Postoperative Shoulder Magnetic Resonance Imaging

Bancroft, Laura W.; Wasyliw, Christopher; Pettis, Christopher; Farley, Timothy E.

doi:10.1016/j.mric.2012.01.010

Cited by 17 publications

(12 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…With MRI and CT, the presence of atrophy and fatty infiltration can be assessed reliably and quantitatively. 25 Evaluation of the peritendinous region subacromial space after surgery often shows signal abnormalities that are related to the surgical procedure performed. The procedure is typically either a bursectomy alone or a bursectomy with partial acromioplasty.…”

Section: Soft-tissue Findingsmentioning

confidence: 99%

Complications of rotator cuff surgery—the role of post-operative imaging in patient care

Thakkar¹,

Thakkar²,

Srikumaran³

et al. 2014

BJR

View full text Add to dashboard Cite

When pain or disability occurs after rotator cuff surgery, post-operative imaging is frequently performed. Post-operative complications and expected post-operative imaging findings in the shoulder are presented, with a focus on MRI, MR arthrography (MRA) and CT arthrography. MR and CT techniques are available to reduce image degradation secondary to surgical distortions of native anatomy and implant-related artefacts and to define complications after rotator cuff surgery. A useful approach to image the shoulder after surgery is the standard radiography, followed by MRI/MRA for patients with low "metal presence" and CT for patients who have a higher metal presence. However, for the assessment of patients who have undergone surgery for rotator cuff injuries, imaging findings should always be correlated with the clinical presentation because post-operative imaging abnormalities do not necessarily correlate with symptoms.The complexity of the anatomy and function of the rotator cuff makes the rotator cuff tendons vulnerable to considerable morbidity, often necessitating surgical intervention. Optimal management of rotator cuff abnormalities depends on a variety of factors, such as the presence and severity of an impingement, the degree of tendon damage and individual functional demands.1 The goals of rotator cuff surgery are to reduce pain, while simultaneously improving the function. The latter is accomplished by two main types of surgical procedures: (1) subacromial decompression surgery alone, typically with an acromioplasty and/or Mumford procedure (distal clavicular resection); and (2) repair of the rotator cuff tear (open or arthroscopic), which is almost always accompanied by a subacromial decompression.Post-operative imaging is performed when pain or disability occurs after a surgical procedure. Often, however, postoperative imaging is degraded by surgical distortions of the native anatomy and metallic artefacts related to implants. Nevertheless, it is imperative that clinicians have an accurate anatomical delineation of the operative site. It is also important for the radiologist to accurately diagnose complications that might occur after rotator cuff surgery to guide optimal treatment. Mansat et al 2 examined 40 articles reporting the results of open rotator cuff repairs and determined that the overall mean complication rate was 10.5%.The article addresses complications that occur after rotator cuff surgery and expected post-operative imaging findings, with a focus on MRI, MR arthrography (MRA) and CT arthrography (CTA). Because not all post-operative imaging findings result in disability or pain for the patient, we also emphasize our approach and experience regarding how best to define imaging abnormalities after rotator cuff surgery. IMAGING APPROACHA protocol for the imaging of the post-operative shoulder always begins with radiography of the shoulder. The purpose of the radiograph is not only to detect obvious osseous complications, but also to identify the type of surgical procedure performed ...

show abstract

Section: Soft-tissue Findingsmentioning

confidence: 99%

Complications of rotator cuff surgery—the role of post-operative imaging in patient care

Thakkar¹,

Thakkar²,

Srikumaran³

et al. 2014

BJR

View full text Add to dashboard Cite

show abstract

“…Postsurgical patients without symptoms are known to have a nonwatertight cuff seal and a patent com munication between the subacromialsubdel toid bursa and glenohumeral joint [24]. Final ly, in patients with massive tears, regions of retracted posterior rotator cuff tendon may be left unrepaired while the more anterior por tion is restored, relieving pain and affording functional recovery [25]. These areas of in complete repair should be correlated with pre operative MR images and operative reports (when available) to avoid mistakenly calling these regions recurrent cuff tears.…”

Section: Postoperative Findingsmentioning

confidence: 99%

“…LHBT tearing, tendinosis, subluxation from the in tertubercular groove, and substantial hyper trophy are among the indications for tenoto my or tenodesis. Tenotomy involves cutting the tendon from the biceps labral complex; te nodesis may require a separate incision to an chor the LHBT into the upper humerus [25]. …”

Section: Postoperative Findingsmentioning

confidence: 99%

“…15). Adjacent capsular thickening, redundancy, and nodularity of the attached in ferior glenohumeral ligament are known nor mal findings in the postoperative labrum [25].…”

Section: Pitfalls In Shoulder Mrimentioning

confidence: 99%

“…16). Additional metallic susceptibility artifact may be introduced by suture materi al (e.g., direct labral or rotator cuff repair) or cause increased T2 signal intensity adjacent to softtissue anchors or intraosseous screws [25]. The shoulder MRI protocol may be al tered to decrease the effects of metallic sus ceptibility artifact.…”

Section: Pitfalls In Shoulder Mrimentioning

confidence: 99%

See 2 more Smart Citations

Pitfalls in Shoulder MRI: Part 2—Biceps Tendon, Bursae and Cysts, Incidental and Postsurgical Findings, and Artifacts

Motamedi

Everist²,

Mahanty³

et al. 2014

American Journal of Roentgenology

View full text Add to dashboard Cite

show abstract

Postoperative Knee and Shoulder

Kassarjian¹,

Rubin

2021

IDKD Springer Series

View full text Add to dashboard Cite

Arthroscopic surgery in the knee most commonly addresses ligament, meniscal, or articular cartilage abnormalities. Similarly, arthroscopic surgery of the shoulder most commonly addresses tendon and labral abnormalities. The expected postoperative MRI findings depend on both the procedure performed and the time since surgery. Identifying complications and failed procedures relies on both clinical and imaging evaluations.

show abstract

Postoperative Shoulder Magnetic Resonance Imaging

Cited by 17 publications

References 41 publications

Complications of rotator cuff surgery—the role of post-operative imaging in patient care

Complications of rotator cuff surgery—the role of post-operative imaging in patient care

Pitfalls in Shoulder MRI: Part 2—Biceps Tendon, Bursae and Cysts, Incidental and Postsurgical Findings, and Artifacts

Postoperative Knee and Shoulder

Contact Info

Product

Resources

About