2,011 results match your criteria Shoulder Rotator Cuff Injury MRI

Choosing Wisely: the lack of validity of ultrasound scans in the investigation of shoulder instability.

N Z Med J 2022 Feb 4;135(1549):92-100. Epub 2022 Feb 4.

For assistance in data collection and preparation of this manuscript.

Aim: To test the clinical validity and financial implications of the proposed Choosing Wisely statement: "Using ultrasound as a screening test for shoulder instability is inappropriate in people under 30 years of age, unless there is clinical suspicion of a rotator cuff tear."

Method: A retrospective chart review from a specialist shoulder surgeon's practice over a two-year period recorded 124 patients under the age of 30 referred with shoulder instability. Of these, forty-one had already had ultrasound scans performed prior to specialist review. Read More

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February 2022

Utilization of MRI in surgical decision making in the shoulder.

BMC Musculoskelet Disord 2022 Jun 18;23(1):588. Epub 2022 Jun 18.

Department of Orthopaedics, University of British Columbia, Chan Gunn Pavilion, Allen McGavin Sports Medicine Clinic, 2553 Wesbrook Mall, Vancouver, BC, V6T1Z3, Canada.

Background: The aim of this study is to evaluate both the utility of MRI scans and reports used in the current practice routine of shoulder surgeons and their surgical decision-making process.

Methods: Ninety-three shoulder-specialised orthopaedic surgeons of the Canadian Shoulder and Elbow Society (CSES) Orthopaedic Association were surveyed in 2020 anonymously online to help identify the use of MR-imaging and reports in managing shoulder disorders and surgical decision process.

Results: Thirty out of 93 (32. Read More

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[Development of a risk stratification model for subscapularis tendon tear based on patient-specific data from 528 shoulder arthroscopy].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2022 Jun;36(6):729-738

Department of Orthopedics, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Graduate School of Peking Union Medical College, Beijing, 100730, P. R. China.

Objective: To identify and screen sensitive predictors associated with subscapularis (SSC) tendon tear and develop a web-based dynamic nomogram to assist clinicians in early identification and intervention of SSC tendon tear.

Methods: Between July 2016 and December 2021, 528 consecutive cases of patients who underwent shoulder arthroscopic surgery with completely MRI and clinical data were retrospectively analyzed. Patients admitted between July 2016 and July 2019 were included in the training cohort, and patients admitted between August 2019 and December 2021 were included in the validation cohort. Read More

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Isolated bursal-side infraspinatus tear diagnosed by computed tomography bursography: a case series.

J Med Case Rep 2022 Jun 17;16(1):240. Epub 2022 Jun 17.

Department of Radiology, Tonan Hospital, Sapporo, Hokkaido, Japan.

Background: Partial-thickness rotator cuff tears are commonly found in the articular-side tendon of the supraspinatus; however, isolated lesions, except those occurring in the supraspinatus tendons, are rare. We report three cases of isolated bursal-side infraspinatus tears that were difficult to detect by magnetic resonance imaging but could be visualized by computed tomography bursography.

Case Presentation: Three Asian patients (59-71 years old) with shoulder pain ranging from 1 month to 3 years in duration were each diagnosed with shoulder impingement syndrome. Read More

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Clinical and Anatomical Outcomes of Arthroscopic Repair of Large Rotator Cuff Tears with Allograft Patch Augmentation: A Prospective, Single-Blinded, Randomized Controlled Trial with a Long-term Follow-up.

Clin Orthop Surg 2022 Jun 13;14(2):263-271. Epub 2022 May 13.

Department of Orthopaedic Surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea.

Background: Arthroscopic rotator cuff repair using human dermal matrix allograft augmentation has been widely used. We assessed the effect of acellular human dermal matrix augmentation after arthroscopic repair of large rotator cuff tears through a prospective, single-blinded, randomized controlled trial with a long-term follow-up.

Methods: Sixty patients with large-sized rotator cuff tears were randomly assigned to two groups. Read More

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The differences of the acromiohumeral interval between supine and upright radiographs of the shoulder.

Sci Rep 2022 Jun 7;12(1):9404. Epub 2022 Jun 7.

Department of Orthopaedics, Faculty of Medicine, Thammasat University, Pathum Thani, Thailand.

The acromiohumeral interval (AHI) is a measurement used to determine the superior migration of the humeral head in rotator cuff (RC) tear patients. The purpose of this study was to compare the AHI of; supine, upright shoulder radiographs, and magnetic resonance imaging (MRI) of the shoulder. The 86 shoulders were divided into 3 groups that included; (1) non-full thickness tear (50%), (2) full thickness (FT) tear ≤3 cm (33. Read More

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Results of Arthroscopic Revision Rotator Cuff Repair for Failed Open or Arthroscopic Repair: A Prospective Multicenter Study on 100 Cases.

Am J Sports Med 2022 Jul 6;50(8):2203-2210. Epub 2022 Jun 6.

Investigation performed at Shouldercare, Engeriedspital, Bern, Switzerland.

Background: Retears after rotator cuff repair (RCR) have been associated with poor clinical results. Meaningful data regarding the role of arthroscopic revision RCR are sparse thus far.

Purpose/hypothesis: To investigate results after arthroscopic revision RCR. Read More

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Rapidly destructive osteonecrosis of the humeral head after arthroscopic rotator cuff repair: a case report.

Myung-Seo Kim

BMC Musculoskelet Disord 2022 Jun 4;23(1):532. Epub 2022 Jun 4.

Shoulder & Elbow Clinic, Department of Orthopaedic Surgery, College of Medicine, Kyung Hee University Hospital at Gangdong, 892, Dongnam-ro, Gangdong-gu, 05278, Seoul, Republic of Korea.

Background: Cases of rapidly destructive osteonecrosis (RDON) of the humeral head after arthroscopic rotator cuff repair (RCR) have rarely been reported, which has prevented a clear consensus on the cause of osteonecrosis.

Case Presentation: A 63-year-old woman without a history of trauma underwent arthroscopic RCR after being diagnosed with a medium-sized full-thickness rotator cuff tear for symptoms of left shoulder pain for six months. The patient had no medical history other than hypertension, and no other potential cause was found for osteonecrosis of the left shoulder prior to surgery. Read More

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Posttreatment Imaging of the Shoulder.

Semin Musculoskelet Radiol 2022 Jun 2;26(3):258-270. Epub 2022 Jun 2.

Department of Radiology, Cantonal Hospital Grisons, Chur, Switzerland.

The shoulder joint is vulnerable for injuries following trauma and in the context of sporting activities. Degenerative rotator cuff disease is also a common entity. Conservative therapy is often not indicated or does not lead to the desired success, so surgical intervention is necessary. Read More

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A case report of re-implanting a neglected avulsion of supraspinatus tendon by arthroscopic and open surgeries.

Abdullah Noufal

Int J Surg Case Rep 2022 Jun 19;95:107214. Epub 2022 May 19.

OIH (Oman International Hospital), Muscat, Oman. Electronic address:

Introduction: Rotator cuff constitutes a mechanical arm and an important stabilizing factor for the shoulder joint, and the supraspinatus muscle is the initiator of the movement of arm in the abduction direction. Rotator cuff injuries constitute an important part of the shoulder pain, and many cases are managed conservatively, nevertheless, open or arthroscopic surgery remains a must in many cases.

Case Report: We present the case of a patient in the sixth decade of life who complained of absence of abduction movement in his right shoulder three months ago after he lifted a heavy object. Read More

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Factors Influencing the Size of a Non-Traumatic Full-Thickness Rotator Cuff Tear: Focusing on Socioeconomic Factors.

Int J Environ Res Public Health 2022 05 18;19(10). Epub 2022 May 18.

Office of Public Healthcare Service, Pusan National University Yangsan Hospital, Yangsan 50612, Korea.

This study aimed to identify the risk factors for non-traumatic rotator cuff tears in Korean adult patients who underwent surgical treatment, focusing on socioeconomic factors. A retrospective study was conducted with 659 patients who were diagnosed with a full rotator cuff tear and underwent surgical treatment. The outcome variable was the rotator cuff tear size (mm), as indicated by preoperative magnetic resonance imaging. Read More

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The internal rotation and shift-test for the detection of superior lesions of the rotator cuff: reliability and clinical performance.

JSES Int 2022 May 18;6(3):495-499. Epub 2022 Feb 18.

Department of Orthopaedic and Trauma Surgery, Martin-Luther-University Halle-Wittenberg, Halle (Saale), Germany.

Background: Using reliable and valid clinical tests are essential for proper diagnosis and clinical outcomes among injuries involving the rotator cuff. The addition of a new clinical examination test could improve the clinical diagnosis and informative value of the sensitivity and specificity of pathology. This study of diagnostic accuracy evaluated the use of a new rotator cuff test, called the internal rotation and shift-test (IRO/shift-test), to determine its reliability and clinical performance (sensitivity, specificity, positive (PPV)/negative predictive value (NPV)). Read More

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Incidence of teres minor muscle atrophy in young and middle-aged populations.

JSES Int 2022 May 4;6(3):459-462. Epub 2022 Feb 4.

Department of Orthopedic Surgery, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan.

Background: Teres minor atrophy can be seen in shoulders both with and without a rotator cuff tear, even among the young population. The purpose of this study was to retrospectively investigate the incidence of teres minor atrophy in young and middle-aged patients with or without a rotator cuff tear.

Methods: Patient records were reviewed to identify 10-39-year-old patients (Group Y) and 60-69-year-old patients (Group O) who underwent MRI because of shoulder disorders. Read More

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ACR Appropriateness Criteria® Imaging After Shoulder Arthroplasty: 2021 Update.

J Am Coll Radiol 2022 05;19(5S):S53-S66

Specialty Chair, Mayo Clinic, Phoenix, Arizona.

Shoulder arthroplasty is a common orthopedic procedure with a complication rate reported to be as high as 39.8% and revision rates as high as 11%. Symptoms related to postoperative difficulties include activity-related pain, decreased range of motion, and apprehension. Read More

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Transient postoperative inferior subluxation of the shoulder after surgical stabilization of recurrent anterior dislocation in a patient with myasthenia gravis: a case report.

Clin Shoulder Elb 2022 May 11. Epub 2022 May 11.

Department of Orthopaedic Surgery, Konkuk University School of Medicine, Seoul, Korea.

The authors present a case of transient postoperative inferior subluxation of the shoulder after arthroscopic surgical stabilization for recurrent anterior dislocation. The patient was a 61-year-old woman with myasthenia gravis (MG). The first anterior shoulder dislocation occurred because of a fall to the ground. Read More

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Superior Capsular Reconstruction Versus Lower Trapezius Transfer for Posterosuperior Irreparable Rotator Cuff Tears With High-Grade Fatty Infiltration in the Infraspinatus.

Am J Sports Med 2022 Jun 10;50(7):1938-1947. Epub 2022 May 10.

Department of Orthopaedic Surgery, Yeosu Baek Hospital, Yeosu, Republic of Korea.

Background: Superior capsular reconstruction (SCR) and lower trapezius transfer (LTT) have recently been utilized to treat irreparable rotator cuff tears (IRCTs). There is still no clear guideline on which treatment method is a better fit for posterosuperior IRCTs with high-grade 4 fatty infiltration in the infraspinatus.

Purpose: To compare the clinical and radiological outcomes between arthroscopic-assisted SCR (aSCR) and arthroscopic-assisted LTT (aLTT) in patients with posterosuperior IRCTs with high-grade (Goutallier grade 4) fatty infiltration in the infraspinatus muscle. Read More

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Prediction of Bilaterality in Patients With 1 Posterosuperior Rotator Cuff Tear.

Am J Sports Med 2022 Jun 9;50(7):1928-1937. Epub 2022 May 9.

Department of Orthopaedic Surgery, Gyeongsang National University School of Medicine and Gyeongsang National University Changwon Hospital, Changwon, Republic of Korea.

Background: In patients with a known unilateral posterosuperior rotator cuff tear (PSRCT), the ability to predict a contralateral PSRCT may assist in earlier diagnosis and improved patient outcomes.

Purpose: To determine factors associated with bilateral PSRCT and their most predictive combinations using a nonhospitalized general population.

Study Design: Cross-sectional study; Level of evidence, 3. Read More

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Atraumatic Deltoid Rupture with a Chronic Massive Rotator Cuff Tear: A Case Report and Surgical Technique.

Case Rep Orthop 2022 30;2022:1833988. Epub 2022 Apr 30.

Division of Shoulder and Elbow Surgery, Department of Orthopedic Surgery, NYU Grossman School of Medicine, NYU Langone Orthopedic Hospital, NYU Langone Health, New York, NY, USA.

Case: We report a rare case of a spontaneous, atraumatic rupture of the anterior and middle heads of the deltoid with an underlying massive rotator cuff tear. Unique clinical findings included a palpable mass of torn deltoid distally with a proximal tissue defect. Magnetic resonance imaging of the deltoid demonstrated complete tear of the anterior head; involvement of the middle head was found intraoperatively. Read More

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Rotator cuff repair with single row technique provides satisfying clinical results despite consistent MRI retear rate.

J Orthop Traumatol 2022 May 4;23(1):23. Epub 2022 May 4.

Department of Orthopedics and Trauma Surgery, University of Verona, Verona, Italy.

Background: The number of shoulder arthroscopies is steadily increasing to treat glenohumeral joint disorders, among which the rotator cuff tear is the most common. The prevalence of this condition ranges from 13% to 37% in the general population without considering the number of asymptomatic patients. The gold standard procedure for rotator cuff repair is still undefined. Read More

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Magnetic Resonance Imaging Findings of the Asymptomatic Shoulder May Impact Performance, Not Future Injury List Placement in Major League Baseball Pitchers.

Arthrosc Sports Med Rehabil 2022 Apr 16;4(2):e487-e493. Epub 2022 Feb 16.

Division of Sports Medicine, Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago, IL, U.S.A.

Purpose: To evaluate preseason shoulder magnetic resonance images (MRIs) obtained from pitchers entering either major or minor league baseball (MLB) and correlate findings with subsequent injury, operative repair, and placement on the injured list (IL).

Methods: Preseason-MRI of the throwing shoulders of professional-level baseball pitchers, taken during routine evaluations at a single organization (2004-2017) were retrospectively reviewed. Publicly available databases were queried to exclude pitchers with known injuries prior to pre-signing imaging. Read More

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Identifying key factors associated with subscapularis tendon tears and developing a risk prediction model to assist diagnosis.

BMC Musculoskelet Disord 2022 Apr 27;23(1):393. Epub 2022 Apr 27.

Orthopaedics Department, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, NO.1 DaHua Road, Dong Dan, Beijing, 100730, PR China.

Background: There are still some challenges in diagnosing subscapularis (SSC) tendon tears as accurately as posterosuperior rotator cuff tears on MRI. The omission of SSC tendon tear can lead to muscle atrophy, fatty infiltration, and increased tearing accompanied by aggravated shoulder pain and loss of function. An effective non-invasive evaluation tool will be beneficial to early identification and intervention. Read More

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The Double-Circle System in the Greater Tuberosity: Using Radius to Predict Rotator Cuff Tear.

Orthop Surg 2022 May 21;14(5):927-936. Epub 2022 Apr 21.

Department of Orthopaedics, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, China.

Objective: In this study we concerned on the morphological characteristics of the greater tuberosity of humerus and proposed the double-circle radius ratio as a new predictor for the diagnosis of rotator cuff tears.

Methods: This was a retrospective study and patients who visited our hospital and were diagnosed with or without rotator cuff tears via magnetic resonance imaging from January 2018 to July 2021 were enrolled and classified into two groups respectively. In a standard anteroposterior view, the radius of the best-fit circle of humeral head and the radius of the concentric circle passing through the most lateral edge of the greater tuberosity were measured in each shoulder. Read More

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Arthroscopic Intra-Articular Repair of the Torn Subscapularis Tendon with Single Anterior Portal, Single Suture Anchor, and X-Shaped Fixation Technique.

Orthop Surg 2022 May 21;14(5):997-1003. Epub 2022 Apr 21.

Department of Orthopaedics, Xiangya Hospital, Central South University, Changsha, Hunan, China.

Subscapular tendon plays an important role in shoulder joint function. With the advance of magnetic resonance imaging technology and the popularization of arthroscopic shoulder surgery, subscapularis tears have been increasingly detected. However, reduction and fixation of subscapular tendon tears appears to be technically challenging. Read More

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A high acromion-greater tuberosity impingement index increases the risk of retear after arthroscopic rotator cuff repair.

J Orthop Surg (Hong Kong) 2022 Jan-Apr;30(1):10225536221092219

The Department of Sports Medicine, 26452The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.

Background: No evaluation has been done on the relationship of the acromion-greater tuberosity impingement index (ATI) with retear after arthroscopic rotator cuff repair (ARCR). Our purpose was to evaluate whether a higher ATI is associated with retear after ARCR.

Methods: 132 patients received ARCR and underwent MRI scan at a one year follow-up to assess tendon healing, and the findings were graded no retear (NR), partial-thickness retear (PR) or full-thickness retear (FR). Read More

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Progression of rotator cuff tendon pathology in manual wheelchair users with spinal cord injury: A 1-year longitudinal study.

J Spinal Cord Med 2022 Apr 14:1-11. Epub 2022 Apr 14.

Division of Health Care Delivery Research, Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, Minnesota, USA.

Objective: To investigate the progression of rotator cuff tendon pathology across one year in manual wheelchair (MWC) users with spinal cord injury (SCI) and matched able-bodied individuals, and to explore the association between pain, age, and duration of wheelchair use with the progression of rotator cuff pathology.

Design: Longitudinal cohort study, 1-year follow-up.

Setting: Outpatient clinic at a tertiary medical center. Read More

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The effect of sagittal orientation of the acromion relative to the scapular spine on the location of rotator cuff tears.

Acta Orthop Traumatol Turc 2022 Mar;56(2):116-119

Department of Orthopaedics and Traumatology, Bezmialem Foundation University, School of Medicine, İstanbul, Turkey.

Objective: The aim of this study was to investigate the effect of the angle between the scapular spine and acromion in the sagittal plane on the location of chronic rotator cuff tears (RCTs).

Methods: The magnetic resonance images of patients who had undergone an arthroscopic shoulder surgery were evaluated. The patients were divided into two groups: patients who had undergone RCT repair and those who had experienced different shoulder surgery as a control group. Read More

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Brodie's Abscess of the Proximal Humerus Metaphysis: A Case Report.

J Orthop Case Rep 2021 Sep;11(9):38-42

Department of Orthopaedics, MGM Hospital, Navi Mumbai, Maharashtra, India.

Introduction: Primary subacute pyogenic osteomyelitis, or Brodie's abscess was initially documented by Sir Benjamin Brodie in 1832. We present a case report with a 6-months follow-up period, demonstrating the successful diagnosis and surgical treatment of a focal lesion of the proximal metaphysis of the right humerus in a 21-years-old female. The pathology of hematologic osteomyelitis and its role in the development of a subacute abscess along with a review of literature and an in detail description of the pathogenesis of Brodie's abscess is discussed and submitted. Read More

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September 2021

Concomitant Glenohumeral Instability and Rotator Cuff Injury: An Epidemiologic and Case-Control Analysis in Military Cadets.

J Am Acad Orthop Surg Glob Res Rev 2022 04 12;6(4). Epub 2022 Apr 12.

From the Department of Orthopaedic Surgery, Tripler Army Medical Center, Honolulu, HI (Dr. Zhou); the Department of Orthopaedic Surgery, Fort Belvoir Community Hospital, Fort Belvoir, VA (Dr. Gee); and the John A. Feagin Jr. Sports Medicine Fellowship, Keller Army Community Hospital, West Point, NY (Dr. Posner, and Dr. Cameron).

Introduction: Concomitant rotator cuff tear and glenohumeral instability in a large cohort of young and active patients has not been examined. The purpose of this study was to investigate the incidence, associated variables, and outcomes in military cadets undergoing shoulder stabilization procedures with these concomitant pathologies.

Methods: A retrospective cohort study of a consecutive series of collegiate patients who underwent shoulder stabilization from 2014 to 2018 at a single service academy was conducted. Read More

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Clinical effect of arthroscopic long head of biceps transfer and tenodesis on irreparable rotator cuff tear.

J Orthop Surg Res 2022 Apr 10;17(1):220. Epub 2022 Apr 10.

Department of Joint and Sports Medicine, East Hospital, Tongji University School of Medicine, 150 Jimo Road, Pudong New Area, Shanghai City, 200120, People's Republic of China.

Objective: To explore the clinical effect of arthroscopic long head of biceps transfer and tenodesis for on irreparable rotator cuff tear.

Methods: A total of 18 patients with irreparable rotator cuff tear who were treated in the Dongfang Hospital Affiliated to Tongji University School of Medicine from April 2018 to March 2020 were included in this study. They all underwent arthroscopic long head of biceps transfer and tenodesis. Read More

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