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Erschienen in: Current Reviews in Musculoskeletal Medicine 1/2018

24.01.2018 | Rotator Cuff Repair (M Tao and M Teusink, section editors)

The Repaired Rotator Cuff: MRI and Ultrasound Evaluation

verfasst von: Susan C. Lee, Danielle Williams, Yoshimi Endo

Erschienen in: Current Reviews in Musculoskeletal Medicine | Ausgabe 1/2018

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Abstract

Purpose of Review

The purposes of this review were to provide an overview of the current practice of evaluating the postoperative rotator cuff on imaging and to review the salient imaging findings of the normal and abnormal postoperative rotator cuff, as well as of postoperative complications.

Recent Findings

The repaired rotator cuff frequently appears abnormal on magnetic resonance imaging (MRI) and ultrasound (US). Recent studies have shown that while the tendons typically normalize, they can demonstrate clinically insignificant abnormal imaging appearances for longer than 6 months. Features of capsular thickening or subacromial-subdeltoid bursal thickening and fluid distension were found to decrease substantially in the first 6-month postoperative period. MRI and US were found to be highly comparable in the postoperative assessment of the rotator cuff, although they had a lower sensitivity for partial thickness tears. Imaging evaluation of newer techniques such as patch augmentation and superior capsular reconstruction needs to be further investigated.

Summary

MRI and US are useful in the postoperative assessment of the rotator cuff, not only for evaluation of the integrity of the rotator cuff, but also for detecting hardware complications and other etiologies of shoulder pain.
Literatur
2.
Zurück zum Zitat Kronberg M, Nemeth G, Brostrom LA. Muscle activity and coordination in the normal shoulder. An electromyographic study. Clin Orthop Relat Res. 1990;257:76–85. Kronberg M, Nemeth G, Brostrom LA. Muscle activity and coordination in the normal shoulder. An electromyographic study. Clin Orthop Relat Res. 1990;257:76–85.
11.
Zurück zum Zitat • Collin P, Yoshida M, Delarue A, Lucas C, Jossaume T, Ladermann A, et al. Evaluating postoperative rotator cuff healing: prospective comparison of MRI and ultrasound. Orthop Traumatol Surg Res. 2015;101(6 Suppl):S265–8. https://doi.org/10.1016/j.otsr.2015.06.006. Recent review comparing MRI and US in the evaluation of healing after rotator cuff repair. CrossRefPubMed • Collin P, Yoshida M, Delarue A, Lucas C, Jossaume T, Ladermann A, et al. Evaluating postoperative rotator cuff healing: prospective comparison of MRI and ultrasound. Orthop Traumatol Surg Res. 2015;101(6 Suppl):S265–8. https://​doi.​org/​10.​1016/​j.​otsr.​2015.​06.​006. Recent review comparing MRI and US in the evaluation of healing after rotator cuff repair. CrossRefPubMed
18.
25.
Zurück zum Zitat • Roy JS, Braen C, Leblond J, Desmeules F, Dionne CE, MacDermid JC, et al. Diagnostic accuracy of ultrasonography, MRI and MR arthrography in the characterisation of rotator cuff disorders: a systematic review and meta-analysis. Br J Sports Med. 2015;49(20):1316–28. https://doi.org/10.1136/bjsports-2014-094148. Recent meta-analysis comparing the accuracy of US, MRI, and MR arthrography in evaluation of the rotator cuff. CrossRefPubMedPubMedCentral • Roy JS, Braen C, Leblond J, Desmeules F, Dionne CE, MacDermid JC, et al. Diagnostic accuracy of ultrasonography, MRI and MR arthrography in the characterisation of rotator cuff disorders: a systematic review and meta-analysis. Br J Sports Med. 2015;49(20):1316–28. https://​doi.​org/​10.​1136/​bjsports-2014-094148. Recent meta-analysis comparing the accuracy of US, MRI, and MR arthrography in evaluation of the rotator cuff. CrossRefPubMedPubMedCentral
45.
Zurück zum Zitat • Yoo HJ, Choi JY, Hong SH, Kang Y, Park J, Kim SH, et al. Assessment of the postoperative appearance of the rotator cuff tendon using serial sonography after arthroscopic repair of a rotator cuff tear. J Ultrasound Med. 2015;34(7):1183–90. https://doi.org/10.7863/ultra.34.7.1183. Recent study detailing the sonographic appearance of the postoperative rotator cuff. CrossRefPubMed • Yoo HJ, Choi JY, Hong SH, Kang Y, Park J, Kim SH, et al. Assessment of the postoperative appearance of the rotator cuff tendon using serial sonography after arthroscopic repair of a rotator cuff tear. J Ultrasound Med. 2015;34(7):1183–90. https://​doi.​org/​10.​7863/​ultra.​34.​7.​1183. Recent study detailing the sonographic appearance of the postoperative rotator cuff. CrossRefPubMed
Metadaten
Titel
The Repaired Rotator Cuff: MRI and Ultrasound Evaluation
verfasst von
Susan C. Lee
Danielle Williams
Yoshimi Endo
Publikationsdatum
24.01.2018
Verlag
Springer US
Erschienen in
Current Reviews in Musculoskeletal Medicine / Ausgabe 1/2018
Elektronische ISSN: 1935-9748
DOI
https://doi.org/10.1007/s12178-018-9463-6

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