Can subcoracoid effusion be a more specific finding for subscapularis tear among rotator cuff pathologies on magnetic resonance imaging?

Sarıkaya, Baran; Bahadır, Batuhan; Kaya, İbrahim; Oklaz, Burak; Sarıkaya, Pelin Zeynep Bekin; Kanatlı, Ulunay

doi:10.1016/j.jse.2022.06.009

Cited by 5 publications

(6 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…When subcoracoid effusion encountered MRI subscapularis tendon tear signal, the subscapularis tendon tears were further detected and identified by arthroscopy. In line with our results, Sarıkaya et al[ 24 ] reported that subcoracoid effusion in Turkish patients was a more specific finding for subscapularis tendon tears than other rotator cuff pathologies. Due to the small sample size, we did not even find patients with Lafosse type Ⅴ of subscapular tendon tears in Group A.…”

Section: Discussionsupporting

confidence: 93%

Magnetic resonance imaging based coracoid process morphology and its associations with isolated subscapularis tendon tears in Chinese patients

Mi,

Lin,

Cheng

2024

Jt Dis Relat Surg

View full text Add to dashboard Cite

Section: Discussionsupporting

confidence: 93%

Magnetic resonance imaging based coracoid process morphology and its associations with isolated subscapularis tendon tears in Chinese patients

Mi,

Lin,

Cheng

2024

Jt Dis Relat Surg

View full text Add to dashboard Cite

“…It is diicult to distinguish the pain from tendon lesions and inlammation of anterior capsule tissue in patients with severe synovitis of shoulder. MRI was not reliable for predicting partial thickness [28] and especially less than 1/3 width tears of SSC [19,29]. High T2 signal intensity within the tendon is the criteria for intratendinous RCTs [30].…”

Section: Discussionmentioning

confidence: 88%

The prevalence, classification, radiological and arthroscopic findings of intratendinous subscapularis tears

Lin

Zhang

Cui

et al. 2022

Knee Surg Sports Traumatol Arthrosc

View full text Add to dashboard Cite

PurposeTo investigate the clinical characteristics of intratendinous subscapularis (inSSC) tears. MethodsRetrospectively, 69 patients with arthroscopically confirmed inSSC tears were identified from 2018 to 2019. Preoperatively and at final follow‐up, thorough physical examination was performed and clinical outcomes (American Shoulder and Elbow Surgeons [ASES] score; University of California, Los Angeles [UCLA] score; visual analogue scale [VAS] for pain; and Simple Shoulder Test [SST]) were recorded. Features of pre‐operative magnetic resonance image (MRI) such as high signalling within the tendon substance, communication to the bicipital groove and long head of biceps tendon (LHBT) lesions were investigated. Characteristics of arthroscopic view were investigated. Bear‐hug and internal rotation resistance test at 90° abduction and external rotation (IRRT90°) test were used to assess the SSC strength. ResultsThe mean follow‐up was 2.4 (2–3) years. The prevalence of arthroscopically confirmed inSSC tears was 69/675 (10.2%) among arthroscopic rotator cuff repairs. Pre‐operative physical examination found positive IRRT90° and bear‐hug test in 41/60 (68.3%) and 42/69 (60.8%) patients, respectively. The Cohen kappa coefficient was interpreted to be substantial for the evaluation of all MRI parameters. According to the conditions of LHBT, inSSC tears were classified into 3 types: type I: without LHBT subluxation and tear; type II: with LHBT subluxation or tears and type III: with LHBT dislocation. At final follow‐up, mean ASES, UCLA, VAS, and SST scores improved significantly from mean of 50.6 ± 14.7, 19.4 ± 3.07, 6.2 ± 2.0, and 6.1 ± 2.5 to mean of 90.7 ± 9.5, 32.2 ± 1.8, 1.4 ± 1.2 and 9.8 ± 2.2, respectively (P < 0.001). Bilateral symmetric strength was found by bear‐hug and IRRT90° test in all patients postoperatively. ConclusionUnderstanding features of pre‐operative MRI, physical examination and arthroscopic view is helpful to identify inSSC tears. Arthroscopic repair yielded satisfactory clinical outcomes in patients with inSSC tears. Level of evidenceLevel IV.

show abstract

“…This grading system is critical because friction of the subscapularis muscle can be controlled by fluid collection in the subscapularis recess and subcoracoid bursa ( 25 ). This fluid collection is associated not only with STT but also with other rotator cuff tears and rotator interval tears ( 11 26 ). In a previous study considering this fluid collection, BTL grade was not a significant independent predictor of STTs ( 10 ).…”

Section: Discussionmentioning

confidence: 92%

“…However, this overall sensitivity was overestimated because more than half of the studies included in this review used MR arthrography ( 10 ). Although the recognition of STT during arthroscopy has improved, and surgical outcomes are good, the current diagnostic performance of preoperative MRI is not ideal ( 11 ).…”

Section: Introductionmentioning

confidence: 99%

Preoperative Shoulder MRI Findings to Predict Subscapularis Tendon Tear Requiring Surgical Repair

Jung,

Jo,

Kim

et al. 2024

J Korean Soc Radiol

View full text Add to dashboard Cite

Purpose This study aimed to investigate which indirect parameters on preoperative MRI were the principal predictors of subscapularis tendon tears (STTs) requiring surgical repair. Materials and Methods Preoperative MRI scans of 86 patients were retrospectively reviewed for visual assessment of the STT, pathology of the long head of the biceps tendon (LHBT), posterior decentering (PD) of the humeral head, humeral rotation, fatty degeneration, and subscapularis muscle atrophy. To evaluate atrophy, visual grading using the anatomical line connecting the coracoid tip to the glenoid base, designated as the base-to-tip line (BTL), and thickness measurements were performed in the en-face view. Results Arthroscopically, 31 patients (36%) exhibited Lafosse type III or IV STT and underwent surgical repair. LHBT pathology ( p = 0.002), PD of the humeral head ( p = 0.012), fatty degeneration ( p < 0.001), and BTL grade ( p = 0.003) significantly correlated with STT. In the multivariate analysis, PD of the humeral head ( p = 0.011, odds ratio [OR] = 5.14) and fatty degeneration ( p = 0.046, OR = 2.81) were independent predictors of STT. Conclusion PD of the humeral head and fatty degeneration of the subscapularis can help to diagnose clinically significant STT. Interpretation of these findings may contribute to the planning of an optimal surgical strategy.

show abstract

Can subcoracoid effusion be a more specific finding for subscapularis tear among rotator cuff pathologies on magnetic resonance imaging?

Cited by 5 publications

References 22 publications

Magnetic resonance imaging based coracoid process morphology and its associations with isolated subscapularis tendon tears in Chinese patients

Magnetic resonance imaging based coracoid process morphology and its associations with isolated subscapularis tendon tears in Chinese patients

The prevalence, classification, radiological and arthroscopic findings of intratendinous subscapularis tears

Preoperative Shoulder MRI Findings to Predict Subscapularis Tendon Tear Requiring Surgical Repair

Contact Info

Product

Resources

About