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Knee Surgery, Sports Traumatology, Arthroscopy

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01.02.2015 | Shoulder

Magnetic resonance imaging criteria for the assessment of the rotator cuff after repair: a systematic review

verfasst von: Maristella F. Saccomanno, Gianpiero Cazzato, Mario Fodale, Giuseppe Sircana, Giuseppe Milano

Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy | Ausgabe 2/2015

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Abstract

Purpose

The purpose of this systematic review was to detect the reliability of the currently available magnetic resonance imaging measurements used in the evaluation of repaired rotator cuff.

Methods

Search was performed using major electronic databases from their inception to February 2014. All studies reporting post-operative magnetic resonance assessment after rotator cuff repair were included. After the identification of available magnetic resonance criteria, reliability studies were further analysed. Descriptive statistics were used to summarize findings. Methodological quality was assessed using the Quality Appraisal of Reliability Studies checklist.

Results

One hundred and twenty studies were included in the review. Twenty-six different criteria were identified. Ten studies reported inter-observer reliability, and only two assessed intra-observer reliability of some of the identified criteria. Structural integrity was the most investigated criterion. The dichotomized Sugaya’s classification showed the highest reliability (k = 0.80–0.91). All other criteria showed moderate to low inter-observer reliability. Tendon signal intensity and footprint coverage showed a complete discordance. Intra-observer reliability was high for the presence of structural integrity, and moderate to low for all other criteria. Methodological quality was high only for one study and moderate for three studies.

Conclusions

Twenty-six different criteria described by multiple classification systems have been identified for the magnetic resonance assessment of rotator cuff after repair. Reliability of most of them has not been analysed yet. With the data available, only the presence of structural integrity showed good intra- and inter-observer agreement.

Level of evidence

Systematic review of descriptive and qualitative studies, Level IV.

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Titel: Magnetic resonance imaging criteria for the assessment of the rotator cuff after repair: a systematic review
verfasst von: Maristella F. Saccomanno
Gianpiero Cazzato
Mario Fodale
Giuseppe Sircana
Giuseppe Milano
Publikationsdatum: 01.02.2015
Verlag: Springer Berlin Heidelberg
Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy / Ausgabe 2/2015
Print ISSN: 0942-2056
Elektronische ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-014-3486-3

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