Full-Thickness Rotator Cuff Tears

Saccomanno, Maristella F.; Salvatore, Matteo; Grasso, Andrea; Milano, Giuseppe

doi:10.1007/978-1-4471-5427-3_23

Cited by 1 publication

(1 citation statement)

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“…Common indications for rotator cuff repair include a fullthickness tear or a high-grade partial-thickness tear with pain and functional deficits for which conservative treatment has failed. Irreparable rotator cuff tears are characterized by a fixed high-riding humeral head, an acromial humerus interval of less than 5 mm, a nonfunctioning deltoid muscle, and severe rotator cuff muscle atrophy and fatty infiltration (4,18). Therefore, imaging plays a vital role in pre-and postoperative evaluation of the shoulder.…”

Section: Rotator Cuff Repairsmentioning

confidence: 99%

Postoperative Shoulder Imaging: Rotator Cuff, Labrum, and Biceps Tendon

et al. 2016

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Imaging interpretation of the postoperative shoulder is a challenging and difficult task for both the radiologist and the orthopedic surgeon. The increasing number of shoulder rotator cuff, labrum, and biceps tendon repairs performed in the United States also makes this task a frequent occurrence. Whether treatment is surgical or conservative, imaging plays a crucial role in patient care. Many imaging findings can be used to predict prognosis and functional outcomes, ultimately affecting treatment. In addition, evolving surgical techniques alter the normal anatomy and imaging appearance of the shoulder such that accepted findings proved to be pathologic in the preoperative setting cannot be as readily described as pathologic after surgery. An understanding of common surgical procedures of the shoulder can aid in recognizing normal expected postoperative findings and discerning common complications. Although magnetic resonance (MR) imaging and MR arthrography are widely used, implementing a multimodality imaging approach for evaluation of the postoperative shoulder can provide additional imaging information that may be decisive and vital to diagnosis. The high spatial resolution of both computed tomography with arthrography and ultrasonography makes them additional modalities to consider, especially when dealing with metal artifact. To provide an accurate radiologic interpretation of high clinical value, radiologists should approach the postoperative shoulder comprehensively with knowledge of the anatomy, surgical techniques and complications, clinical outcomes, and imaging pitfalls. RSNA, 2016.

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Section: Rotator Cuff Repairsmentioning

confidence: 99%