder Elbow Surg 19(2):290–296. https://doi.org/10.1016/j.jse.2009.07.009 CrossRefPubMed

21.

Potter HG, Hannafin JA, Morwessel RM, DiCarlo EF, O’Brien SJ, Altchek DW (1995) Lateral epicondylitis: correlation of MR imaging, surgical, and histopathologic findings. Radiology 196(1):43–46. https://doi.org/10.1148/radiology.196.1.7784585 CrossRefPubMed

22.

Park S, Lee DH, Yoon SH, Lee HY, Kwack KS (2016) Evaluation of Adhesive Capsulitis of the Shoulder With Fat-Suppressed T2-Weighted MRI: Association Between Clinical Features and MRI Findings. Am J Roentgenol 207(1):135–141CrossRef

23.

Ahn KS, Kang CH, Oh YW, Jeong WK (2012) Correlation between magnetic resonance imaging and clinical impairment in patients with adhesive capsulitis. Skeletal Radiol 41(10):1301–1308. https://doi.org/10.1007/s00256-012-1391-8 CrossRefPubMed

24.

Kerimoglu U, Aydingoz U, Atay OA, Ergen FB, Kirkpantur A, Arici M (2007) Magnetic resonance imaging of the rotator interval in patients on long-term hemodialysis: correlation with the range of shoulder motions. J Comput Assist Tomogr 31(6):970–975. https://doi.org/10.1097/RCT.0b013e31805930f4 CrossRefPubMed

25.

Lee SY, Park J, Song SW (2012) Correlation of MR arthrographic findings and range of shoulder motions in patients with frozen shoulder. Am J Roentgenol 198(1):173–179. https://doi.org/10.2214/ajr.10.6173 CrossRef

26.

Mansat P, Cofield RH, Kersten TE, Rowland CM (1997) Complications of rotator cuff repair. Orthop Clin North Am 28(2):205–213CrossRefPubMed

27.

Vastamäki H, Vastamäki M (2014) Postoperative stiff shoulder after open rotator cuff repair: a 3- to 20-year follow-up study. Scand J Surg 103(4):263–270. https://doi.org/10.1177/1457496913514383 CrossRefPubMed

28.

Trenerry K, Walton JR, Murrell GA (2005) Prevention of shoulder stiffness after rotator cuff repair. Clin Orthop Relat Res (430):94–99

29.

Parsons BO, Gruson KI, Chen DD, Harrison AK, Gladstone J, Flatow EL (2010) Does slower rehabilitation after arthroscopic rotator cuff repair lead to long-term stiffness? J Shoulder Elbow Surg 19(7):1034–1039. https://doi.org/10.1016/j.jse.2010.04.006 CrossRefPubMed

30.

Huberty DP, Schoolfield JD, Brady PC, Vadala AP, Arrigoni P, Burkhart SS (2009) Incidence and treatment of postoperative stiffness following arthroscopic rotator cuff repair. Arthroscopy 25(8):880–890. https://doi.org/10.1016/j.arthro.2009.01.018 CrossRefPubMed

Titel: Early postoperative magnetic resonance imaging findings after arthroscopic rotator cuff repair: T2 hyperintensity of the capsule can predict reduced shoulder motion
verfasst von: Ji Na Kim
Soon Tae Kwon
Kyung Cheon Kim
Publikationsdatum: 11.11.2017
Verlag: Springer Berlin Heidelberg
Erschienen in: Archives of Orthopaedic and Trauma Surgery / Ausgabe 2/2018
Print ISSN: 0936-8051
Elektronische ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-017-2834-4

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen.
» Jetzt entdecken

Neu im Fachgebiet Orthopädie und Unfallchirurgie

18.04.2024 | Wirbelsäulenmetastase | Nachrichten

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Early postoperative magnetic resonance imaging findings after arthroscopic rotator cuff repair: T2 hyperintensity of the capsule can predict reduced shoulder motion

Abstract

Introduction

Materials and methods

Results

Conclusions

Arthropedia

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Stereotaktische Radiatio schlägt konventionelle Bestrahlung

Vorsicht mit hohen NSAR-Dosen bei ankylosierender Spondylitis!

Brustkrebs in der Vorgeschichte macht Gelenkersatz komplikationsträchtiger

„Nur wer sich gut aufgehoben fühlt, kann auch für Patientensicherheit sorgen“

Update Orthopädie und Unfallchirurgie

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Abstract

Introduction

Materials and methods

Results

Conclusions

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 2/2018

Superior biomechanical properties and tying time with the modified Prusik knot and Wittstein suture loop to the Krackow stitch

Single-leg spica provides adequate stability after open reduction in developmental dysplasia of the hip

Isolated radial neck delayed union/nonunion after conservative treatment in adults: two case reports and a literature review

Sagittal magnetic resonance imaging-scan orientation significantly influences accuracy of femoral posterior condylar offset measurement

Reduced joint-awareness in bicruciate-retaining total knee arthroplasty compared to cruciate-sacrificing total knee arthroplasty

Predictive factors for metal ion levels in metal-on-metal total hip arthroplasty

Arthropedia

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Stereotaktische Radiatio schlägt konventionelle Bestrahlung

Vorsicht mit hohen NSAR-Dosen bei ankylosierender Spondylitis!

Brustkrebs in der Vorgeschichte macht Gelenkersatz komplikationsträchtiger

„Nur wer sich gut aufgehoben fühlt, kann auch für Patientensicherheit sorgen“

Update Orthopädie und Unfallchirurgie