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Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy 12/2019

07.03.2019 | SHOULDER

The supraspinatus occupation ratios of both the ≥ 50% articular- and bursal-side partial-thickness rotator cuff tears were low and the infraspinatus occupation ratio of the ≥ 50% bursal-side partial-thickness rotator cuff tears was low

Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy | Ausgabe 12/2019

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Abstract

Purpose

The purpose of this study was to analyze the relationship between the occupation ratio and partial-thickness rotator cuff tears.

Methods

The study included and retrospectively investigated 683 patients with partial-thickness rotator cuff tears between 2013 and 2017. Fifty patients with impingement syndrome were also enrolled as the control group for normal-population comparison. The participants were divided into five groups: Group A, control group; Group B, < 50% articular-side tears; Group C, ≥ 50% articular-side tears; Group D, < 50% bursal-side tears; and Group E, ≥ 50% bursal-side tears. Muscle volume was evaluated by measurement of each occupation ratio of the supraspinatus and infraspinatus tendons on the most lateral view of the T1-weighted oblique-sagittal images in which the scapular spine remained in contact with the scapular body.

Results

Fifty patients were enrolled in Group A. A total of 683 patients with Partial thickness rotator cuff tear were divided and classified into the following groups: 272 into Group B, 153 into Group C, 161 into Group D, and 97 into Group E. The supraspinatus occupation ratios of all partial-thickness rotator cuff tear groups were significantly lower than those of the control group. Furthermore, the supraspinatus occupation ratios of Groups C and E (≥ 50% partial-thickness rotator cuff tears) were significantly lower than those of Groups B and D (< 50% partial-thickness rotator cuff tears). However, the infraspinatus occupation ratio of only Group E was significantly lower than that of the other groups.

Conclusion

The supraspinatus occupation ratios of both the ≥ 50% articular- and bursal-side partial-thickness rotator cuff tears were lower than those of the other partial-thickness rotator cuff tears. Conversely, the infraspinatus occupation ratio of only the ≥ 50% bursal-side partial-thickness rotator cuff tears was low.

Level of evidence

IV.
Literatur
1.
Zurück zum Zitat Chung SW, Oh KS, Moon SG, Kim NR, Lee JW, Shim E et al (2017) Serial changes in 3-dimensional supraspinatus muscle volume after rotator cuff repair. Am J Sports Med 45:2345–2354CrossRef Chung SW, Oh KS, Moon SG, Kim NR, Lee JW, Shim E et al (2017) Serial changes in 3-dimensional supraspinatus muscle volume after rotator cuff repair. Am J Sports Med 45:2345–2354CrossRef
2.
Zurück zum Zitat Cicchetti DV, Sparrow SA (1981) Developing criteria for establishing interrater reliability of specific items: applications to assessment of adaptive behavior. Am J Ment Defic 86:127–137PubMed Cicchetti DV, Sparrow SA (1981) Developing criteria for establishing interrater reliability of specific items: applications to assessment of adaptive behavior. Am J Ment Defic 86:127–137PubMed
3.
Zurück zum Zitat Connor PM, Banks DM, Tyson AB, Coumas JS, D’Alessandro DF (2003) Magnetic resonance imaging of the asymptomatic shoulder of overhead athletes: a 5-year follow-up study. Am J Sports Med 31:724–727CrossRef Connor PM, Banks DM, Tyson AB, Coumas JS, D’Alessandro DF (2003) Magnetic resonance imaging of the asymptomatic shoulder of overhead athletes: a 5-year follow-up study. Am J Sports Med 31:724–727CrossRef
4.
Zurück zum Zitat de Jesus JO, Parker L, Frangos AJ, Nazarian LN (2009) Accuracy of MRI, MR arthrography, and ultrasound in the diagnosis of rotator cuff tears: a meta-analysis. AJR Am J Roentgenol 192:1701–1707CrossRef de Jesus JO, Parker L, Frangos AJ, Nazarian LN (2009) Accuracy of MRI, MR arthrography, and ultrasound in the diagnosis of rotator cuff tears: a meta-analysis. AJR Am J Roentgenol 192:1701–1707CrossRef
5.
Zurück zum Zitat Ellman H (1990) Diagnosis and treatment of incomplete rotator cuff tears. Clin Orthop Relat Res 254:64–74 Ellman H (1990) Diagnosis and treatment of incomplete rotator cuff tears. Clin Orthop Relat Res 254:64–74
6.
Zurück zum Zitat Fukuda H (2000) Partial-thickness rotator cuff tears: a modern view on Codman’s classic. J Shoulder Elb Surg 9:163–168CrossRef Fukuda H (2000) Partial-thickness rotator cuff tears: a modern view on Codman’s classic. J Shoulder Elb Surg 9:163–168CrossRef
7.
Zurück zum Zitat Fukuda H, Hamada K, Nakajima T, Tomonaga A (1994) Pathology and pathogenesis of the intratendinous tearing of the rotator cuff viewed from en bloc histologic sections. Clin Orthop Relat Res 304:60–67 Fukuda H, Hamada K, Nakajima T, Tomonaga A (1994) Pathology and pathogenesis of the intratendinous tearing of the rotator cuff viewed from en bloc histologic sections. Clin Orthop Relat Res 304:60–67
8.
Zurück zum Zitat Jeong HY, Kim HJ, Jeon YS, Rhee YG (2018) Factors predictive of healing in large rotator cuff tears: is it possible to predict retear preoperatively? Am J Sports Med 46:1693–1700CrossRef Jeong HY, Kim HJ, Jeon YS, Rhee YG (2018) Factors predictive of healing in large rotator cuff tears: is it possible to predict retear preoperatively? Am J Sports Med 46:1693–1700CrossRef
9.
Zurück zum Zitat Kikukawa K, Ide J, Kikuchi K, Morita M, Mizuta H, Ogata H (2014) Hypertrophic changes of the teres minor muscle in rotator cuff tears: quantitative evaluation by magnetic resonance imaging. J Shoulder Elb Surg 23:1800–1805CrossRef Kikukawa K, Ide J, Kikuchi K, Morita M, Mizuta H, Ogata H (2014) Hypertrophic changes of the teres minor muscle in rotator cuff tears: quantitative evaluation by magnetic resonance imaging. J Shoulder Elb Surg 23:1800–1805CrossRef
10.
Zurück zum Zitat Kim YS, Lee HJ, Kim JH, Noh DY (2018) When should we repair partial-thickness rotator cuff tears? outcome comparison between immediate surgical repair versus delayed repair after 6-month period of nonsurgical treatment. Am J Sports Med 46:1091–1096CrossRef Kim YS, Lee HJ, Kim JH, Noh DY (2018) When should we repair partial-thickness rotator cuff tears? outcome comparison between immediate surgical repair versus delayed repair after 6-month period of nonsurgical treatment. Am J Sports Med 46:1091–1096CrossRef
11.
Zurück zum Zitat Lhee SH, Singh AK, Lee DY (2017) Does magnetic resonance imaging appearance of supraspinatus muscle atrophy change after repairing rotator cuff tears? J Shoulder Elb Surg 26:416–423CrossRef Lhee SH, Singh AK, Lee DY (2017) Does magnetic resonance imaging appearance of supraspinatus muscle atrophy change after repairing rotator cuff tears? J Shoulder Elb Surg 26:416–423CrossRef
12.
Zurück zum Zitat Lo IK, Burkhart SS (2004) Transtendon arthroscopic repair of partial-thickness, articular surface tears of the rotator cuff. Arthroscopy 20:214–220CrossRef Lo IK, Burkhart SS (2004) Transtendon arthroscopic repair of partial-thickness, articular surface tears of the rotator cuff. Arthroscopy 20:214–220CrossRef
13.
Zurück zum Zitat Mall NA, Kim HM, Keener JD, Steger-May K, Teefey SA, Middleton WD et al (2010) Symptomatic progression of asymptomatic rotator cuff tears: a prospective study of clinical and sonographic variables. J Bone Joint Surg Am 92:2623–2633CrossRef Mall NA, Kim HM, Keener JD, Steger-May K, Teefey SA, Middleton WD et al (2010) Symptomatic progression of asymptomatic rotator cuff tears: a prospective study of clinical and sonographic variables. J Bone Joint Surg Am 92:2623–2633CrossRef
14.
Zurück zum Zitat Michelin P, Trintignac A, Dacher JN, Carvalhana G, Lefebvre V, Duparc F (2014) Magnetic resonance anatomy of the superior part of the rotator cuff in normal shoulders, assessment and practical implication. Surg Radiol Anat 36:993–1000CrossRef Michelin P, Trintignac A, Dacher JN, Carvalhana G, Lefebvre V, Duparc F (2014) Magnetic resonance anatomy of the superior part of the rotator cuff in normal shoulders, assessment and practical implication. Surg Radiol Anat 36:993–1000CrossRef
15.
Zurück zum Zitat Mihata T, McGarry MH, Pirolo JM, Kinoshita M, Lee TQ (2012) Superior capsule reconstruction to restore superior stability in irreparable rotator cuff tears: a biomechanical cadaveric study. Am J Sports Med 40:2248–2255CrossRef Mihata T, McGarry MH, Pirolo JM, Kinoshita M, Lee TQ (2012) Superior capsule reconstruction to restore superior stability in irreparable rotator cuff tears: a biomechanical cadaveric study. Am J Sports Med 40:2248–2255CrossRef
16.
Zurück zum Zitat Mochizuki T, Sugaya H, Uomizu M, Maeda K, Matsuki K, Sekiya I et al (2008) Humeral insertion of the supraspinatus and infraspinatus. New anatomical findings regarding the footprint of the rotator cuff. J Bone Joint Surg Am 90:962–969CrossRef Mochizuki T, Sugaya H, Uomizu M, Maeda K, Matsuki K, Sekiya I et al (2008) Humeral insertion of the supraspinatus and infraspinatus. New anatomical findings regarding the footprint of the rotator cuff. J Bone Joint Surg Am 90:962–969CrossRef
17.
Zurück zum Zitat Nathani A, Smith K, Wang T (2018) Partial and full-thickness RCT: modern repair techniques. Curr Rev Musculoskelet Med 11:113–121CrossRef Nathani A, Smith K, Wang T (2018) Partial and full-thickness RCT: modern repair techniques. Curr Rev Musculoskelet Med 11:113–121CrossRef
18.
Zurück zum Zitat Nimura A, Kato A, Yamaguchi K, Mochizuki T, Okawa A, Sugaya H et al (2012) The superior capsule of the shoulder joint complements the insertion of the rotator cuff. J Shoulder Elb Surg 21:867–872CrossRef Nimura A, Kato A, Yamaguchi K, Mochizuki T, Okawa A, Sugaya H et al (2012) The superior capsule of the shoulder joint complements the insertion of the rotator cuff. J Shoulder Elb Surg 21:867–872CrossRef
19.
Zurück zum Zitat Oh JH, Park MS, Rhee SM (2018) Treatment strategy for irreparable rotator cuff tears. Clin Orthop Surg 10:119–134CrossRef Oh JH, Park MS, Rhee SM (2018) Treatment strategy for irreparable rotator cuff tears. Clin Orthop Surg 10:119–134CrossRef
20.
Zurück zum Zitat Park YB, Ryu HY, Hong JH, Ko YH, Yoo JC (2016) Reversibility of supraspinatus muscle atrophy in tendon-bone healing after arthroscopic rotator cuff repair. Am J Sports Med 44:981–988CrossRef Park YB, Ryu HY, Hong JH, Ko YH, Yoo JC (2016) Reversibility of supraspinatus muscle atrophy in tendon-bone healing after arthroscopic rotator cuff repair. Am J Sports Med 44:981–988CrossRef
21.
Zurück zum Zitat Pouliart N, Somers K, Eid S, Gagey O (2007) Variations in the superior capsuloligamentous complex and description of a new ligament. J Shoulder Elb Surg 16:821–836CrossRef Pouliart N, Somers K, Eid S, Gagey O (2007) Variations in the superior capsuloligamentous complex and description of a new ligament. J Shoulder Elb Surg 16:821–836CrossRef
22.
Zurück zum Zitat Rahu M, Kolts I, Poldoja E, Kask K (2017) Rotator cuff tendon connections with the rotator cable. Knee Surg Sports Traumatol Arthrosc 25:2047–2050CrossRef Rahu M, Kolts I, Poldoja E, Kask K (2017) Rotator cuff tendon connections with the rotator cable. Knee Surg Sports Traumatol Arthrosc 25:2047–2050CrossRef
23.
Zurück zum Zitat Ranebo MC, Bjornsson Hallgren HC, Norlin R, Adolfsson LE (2017) Clinical and structural outcome 22 years after acromioplasty without tendon repair in patients with subacromial pain and cuff tears. J Shoulder Elbow Surg 26:1262–1270CrossRef Ranebo MC, Bjornsson Hallgren HC, Norlin R, Adolfsson LE (2017) Clinical and structural outcome 22 years after acromioplasty without tendon repair in patients with subacromial pain and cuff tears. J Shoulder Elbow Surg 26:1262–1270CrossRef
24.
Zurück zum Zitat Reilly P, Macleod I, Macfarlane R, Windley J, Emery RJ (2006) Dead men and radiologists do not lie: a review of cadaveric and radiological studies of rotator cuff tear prevalence. Ann R Coll Surg Engl 88:116–121CrossRef Reilly P, Macleod I, Macfarlane R, Windley J, Emery RJ (2006) Dead men and radiologists do not lie: a review of cadaveric and radiological studies of rotator cuff tear prevalence. Ann R Coll Surg Engl 88:116–121CrossRef
25.
Zurück zum Zitat Sasaki T, Shitara H, Yamamoto A, Hamano N, Ichinose T, Shimoyama D et al (2018) What is the appropriate reference for evaluating the recovery of supraspinatus muscle atrophy after arthroscopic rotator cuff repair? The occupation ratio of the supraspinatus may change after rotator cuff repair without volumetric improvement. Am J Sports Med 46:1416–1423CrossRef Sasaki T, Shitara H, Yamamoto A, Hamano N, Ichinose T, Shimoyama D et al (2018) What is the appropriate reference for evaluating the recovery of supraspinatus muscle atrophy after arthroscopic rotator cuff repair? The occupation ratio of the supraspinatus may change after rotator cuff repair without volumetric improvement. Am J Sports Med 46:1416–1423CrossRef
26.
Zurück zum Zitat Seo JB, Yoo JS, Jang HS, Kim JS (2015) Correlation of clinical symptoms and function with fatty degeneration of infraspinatus in rotator cuff tear. Knee Surg Sports Traumatol Arthrosc 23:1481–1488CrossRef Seo JB, Yoo JS, Jang HS, Kim JS (2015) Correlation of clinical symptoms and function with fatty degeneration of infraspinatus in rotator cuff tear. Knee Surg Sports Traumatol Arthrosc 23:1481–1488CrossRef
27.
Zurück zum Zitat Shin SJ, Jeong JH, Jeon YS, Kim RG (2016) Preservation of bursal-sided tendon in partial-thickness articular-sided rotator cuff tears: a novel arthroscopic transtendon anatomic repair technique. Arch Orthop Trauma Surg 136:1701–1708CrossRef Shin SJ, Jeong JH, Jeon YS, Kim RG (2016) Preservation of bursal-sided tendon in partial-thickness articular-sided rotator cuff tears: a novel arthroscopic transtendon anatomic repair technique. Arch Orthop Trauma Surg 136:1701–1708CrossRef
28.
Zurück zum Zitat Thomazeau H, Rolland Y, Lucas C, Duval JM, Langlais F (1996) Atrophy of the supraspinatus belly. Assessment by MRI in 55 patients with rotator cuff pathology. Acta Orthop Scand 67:264–268CrossRef Thomazeau H, Rolland Y, Lucas C, Duval JM, Langlais F (1996) Atrophy of the supraspinatus belly. Assessment by MRI in 55 patients with rotator cuff pathology. Acta Orthop Scand 67:264–268CrossRef
29.
Zurück zum Zitat Vidt ME, Santago AC II, Tuohy CJ, Poehling GG, Freehill MT, Kraft RA et al (2016) Assessments of fatty infiltration and muscle atrophy from a single magnetic resonance image slice are not predictive of 3-dimensional measurements. Arthroscopy 32:128–139CrossRef Vidt ME, Santago AC II, Tuohy CJ, Poehling GG, Freehill MT, Kraft RA et al (2016) Assessments of fatty infiltration and muscle atrophy from a single magnetic resonance image slice are not predictive of 3-dimensional measurements. Arthroscopy 32:128–139CrossRef
30.
Zurück zum Zitat Wolff AB, Sethi P, Sutton KM, Covey AS, Magit DP, Medvecky M (2006) Partial-thickness rotator cuff tears. J Am Acad Orthop Surg 14:715–725CrossRef Wolff AB, Sethi P, Sutton KM, Covey AS, Magit DP, Medvecky M (2006) Partial-thickness rotator cuff tears. J Am Acad Orthop Surg 14:715–725CrossRef
Metadaten
Titel
The supraspinatus occupation ratios of both the ≥ 50% articular- and bursal-side partial-thickness rotator cuff tears were low and the infraspinatus occupation ratio of the ≥ 50% bursal-side partial-thickness rotator cuff tears was low
Publikationsdatum
07.03.2019
Erschienen in
Knee Surgery, Sports Traumatology, Arthroscopy / Ausgabe 12/2019
Print ISSN: 0942-2056
Elektronische ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-019-05419-0

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