1,784 results match your criteria Shoulder Rotator Cuff Injury MRI

Comparison of tear characteristics, outcome parameters and healing in traumatic and non-traumatic rotator cuff tear: a prospective cohort study.

Musculoskelet Surg 2021 Jun 8. Epub 2021 Jun 8.

Department of Orthopaedics, All India Institute of Medical Sciences, Bathinda, Punjab, 151001, India.

Purpose: Acute traumatic and chronic non-traumatic rotator cuff tears are etiologically distinguishable entities. However, prospective studies comparing tear characteristics and outcomes between these two types of tears are lacking. The purpose of this study was to compare the tear characteristics, clinical and functional outcomes, and tendon healing as assessed on magnetic resonance imaging (MRI), between traumatic and non-traumatic rotator cuff tears. Read More

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Treatment of Rotator Cuff Tears with platelet rich plasma: a prospective study with 2 year follow-up.

BMC Musculoskelet Disord 2021 May 29;22(1):499. Epub 2021 May 29.

Illinois Sportsmedicine and Orthopaedic Centers, 1714 Milwaukee Ave, 60025, Glenview, IL, USA.

Background: Surgical treatment of full-thickness rotator cuff (RC) tears is associated with generally good results. There is no consensus regarding treatment of partial thickness tears that fail conservative treatment. The purpose of this study was to look at the efficacy and confirm the safety of dual injection PRP into the shoulder of patients with rotator cuff pathology who have failed conservative treatment with followup to two years. Read More

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Association between functional outcome scores and MRI-based structural integrity after rotator cuff repair: a prospective cohort study.

Arch Orthop Trauma Surg 2021 May 21. Epub 2021 May 21.

Department of Orthopaedics, All India Institute of Medical Sciences, Virbhadra Marg, Rishikesh, 248201, India.

Purpose: Natural history of rotator cuff tears is poorly understood. Repair of rotator cuff tears has shown to improve functional outcomes in full-thickness tears. However, high re-tear rates have been reported in literature, which does not correlate with poorer outcomes. Read More

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Subacromial Platelet Rich Plasma Injections Decrease Pain and Improve Functional Outcomes in Patients With Refractory Rotator Cuff Tendinopathy.

Arthroscopy 2021 Apr 20. Epub 2021 Apr 20.

Department of Orthopedics and Traumatology, Prof. Dr. Carlos E. Ottolenghi, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.

Purpose: The purpose of this study was to evaluate the effect of subacromial platelet-rich plasma (PRP) injections in patients with refractory rotator cuff tendinopathies based on pain improvement, functional outcomes, sleep disturbances, and return to sports to the same level as before the injury.

Methods: Between March 2019 and October 2019, 50 patients with rotator cuff tendinopathy refractory to conservative treatment were treated with one subacromial PRP injection in our institution. Magnetic resonance imaging was performed in all patients to confirm diagnosis. Read More

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Atrophy patterns in isolated subscapularis lesions.

BMC Musculoskelet Disord 2021 Apr 22;22(1):378. Epub 2021 Apr 22.

Department of Orthopedic Sports Medicine, Klinikum rechts der Isar, Technical University of Munich, Ismaninger Str. 22, 81675, Munich, Germany.

Background: While supraspinatus atrophy can be described according to the system of Zanetti or Thomazeau there is still a lack of characterization of isolated subscapularis muscle atrophy. The aim of this study was to describe patterns of muscle atrophy following repair of isolated subscapularis (SSC) tendon.

Methods: Forty-nine control shoulder MRI scans, without rotator cuff pathology, atrophy or fatty infiltration, were prospectively evaluated and subscapularis diameters as well as cross sectional areas (complete and upper half) were assessed in a standardized oblique sagittal plane. Read More

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Ultrasonographic Technique, Appearance, and Diagnostic Accuracy for Common Shoulder Sports Injuries: A Narrative Review.

JBJS Rev 2021 04 22;9(4). Epub 2021 Apr 22.

The Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, Pennsylvania.

»: Ultrasonography (US) is valued for its availability, tolerability, low cost, and utility in real-time dynamic evaluation. Its use in diagnosing upper-extremity shoulder injury has expanded, but several features require definition before more widespread adoption can be realized.

»: In particular, the evaluation of rotator cuff tears (RCTs) with US has been extensively studied, and authors generally agree that US is comparable with magnetic resonance imaging for the detection of full-thickness RCTs, whereas partial-thickness RCTs are more difficult to accurately identify with US. Read More

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[Partial lesions of the supraspinatus tendon : which treatment ?]

Rev Med Suisse 2021 Apr;17(735):794-797

Centre orthopédique d'Ouchy, Medicol Hirslanden, Avenue d'Ouchy, 41, 1006 Lausanne.

Partial rotator cuff lesions are a common feature. The radiological assessment of choice is MRI with arthrography accompanied by ABER (abduction, external rotation) images. At present, there is no consensus on the management of these lesions and surgery remains a second-line treatment for patients who do not respond to conservative treatment. Read More

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Description of the Nature of Musculoskeletal Shoulder Injuries in a Cohort of Commercial Truck Drivers: A Retrospective Cross-Sectional Study.

Workplace Health Saf 2021 Apr 13:2165079921990364. Epub 2021 Apr 13.

The University of Alabama at Birmingham.

Background: Commercial truck drivers (CTDs) are significantly affected by shoulder injuries; however, little is known about the unique mechanisms of injury (MOIs), specific injuries, or possible preventive measures among this group of workers. This study characterized the MOIs, musculoskeletal disorders (MSDs), and factors associated with MSDs of the shoulder among a group of CTDs.

Methods: A retrospective medical record review was conducted of CTDs between 21 and 65 years of age who were seen for MSDs of the shoulder between 2007 and 2015. Read More

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Early repair of traumatic rotator cuff tears improves functional outcomes.

J Shoulder Elbow Surg 2021 Mar 24. Epub 2021 Mar 24.

Department of Orthopaedic Surgery, Rothman Orthopaedic Institute at Thomas Jefferson University Hospital, Philadelphia, PA, USA. Electronic address:

Background: The impact of surgical timing on outcomes involving traumatic rotator cuff tears (RCTs) remains uncertain. The purpose of this study was to determine how functional outcomes are affected by surgical timing in traumatic RCTs.

Methods: We performed a retrospective review of patients with repair of traumatic full-thickness RCTs. Read More

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Tendon-to-bone healing after repairing full-thickness rotator cuff tear with a triple-loaded single-row method in young patients.

BMC Musculoskelet Disord 2021 Mar 26;22(1):305. Epub 2021 Mar 26.

Department of Orthopedics, Zhuhai People's hospital, Guangdong Province, Zhuhai City, China.

Background: Arthroscopic repair is recommended for young patients with full-thickness rotator cuff tears (RCTs), but the healing rates have raised concerns. The Southern California Orthopedic Institute (SCOI) row method has been developed based on greater than 3 decades of experience with excellent clinical outcomes; however, studies with a focus on the younger patient population are limited in number. The current study assessed the short-term clinical outcome and the initial tendon-to-bone healing in a young cohort after repair of a full-thickness RCT using the SCOI row method. Read More

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The effect of physiotherapy in rotator cuff injury patients with platelet-rich plasma: study protocol of a non-randomized controlled trial.

BMC Musculoskelet Disord 2021 Mar 20;22(1):292. Epub 2021 Mar 20.

Department of Rehabilitation, The Affiliated Hospital of Southwest Medical University, 25 Tai Ping Road, Luzhou, Sichuan, 646000, People's Republic of China.

Background: The study aims to identify whether Platelet-rich plasma (PRP) combined with early physiotherapy has an advantage over PRP alone for rotator cuff injury patients, regarding pain release, function score, tear size, and quality of life improvement.

Methods: This is a single-center prospective non-randomized study implemented in July 2019 at the Affiliated Hospital of Southwest Medical University in Sichuan. Three hundred-forteen patients with rotator cuff injury aged over 18 years were recruited. Read More

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Progressive Monoarticular Inflammatory Arthritis Following Influenza Vaccination.

Mayo Clin Proc Innov Qual Outcomes 2021 Feb 6;5(1):204-209. Epub 2020 Nov 6.

Department of Radiology, Mayo Clinic, Rochester, MN.

Musculoskeletal injury is an uncommon but usually self-limited complication of vaccine administration. We present a case of progressive inflammatory monoarthritis of the shoulder characterized by bone erosion, bursitis, and severe synovitis caused by an influenza vaccine administered to the ipsilateral deltoid region. Clinical symptoms began within 2 hours of vaccination, with progressive decline in function over 6 weeks. Read More

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February 2021

Reconstruction of a Chronic Posterior Dislocation of the Shoulder using a Limited Posterior Deltoid-splitting Approach: A Case Report.

J Orthop Case Rep 2020 Nov;10(8):88-92

Department of Orthopaedic Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.

Introduction: Chronic posterior dislocation is a very rare injury. Various methods have been described for its treatment. This report describes a rare case of post-traumatic chronic posterior dislocation of the shoulder. Read More

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November 2020

Preoperative tendon retraction, not smoking, is a risk factor for failure with continuity after rotator cuff repair.

J Clin Orthop Trauma 2021 Apr 20;15:76-82. Epub 2020 Oct 20.

Department of Orthopaedic Surgery, University of Pennsylvania, Philadelphia, PA, USA.

Background: Smoking is a poor prognostic factor for healing after rotator cuff repair and is associated with inferior results. We hypothesized that smokers would have higher recurrent tear rates and more postoperative myotendinous junction (MTJ) retraction in healed repairs than nonsmokers three months postoperatively.

Methods: Rotator cuff repairs (RCRs) were retrospectively reviewed over a 2-year period. Read More

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Supraspinatus tears: predictability of magnetic resonance imaging findings based on clinical examination.

J Shoulder Elbow Surg 2021 Mar 4. Epub 2021 Mar 4.

Orthopedics and Traumatology Department, Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil.

Background: The shoulder physical examination is frequently performed to diagnose rotator cuff tears in clinical practice; however, there is insufficient evidence on which physical tests are efficient for shoulder impingements in primary care settings. The purposes of this study were (1) to analyze the accuracy of 8 clinical tests to diagnose supraspinatus tendon lesions and investigate whether the combination of these tests can improve the diagnostic values; (2) to assess which are the best positivity criteria for shoulder maneuvers-pain and/or weakness; and (3) to investigate the ability of these tests to distinguish between partial- and full-thickness tears.

Methods: A total of 733 consecutive patients were prospectively evaluated by 4 shoulder surgeons in this multicenter diagnostic study from May 2017 to December 2018, and 8 clinical tests (empty-can, full-can test, drop arm, painful arc, Neer sign, Hawkins test, Patte test, and resisted external rotation) were compared with magnetic resonance imaging performed by blinded radiologists. Read More

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Humeral lesser tuberosity avulsion fractures - magnetic resonance imaging characteristics in the pediatric population.

Pediatr Radiol 2021 Mar 5. Epub 2021 Mar 5.

Department of Radiology, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.

Background: Avulsion fractures of the humeral lesser tuberosity are rare injuries in skeletally immature patients and can pose a diagnostic challenge that often leads to delayed identification.

Objective: To describe the demographics, mechanism of injury and magnetic resonance imaging (MRI) findings of lesser tuberosity avulsion fractures in children.

Materials And Methods: A retrospective search of children with lesser tuberosity avulsion fractures on MRI was done. Read More

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Bilateral shoulder septic arthritis due to suspected bacterial endocarditis: A case report.

Int J Surg Case Rep 2021 Mar 15;80:105624. Epub 2021 Feb 15.

Graduate Medical Education, Orthopaedic Surgery Residency Program, Community Memorial Health System, Ventura, CA, USA.

Introduction: Septic arthritis is an orthopedic emergency that requires rapid diagnosis and treatment. It is typically caused by occult bacteremia which allows bacteria to seed the joint or local invasion of a soft tissue infection. Most cases of septic arthritis are caused by gram-positive bacteria, with the most common culprit being Staphylococcus Aureus. Read More

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MRI evaluation of shoulder pathologies in wheelchair users with spinal cord injury and the relation to shoulder pain.

J Spinal Cord Med 2021 Feb 22:1-14. Epub 2021 Feb 22.

Swiss Paraplegic Research, Nottwil, Switzerland.

Objective: To describe the number, specifics and co-occurrence of shoulder pathologies detected by MRI in manual wheelchair users with spinal cord injury and to evaluate the association between shoulder pathologies and presence of shoulder pain.

Design: Cross-sectional observation study.

Setting: Community. Read More

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February 2021

Comparison of clinical outcome of decompression of suprascapular nerve at spinoglenoid notch for patients with posterosuperior massive rotator cuff tears and suprascapular neuropathy.

BMC Musculoskelet Disord 2021 Feb 18;22(1):202. Epub 2021 Feb 18.

Orthopaedic Center, the Affiliated Hospital of Qingdao University, NO.16 Jiangsu road, Qingdao, 266100, China.

Purpose: In the present study, we aimed to determine whether decompression of suprascapular nerve (SSN) at the spinoglenoid notch could lead to a better functional outcome for the patients who underwent repairment of rotator cuff due to posterosupeior massive rotator cuff tear (MRCT) and suprascapular neuropathy.

Methods: A total of 20 patients with posterosuperior MRCT and suprascapular neuropathy were analyzed in the present work. The preoperative magnetic resonance imaging (MRI) showed rotator cuff tear in supraspinatus and infraspinatus. Read More

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February 2021

Impact of 30 years' high-level rock climbing on the shoulder: an magnetic resonance imaging study of 31 climbers.

J Shoulder Elbow Surg 2021 Feb 3. Epub 2021 Feb 3.

Department of Orthopaedics, University of Zürich, Balgrist University Hospital, Zürich, Switzerland.

Background: Rock climbers are particularly susceptible to shoulder injuries due to repetitive upper-limb movements on vertical or overhanging terrain. However, the long-term effects of prolonged climbing on the shoulder joints are still unknown.

Purpose: The purpose of this study was to analyze the prevalence of pain and degenerative changes in the shoulder joints after high-level rock climbing over at least 25 years. Read More

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February 2021

Sonographic evaluation of the association between calcific tendinopathy and rotator cuff tear: a case-controlled comparison.

Clin Rheumatol 2021 Jul 21;40(7):2897-2905. Epub 2021 Jan 21.

Division of Musculoskeletal Radiology, Department of Radiology, Henry Ford Hospital, Detroit, MI, USA.

Objectives: To compare the incidence of rotator cuff (RC) tears on shoulder ultrasounds of patients with RC calcific tendinopathy (CaT) to that of a control group without CaT.

Method: In this retrospective case-control study, 50 shoulder ultrasounds of patients with CaT were compared independently by 2 musculoskeletal radiologists to 50 patients from a control group without CaT to catalog the number and type of RC tears. RC tears in the CaT group were further characterized based on location, into tears in the specific tendon(s) containing calcium versus all tendon tears. Read More

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Subscapularis Tendon Tears - Usefulness of Written MRI Reports for Guiding Patient Referral to Shoulder Specialists.

Rofo 2021 Jan 21. Epub 2021 Jan 21.

Orthopedics, University Medicine Rostock, Germany.

Introduction:  Rotator cuff tears are one of the most common reasons for shoulder pain, and patients often present initially to general practitioners. However, subscapularis tears are especially difficult to diagnose and hence adequate therapy is often delayed. General practitioners or non-specialist orthopedic surgeons need reliable MRI findings to allow timely referral of patients to shoulder specialists. Read More

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January 2021

Arthroscopic Superior Capsule Reconstruction for Cuff Tear Arthropathy (Hamada Grade 5): A Case Report.

JBJS Case Connect 2020 12 21;10(4):e20.00511. Epub 2020 Dec 21.

Department of Orthopaedic Surgery, Kitasato University School of Medicine, Sagamihara, Japan.

Case: We performed arthroscopic superior capsule reconstruction (ASCR) for cuff tear arthropathy (CTA) with humeral head deformity. A 62-year-old man presented with severely limited shoulder motion and recalcitrant omalgia. He had a history of dental implant removal due to metal allergy, and his Constant score was 21 points. Read More

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December 2020

Factors Associated With Symptomatic Rotator Cuff Tears: The Rotator Cuff Outcomes Workgroup Cohort Study.

Am J Phys Med Rehabil 2021 04;100(4):331-336

From the Vanderbilt University School of Medicine, Nashville, Tennessee (AZG); Department of Physical Medicine and Rehabilitation, Vanderbilt University Medical Center, Nashville, Tennessee (AS, NBJ); Department of Physical Medicine and Rehabilitation, Vanderbilt University School of Medicine, Nashville, Tennessee (PK); Department of Orthopaedics and Rehabilitation, Vanderbilt University Medical Center, Nashville, Tennessee (GDA, JEK, NBJ); Department of Biostatistics, Vanderbilt University School of Medicine, Nashville, Tennessee (GDA); King Edward Memorial Hospital, Hamilton, Bermuda (LDH); Orthopedic Institute of Sioux Falls, Sioux Falls, South Dakota (KMB); Department of Orthopaedic Surgery, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts (EM); and Departments of Physical Medicine and Rehabilitation, Orthopaedics, and Population and Data Sciences, University of Texas Southwestern, Dallas, Texas (NBJ).

Objective: Although rotator cuff tear is one of the most common musculoskeletal disorders, its etiology is poorly understood. We assessed factors associated with the presence of rotator cuff tears in a cohort of patients with shoulder pain.

Design: From February 2011 to July 2016, a longitudinal cohort of patients with shoulder pain was recruited. Read More

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Conservative versus surgical management for patients with rotator cuff tears: a systematic review and META-analysis.

BMC Musculoskelet Disord 2021 Jan 8;22(1):50. Epub 2021 Jan 8.

Department of Orthopaedics and Trauma Surgery, Campus Bio-Medico University of Rome, Via Alvaro del Portillo, 200, 00128 Trigoria, Rome, Italy.

Background: This study aims to compare conservative versus surgical management for patients with full-thickness RC tear in terms of clinical and structural outcomes at 1 and 2 years of follow-up.

Methods: A comprehensive search of CENTRAL, MEDLINE, EMBASE, CINAHL, Google Scholar and reference lists of retrieved articles was performed since the inception of each database until August 2020. According to the Cochrane Handbook for Systematic Reviews of Interventions, two independent authors screened all suitable studies for the inclusion, extracted data and assessed risk of bias. Read More

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January 2021

Fracture of the scapular neck combined with rotator cuff tear: A case report.

World J Clin Cases 2020 Dec;8(24):6450-6455

Department of Orthopaedics, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, Zhejiang Province, China.

Background: Scapular fracture has a low incidence rate, accounting for 0.4%-0.9% of all fractures, and scapular neck fractures are extremely rare, comprising approximately 7%-25% of all scapular fractures. Read More

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December 2020

Clinical outcomes and cost-utility of rotator cuff repair surgery by open and arthroscopic techniques: study protocol for a randomised clinical trial.

BMJ Open 2020 12 28;10(12):e043126. Epub 2020 Dec 28.

Programa Locomotor, Hospital Israelita Albert Einstein, Sao Paulo, Brazil.

Introduction: Rotator cuff injuries account for up to 70% of pain in the shoulder. However, there remains no consensus on the best surgical treatment for patients with rotator cuff injuries, in terms of the cost-effectiveness and cost-utility of open and arthroscopic methods for rotator cuff repair. The objective of this trial is to compare the efficacy, cost-effectiveness and cost-utility of open and arthroscopic procedures for rotator cuff repair. Read More

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December 2020

[Arthroscopic repair with footprint ending shift for massive rotator cuff tear].

Zhongguo Gu Shang 2020 Dec;33(12):1092-5

Department of Orthopaedics, Ningbo First Hospital, Ningbo 315010, Zhejiang, China.

Objective: To investigate the method and clinical effects of arthroscopic rotator cuff repair with footprint ending shift for massive rotator cuff tear.

Methods: From March 2015 to April 2019, 27 patients with massive rotator cuff tear underwent arthroscopic repair, including 12 males and 15 females, ranging in age from 37 to 74 years old, with an average age of (56.1±8. Read More

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December 2020

Identifying the axillary nerve during shoulder surgery: an anatomic study using advanced imaging.

JSES Int 2020 Dec 25;4(4):987-991. Epub 2020 Jul 25.

Department of Orthopaedic Surgery, University of California San Diego, San Diego, CA, USA.

Background: The axillary nerve (AXN) is one of the more commonly injured nerves during shoulder surgery. Prior anatomic studies of the AXN in adults were performed using cadaveric specimens with small sample sizes. Our research observes a larger cohort of magnetic resonance imaging (MRI) studies in order to gain a more representative sample of the course of the AXN and aid surgeons intraoperatively. Read More

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December 2020

Magnetic resonance imaging analysis of rotator cuff tear after shoulder dislocation in a patient older than 40 years.

Clin Shoulder Elb 2020 Sep 1;23(3):144-151. Epub 2020 Sep 1.

Department of Orthopedic Surgery, Dong-A University Hospital, Dong-A University College of Medicine, Busan, Korea.

Background: This study was designed to evaluate characters of the rotator cuff tear (RCT) recognized after primary shoulder dislocation in patients older than 40.

Methods: From 2008 to 2019, patients who visited two hospitals after dislocation were retrospectively reviewed. Inclusion criteria were patients over 40 who had dislocation, with magnetic resonance imaging (MRI) undergone. Read More

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September 2020