Isolated subacromial bursal fluid on MRI of the shoulder in symptomatic patients: correlation with arthroscopic findings

Monu, Johnny U. V.; Pruett, Steven; Vanarthos, William J.; Pope, Thomas L.

doi:10.1007/bf00223084

Cited by 20 publications

(10 citation statements)

References 17 publications

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“…The percentage of subjects with an SSB effusion in our series was slightly higher than those reported in the literature [17,18,19] and abundant effusion was only observed on the dominant side.…”

Section: Discussioncontrasting

confidence: 79%

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Ultrasonographic rotator-cuff changes in veteran tennis players: the effect of hand dominance and comparison with clinical findings

et al. 2003

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The aim of this study was to correlate sonographic abnormalities of the rotator cuff with clinical findings in veteran tennis players. One hundred fifty individuals playing competition-level tennis, aged from 35 to 77 years (mean age 55 years), underwent physical and US examinations of their shoulders. The US abnormalities found in the dominant shoulder were compared with those observed in the non-dominant shoulder and in different subsets of players defined by the absence or presence of former and/or current pain. Tears of the long head of the biceps tendon were seen only in dominant shoulders ( n=8), and tears (23 complete and 20 partial) of the supraspinatus tendon were observed in 43 dominant vs 16 (3 complete and 13 partial) contralateral shoulders ( p<0.001). Subscapularis tendon calcifications were depicted in 23 dominant vs 12 contralateral shoulders ( p<0.05). Seventy players had no pain, 49 had former-but-not-current pain, and 31 had current pain. Abnormal thickening (>2 mm) and effusion of the subacromial-subdeltoid bursa and complete tear of the supraspinatus tendon were more frequent in the latter two groups ( p<0.001 and p<0.05), respectively. Although 90% of the players with a complete supraspinatus tear had experienced former pain, no relationship was found between current pain and the presence of a supraspinatus tear or tendon calcification. The rotator cuff may present important asymptomatic lesions, such as complete tears of the supraspinatus tendon or calcifications, that do not prevent the playing competitive tennis. The only US abnormality associated with pain was subacromial-subdeltoid bursa effusion.

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Section: Discussioncontrasting

confidence: 79%

“…It was considered to be mild (lamina thickness <3 mm) or abundant (lamina thickness >3 mm) [17,18,19].…”

Section: Us Examinationmentioning

confidence: 99%

Ultrasonographic rotator-cuff changes in veteran tennis players: the effect of hand dominance and comparison with clinical findings

et al. 2003

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“…However, our study design did not take into account other potentially important abnormalities of the glenohumeral joint. For instance, the presence of fluid within the subacromial bursa is a predictor of joint abnormalities [10]. Small amounts of such fluid are best seen using T2-weighted SE images.…”

Section: Discussionmentioning

confidence: 99%

Contrast media in MR arthrography of the glenohumeral joint: intra-articular gadopentetate vs saline: preliminary results

Zanetti

Hodler

1997

European Radiology

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The purpose of this investigation was to compare gadopentetate and saline as contrast media in MR arthrograms of the glenohumeral joint. In 60 consecutive patients MR arthrograms with either gadopentetate (n = 26) or saline (n = 34) were performed. After injection of gadopentate, 3D gradient-echo (GE) images were obtained (TR 32 ms, TE 10 ms, flip angle 40 degrees). With saline, double-echo steady-state images (heavily T2-weighted 3D GE images) were obtained (TR 40 ms, TE 9/45 ms, flip angle 40 degrees). In the last 14 of these patients T2-weighted turbo spin-echo (SE) images were added (TR 2900 ms, TE 96 ms). Contrast-to-noise ratios standardized for imaging times proved to be superior for the gadolinium arthrograms compared with GE and SE saline arthrograms (intra-articular fluid vs subacromial fat: p = 0.0001 and 0.0008; intra-articular fluid vs supraspinatus tendon: p = 0.0001 and 0.046). Using a qualitative scoring system gadolinium arthrograms were superior to saline arthrograms (p < 0.0001 and p < 0.0001). Saline arthrograms in combination with GE and SE sequences are inferior to gadopentetate arthrograms with GE sequences.

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“…In evaluating such conditions, awareness of location and extent of juxta-articular bursae is important in order to identify or exclude significant pathology [6]. Joint/bursal effusions and cystic lesions related to subacromial impingement or rotator cuff tears may show a spectrum of different MRI findings, reflecting the degree of subacromial impingement, the size and location of the rotator cuff tear, and the anatomic margins of joint capsules and juxta-articular bursae [6,7,8,9,10,11,12,13,14,15].…”

Section: Joint Effusions Associated With Degenerative Osteoarthritismentioning

confidence: 99%

“…Both bursae communicate with each other, forming the socalled subacromial-subdeltoid bursa, which does not communicate with the glenohumeral joint [6,7,8]. The significance of fluid distending the subacromial±subdel-toid bursa is nonspecific and controversial, as it may be encountered in association with subacromial impingement, supraspinatus tendinitis, bursitis, or instability [10]. It is also common in asymptomatic patients after successful rotator cuff repair [11].…”

Section: Subacromial±subdeltoid Bursamentioning

confidence: 99%

Fluid collections and juxta-articular cystic lesions of the shoulder: spectrum of MRI findings

et al. 2002

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The MR imaging features of fluid collections and juxta-articular cystic lesions of the shoulder are discussed, with special focus on those related to subacromial impingement and rotator cuff tears. Other more unusual fluid collections and cystic lesions are described, including rice-bodies bursitis, idiopathic synovial osteochondromatosis, dialysis-related amyloid arthropathy, hemophilic arthropathy, infectious conditions, non-infectious inflammatory arthritis, and paralabral cysts.

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Isolated subacromial bursal fluid on MRI of the shoulder in symptomatic patients: correlation with arthroscopic findings

Cited by 20 publications

References 17 publications

Ultrasonographic rotator-cuff changes in veteran tennis players: the effect of hand dominance and comparison with clinical findings

Ultrasonographic rotator-cuff changes in veteran tennis players: the effect of hand dominance and comparison with clinical findings

Contrast media in MR arthrography of the glenohumeral joint: intra-articular gadopentetate vs saline: preliminary results

Fluid collections and juxta-articular cystic lesions of the shoulder: spectrum of MRI findings

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