Prediction of primary reparability of massive tears of the rotator cuff on preoperative magnetic resonance imaging

Sugihara, Takayuki; Nakagawa, Toshio; Tsuchiya, Masamitsu; Ishizuki, Masafumi

doi:10.1016/s1058-2746(02)86888-4

Cited by 70 publications

(35 citation statements)

References 4 publications

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“…This finding supports the results of Goutallier et al, 7 who concluded that the muscular involvement of the infraspinatus in isolated supraspinatus tears had a negative influence on the outcome of supraspinatus repairs. Sugihara et al 27 described a high signal intensity of the infraspinatus muscle in massive rotator cuff tears as a negative predictor for achieving a primary repair of the tear. All these findings suggest that ultrasonographic muscle examination of the rotator cuff muscles provides additional diagnostic information by revealing significant differences in patients with an identical clinical diagnosis (isolated full thickness tears of the supraspinatus).…”

Section: Discussionmentioning

confidence: 99%

Dynamic ultrasonography of rotator cuff muscles

Boehm¹,

Kirschner²,

Mueller

et al. 2005

J of Clinical Ultrasound

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Section: Discussionmentioning

confidence: 99%

Dynamic ultrasonography of rotator cuff muscles

Boehm¹,

Kirschner²,

Mueller

et al. 2005

J of Clinical Ultrasound

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“…[22][23][24][25] But these findings are usually based on studies that have investigated supraspinatus muscles and not infraspinatus muscles. In this study, we found that our patients had more severe fatty degeneration in the infraspinatus muscle than in the supraspinatus muscle, measured in terms of Goutallier grading (1.7 vs. 1.0).…”

Section: Discussionmentioning

confidence: 99%

Isolated Ruptures of the Infraspinatus: Clinical Characteristics and Outcomes

Lee¹,

Kim²,

Oh³

2017

Clinics in Shoulder and Elbow

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Background: Isolated infraspinatus tear is very rare and clinical features are not as well known, therefore the purpose of this study was to evaluate clinical characteristics and outcomes of isolated infraspinatus tear that authors experienced. Methods: Authors reviewed 288 cases of full-thickness rotator cuff tear involving infraspinatus between 2010 and 2015, and retrospectively analyzed six cases of isolated infraspinatus tear. Perioperative clinical characteristics, postoperative functional outcomes of 6 months were investigated. Functional evaluation included visual analogue scale (VAS), range of motions, American Shoulder and Elbow Surgeons (ASES) score, and Constant score. Results: Calcific tendinitis was accompanied in 4 cases (66.7%). Three of them received steroid injection or aspiration or extracorporeal shockwave therapy. Mean preoperative pain VAS was 7.1 (range, 5-9), and mean postoperative pain VAS at 6 months later was 1.6 (range, 0-5). Preoperative muscle strength by isokinetic muscle performance test showed 52% deficit of abduction and 37.6% deficit of external rotation. All 6 patients had arthroscopic repair of the infraspinatus tendon. All the patients at the 6 months follow-up exhibited clinical improvement in the Constant score (67.8 [range, 45-77] Conclusions: Isolated infraspinatus tendon tear was frequently accompanied by calcific tendinitis, but pathophysiologic relationship should need more study. To rule out neurogenic etiology, magnetic resonance imaging and electromyography would be helpful. Arthroscopic infraspinatus tendon repair and supraspinatus debridement showed relatively good result in painful shoulder. (Clin Shoulder Elbow 2017;20(1):30-36)

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“…35) Also, large (>5 cm) tears that involve two or more rotator cuff tendons with atrophy and a high degree of fatty infiltration (Goutallier stage 3 or 4) are unlikely to benefit from attempts of surgical repair. 27,36,37) Like this, patients who have irreparable massive rotator cuff tear lesions are to take reverse total shoulder arthroplasty into consideration.…”

Section: Indications and Contraindicationsmentioning

confidence: 99%

Reverse Total Shoulder Arthroplasty in the Massive Rotator Cuff Tear

Jeong¹,

Eun²

2014

Clin Shoulder Elbow

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In the patients of retracted massive rotator cuff tears, there are much of difficulty to functional recovery and pain relief. Nevertheless the development of treatment, there are still debates of the best treatments in the massive rotator cuff tears. Recenlty various of treatments are introduced; these are acromioplasty with debridement, biceps tenotomy, great tuberoplasty with biceps tenotomy, partial repair, mini-open rotator cuff repair, arthroscopic rotator cuff repair, soft tissue augmentation, tendon transfer, flap, hemiarthroplasty, and reverse total shoulder arthroplasty. That there is no difference of result for reverse total shoulder arthroplasty between patients who have massive rotator cuff tear without arthritis and patients who have cuff tear arthropathy. Reverse total shoulder arthroplasty is one of reliable and successful treatment options for massive rotator cuff tear. Especially it is more effective for patients who have a pseudoparalysis. (Clin Shoulder Elb 2014;17(3):145-150)

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Prediction of primary reparability of massive tears of the rotator cuff on preoperative magnetic resonance imaging

Cited by 70 publications

References 4 publications

Dynamic ultrasonography of rotator cuff muscles

Dynamic ultrasonography of rotator cuff muscles

Isolated Ruptures of the Infraspinatus: Clinical Characteristics and Outcomes

Reverse Total Shoulder Arthroplasty in the Massive Rotator Cuff Tear

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