Accuracy of Office-Based Ultrasonography of the Shoulder for the Diagnosis of Rotator Cuff Tears

Iannotti, Joseph P.; Ciccone, James; Buss, Daniel D.; Visotsky, Jeffrey L.; Mascha, Edward J.; Cotman, Kathy; Rawool, Nandkumar M.

doi:10.2106/jbjs.d.02100

Cited by 152 publications

(133 citation statements)

References 10 publications

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“…Our study has several limitations. First, although ultrasound is reliable in diagnosing subscapularis tendon tears [19,26,30,35], we performed no sonographic investigation to confirm the integrity of the subscapularis tendon. CT is not accurate enough to evaluate the tendon.…”

Section: Discussionmentioning

confidence: 99%

Subscapularis Release in Shoulder Replacement Determines Structural Muscular Changes

Wilde

Coninck

Neve

et al. 2012

Clinical Orthopaedics &Amp; Related Research

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Background Osteotomy of the lesser tuberosity in shoulder arthroplasty allows bony healing of the subscapularis tendon but does not prevent fatty degeneration in its muscle. Occurrence or increase in fatty degeneration may depend on the surgical technique. Questions/purposes We (1) assessed fatty degeneration in the subscapularis muscle and its cross-sectional area after a C-block osteotomy of the lesser tuberosity with minimal mobilization of the subscapularis muscle, and (2) determined whether this technique had any adverse effect on function, fatty degeneration, and cross-sectional area of the subscapularis muscle. Methods We retrospectively examined 36 patients with shoulder replacements who had C-block osteotomies. Constant-Murley scores and clinical signs of subscapularis insufficiency were recorded. We radiographically assessed prosthetic placement. On CT scans, lesser tuberosity healing, fatty degeneration, and cross-sectional area of the subscapularis muscle were determined. The minimum followup was 13 months (mean, 18 months; range, 13-33 months).

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Section: Discussionmentioning

confidence: 99%

Subscapularis Release in Shoulder Replacement Determines Structural Muscular Changes

Wilde

Coninck

Neve

et al. 2012

Clinical Orthopaedics &Amp; Related Research

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“…Fat-suppressed T2-weighted fast spin-echo images and intermediate-weighted fast spin-echo images (4-mm slice thickness, 0.4-mm slice interval) were obtained in the coronal oblique and transverse planes. The criterion for a full-thickness rotator cuff tear was a fluid-filled gap in the tendon noted on the T2-weighted coronal oblique or transverse images [16]. T1-weighted fast spin-echo images (4-mm slice thickness, 0.4-mm slice interval) were obtained in the sagittal oblique plane parallel to the glenohumeral joint.…”

Section: Methodsmentioning

confidence: 99%

A Radiographic Classification of Massive Rotator Cuff Tear Arthritis

Hamada

Yamanaka²,

Uchiyama

et al. 2011

Clinical Orthopaedics &Amp; Related Research

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131

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Background In 1990, Hamada et al. radiographically classified massive rotator cuff tears into five grades. Walch et al. subsequently subdivided Grade 4 to reflect the presence/absence of subacromial arthritis and emphasize glenohumeral arthritis as a characteristic of Grade 4. Questions/purposes We therefore determined (1) whether patient characteristics and MRI findings differed between the grades at initial examination and final followup; (2) which factors affected progression to a higher grade; (3) whether the retear rate of repaired tendons differed among the grades; and (4) whether the radiographic grades at final followup differed from those at initial examination among patients treated operatively. Patients and Methods We retrospectively reviewed 75 patients with massive rotator cuff tears. Thirty-four patients were treated nonoperatively and 41 operatively.

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“…Embora estudos prévios tenham indicado ser a ultrassonografia relativamente insensível (RIVERS; WALLACE; JOHNSTON, 1992), com o advento de transdutores de melhor resolução, a técnica provou proporcionar muitas informações em investigações de injúrias de tecidos moles do ombro. A ultrassonografia músculo-esquelética é amplamente utilizada em seres humanos, particularmente em avaliações do ombro, e tem mostrado crescente valor na rotina de pequenos animais (STILES; OTTE, 1993;TYSON, 1995;KRAMER et al, 1997KRAMER et al, , 2001LONG;NYLAND, 1999;BRUCE et al, 2000;TEEFEY et al, 2000;IANNOTTI et al, 2005).…”

Section: Revisãounclassified

Tendinose do supra-espinhoso em cães

et al. 2009

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ResumoA tendinose do supra-espinhoso é uma desordem recentemente relatada em cães e bem documentada em seres humanos, espécie na qual representa 51% das causas de alteração na articulação do ombro. Em cães, a afecção pode levar à dor na articulação acometida e claudicação ou permanecer assintomática. O significado clínico do problema ainda não foi definido na espécie canina e parece ser subestimado. O objetivo deste trabalho é discorrer sobre as possíveis etiologias desta tendinopatia e principais métodos diagnósticos, bem como abordar as terapias mais aplicadas atualmente em medicina veterinária, atentando ao clínico sobre as características da doença e a importância de incluí-la no diagnóstico diferencial de causas de dor e claudicação do membro anterior em cães. Palavras-chave: Tendinose., tendão supra-espinhoso, cão AbstractSupraspinatus tendinosis was recently reported in dogs but it is a well-documented disorder in human beings, specie in which is considered the cause of pain and dysfunction in 51% of cases of shoulder problems. It can cause pain and lameness or be asymptomatic in dogs. The clinical relevance in canine specie is unclear and seems to be underestimated. The aim of this paper is to review the possible etiologies involved in this tendinopathy, the main diagnostic methods applied and actual options of therapies in veterinary medicine. Simultaneously, call the clinicians attention to this disorder as differential diagnosis for forelimb pain and lameness diseases.

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Accuracy of Office-Based Ultrasonography of the Shoulder for the Diagnosis of Rotator Cuff Tears

Cited by 152 publications

References 10 publications

Subscapularis Release in Shoulder Replacement Determines Structural Muscular Changes

Subscapularis Release in Shoulder Replacement Determines Structural Muscular Changes

A Radiographic Classification of Massive Rotator Cuff Tear Arthritis

Tendinose do supra-espinhoso em cães

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