The role of magnetic resonance imaging in the assessment of acromial morphology in association with rotator cuff tear

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Ahmed Fathy Abdelghany ◽  
Ahmed Mohamed Osman ◽  
Taha Kamal Hussein
Keyword(s):  
Rotator Cuff ◽  
Rotator Cuff Tear ◽  
Statistical Difference ◽  
Control Group ◽  
P Value ◽  
Type I ◽  
Full Thickness ◽  
Resonance Imaging ◽  
Cuff Tear ◽  
Significant Statistical Difference

Abstract   Background: The pathogenesis of rotator cuff tear (RCT) remains controversial. The acromion portion ofthe scapula and its morphology may be attributable for a variety of shoulder disorders such as RCT. Patients and Methods: This was a retrospective study that included 40 patients divided into two groups; a group with RCT included 20 patients and a control group with no RCT included the other 20 patients. 19 were males and 21 females, their age 20-69 years old with a mean age of 45. Cases were selected from the PACS system of the Radiology department of Ain Shams University Hospital. Statistical data analysis was done using IBM SPSS software package version 20.0. (Armonk, NY: IBM Corp) Results: The study revealed that Type Il acromion was encountered in most of the male patients (42.1%) and type Ill acromion was encountered in most of the female patients (42.9%) while type IV acromion was less frequently seen among males and females (5% & 0%) respectively. It also revealed that Type Ill is mostly encountered in RCT (50%); 58% of full-thickness tear and 37% of partial thickness tear. while type I is less frequently associated with a partial tear or full thickness tear (8%) for each. Acromion type Ill was the commonest type of acromion found between the patients of the case group with a significant statistical difference found between the case and control groups (P value: 0.006). However, type I acromion was the commonest acromion type found between the control group with also a significant statistical difference (P value: 0.011). Conclusion: Type Ill acromion may be a risk factor leading to rotator cuff tear. This may help guide therapy in patients with shoulder pain and findings suggesting type Ill acromion shape Keywords acromion shapes, magnetic resonance imaging, rotator cuff tear

scholarly journals Correlation between anatomy of the scapula and the incidence of rotator cuff tear and glenohumeral osteoarthritis via radiological study

2017 ◽  
Vol 25 (1) ◽  
pp. 230949901769031 ◽  
Author(s):  
Mohd Fairudz bin Mohd Miswan ◽  
Mohd Shahril bin Ahmad Saman ◽  
Teo Seow Hui ◽  
Mohamed Zubair Mohamed Al-Fayyadh ◽  
Mohamed Razif bin Mohamed Ali ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Rotator Cuff Tear ◽  
Pearson Correlation ◽  
Control Group ◽  
P Value ◽  
Cuff Tear ◽  
Line Parallel ◽  
Glenoid Surface ◽  
Measured Angle ◽  
Glenohumeral Osteoarthritis

Introduction: We conducted a study to elucidate the correlation between the anatomy of the shoulder joint with the development of rotator cuff tear (RCT) and glenohumeral osteoarthritis (GHOA) by using acromioglenoid angle (AGA). Materials and Methods: The AGA is a new measured angle formed between the line from midglenoid to lateral end of the acromion with the line parallel to the glenoid surface. The AGA was measured in a group of 85 shoulders with RCT, 49 with GHOA and 103 non-RCT/GHOA control shoulders. The AGA was compared with other radiological parameters, such as, the critical shoulder angle (CSA), the acromion index (AI) and the acromiohumeral interval (AHI). Correlational and regression analysis were performed using SPSS 20. Results: The mean AGA was 50.9° (45.2–56.5°) in the control group, 53.3° (47.6–59.1°) in RCT group and 45.5° (37.7–53.2°) in OA group. Among patients with AGA > 51.5°, 61% were in the RCT group and among patients with AGA < 44.5°, 56% were in OA group. Pearson correlation analysis had shown significant correlation between AGA and CSA ( r = 0.925, p < 0.001). It was also significant of AHI in RCT group with mean 6.6 mm (4.7–8.5 mm) and significant AI in OA group with mean 0.68 (0.57–0.78) with p value < 0.001 respectively. Conclusion: The AGA method of measurement is an excellent predictive parameter for diagnosing RCT and GHOA.

VALUE OF CONVENTIONAL MAGNETIC RESONANCE IN DIAGNOSIS OF ROTATOR CUFF TEAR

2021 ◽  
Vol 62 (5) ◽  
Author(s):  
Vuong Thu Ha ◽  
Dang Thi Bich Nguyet ◽  
Nguyen Tien Long ◽  
Le Tuan Linh ◽  
Bui Van Lenh ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Rotator Cuff ◽  
Sensitivity And Specificity ◽  
Rotator Cuff Tear ◽  
Full Thickness ◽  
Resonance Imaging ◽  
Partial Tear ◽  
Cuff Tear ◽  
Conventional Magnetic Resonance

Objective: To study on the value of conventional magnetic resonance imaging in the diagnosis of rotator cuff tear in comparison with surgery.Subjects and research methods: Cross-sectional descriptive study on 69 patients with rotator cuff lesions undergoing magnetic resonance imaging at Hanoi Medical University Hospital Departmentof Diagnostic Imaging, all patients have surgery after that.Results: Among the number of patients operated, the highest proportion was the complete tendon rupture group (accounting for 60.9%), followed by the full-thickness tear group (14.5%) and thearticular-surface tear group (14.5%). , the groups of synovial-surface tear, intrasubstance tear, simple tendinopathy accounted for the least percentage. Regarding post-operative comparison: For completetendon tear, the sensitivity of magnetic resonance is 100%, specificity is 95.7%; in full-thickness tear, the sensitivity and specificity of magnetic resonance were 100% and 98.7%. The sensitivityof conventional magnetic resonance in the diagnosis of partial tear such as articular-surface tears, synovial-surface tear is 50-60% and specificity is 74.9-98.7%.Conclusion: Routine magnetic resonance imaging is a valuable method in diagnosing rotator cuff tears. The sensitivity and specificity of magnetic resonance are high in the diagnosis of major tendon tears (complete and full-thickness tears) than in cases of partial tear (articular or synovial surface tear).

scholarly journals Full-thickness rotator cuff tear in rat results in distinct temporal expression of multiple proteases in tendon, muscle, and cartilage

2018 ◽  
Vol 37 (2) ◽  
pp. 490-502 ◽  
Author(s):  
Elda A. Treviño ◽  
Jennifer McFaline-Figueroa ◽  
Robert E. Guldberg ◽  
Manu O. Platt ◽  
Johnna S. Temenoff
Keyword(s):  
Rotator Cuff ◽  
Rotator Cuff Tear ◽  
Full Thickness ◽  
Temporal Expression ◽  
Cuff Tear ◽  
And Cartilage

scholarly journals DOES HYPERCHOLESTOLEMIA PREDISPOSE TO ROTATOR CUFF PATHOLOGIES?

2017 ◽  
Vol 10 (4) ◽  
pp. 373 ◽  
Author(s):  
Surendra Umesh Kamath ◽  
Sunil Murthy
Keyword(s):  
Rotator Cuff ◽  
Total Cholesterol ◽  
Rotator Cuff Tear ◽  
Indian Population ◽  
Statistical Significance ◽  
Elevated Serum ◽  
Density Lipoprotein ◽  
Rotator Cuff Tears ◽  
Control Group ◽  
Cuff Tear

Background:  Rotator cuff tear are one of most common orthopedic musculoskeletal problem gaining importance due to large health scale expenditure. Causes of rotator cuff tears are multifactorial and unclear.  Previous studies have suggested relation between elevated serum lipid profile and rotator cuff tear in western population. We therefore undertook study in our Indian population to correlate association of hypercholesterolemia with rotator cuff tear.Objective: To find association of rotator cuff pathology with hypercholesterolemia in Indian patients.Materials and methods: After obtaining clearance from institutional ethics committee. We prospectively collected fasting lipid samples of population who came to our hospitals with complaints of shoulder pain during our study period. 50 patients had rupture of rotator cuff which was confirmed by ultrasound of involved shoulder. 50 were seen for non-cuff related complaints.  We followed strict inclusion and exclusion criteria.Results: Total cholesterol, Triglycerides and low density lipoprotein concentration of patients with rotator cuff tendon tear were on higher side than control group. High density lipoprotein trend showed being lower than control group.  21 of 50 (42%) had high cholesterol (total cholesterol greater than 240mg/dl) than compared to 18 of 50 (36%) in control group. however P value=0.539 and showed no statistical significance between groups.Conclusion: In Indian population there was no correlation between hypercholesterolemia and rotator cuff tear which is statistically significant.Key words Rotator cuff tear, Hypercholesterolemia, Indian population.   

scholarly journals Midterm outcome after rotator cuff reconstruction

2012 ◽  
Vol 153 (17) ◽  
pp. 655-661 ◽  
Author(s):  
Eszter Kővári ◽  
Ádám Koteczki ◽  
Balázs Kovács ◽  
Péter Magyar ◽  
Imre Antal ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Rotator Cuff Tear ◽  
Ultrasound Examination ◽  
Constant Score ◽  
Functional Results ◽  
Full Thickness ◽  
Clinical Tests ◽  
Cuff Tear ◽  
Midterm Outcome ◽  
Acromiohumeral Distance

Rotator cuff tear is a common degenerative shoulder disorder that often requires surgical treatment. However, the correlation between the size of the tear and the functional results is somewhat controversial, which generates inconsistency among orthopaedic surgeons about the indications for and methods of rotator cuff reconstruction. Aims: The aim of the authors was to evaluate the midterm functional outcome after rotator cuff reconstruction and the possible connection between the results and the surgical technique or the postoperative ultrasound examination. In addition, recently published corresponding studies are also reviewed by the authors. Methods: Twenty-seven patients with full thickness rotator cuff tear were enrolled into the study who were treated either by arthroscopic (14 patients) or by open repair (13 patients) technique. Functional results were assessed using clinical tests. Ultrasound examination was also performed. Results: The average postoperative Constant Score was 73, the average DASH (Disabilities of the arm, shoulder and hand score) was 14. The Constant scores averaged 80 for the arthroscopic and 70 for the open group. Ultrasound examination showed partial or full thickness retear of the cuff in 40% of the cases. Conclusion: More than 70% of the patients had excellent or good results two years after the reconstruction. The change in the acromiohumeral distance or partial retear failed to affect the results significantly, but full thickness tear had an effect on them. Orv. Hetil., 2012, 153, 655–661.

scholarly journals A Rare Presentation of a Full-Thickness Rotator Cuff Tear With a Confluent Partial Articular-Sided Tear

Cureus ◽  
2020 ◽  
Author(s):  
Kee-Chi Daryl Oscar O Wong ◽  
Hamid Rahmatullah Bin Abd Razak ◽  
Tijauw-Tjoen Denny Lie
Keyword(s):  
Rotator Cuff ◽  
Rotator Cuff Tear ◽  
Full Thickness ◽  
Rare Presentation ◽  
Cuff Tear

scholarly journals Clinical and functional outcomes of a novel transosseous device to treat rotator cuff tears: A minimum 2-year follow-up

2019 ◽  
Vol 27 (3) ◽  
pp. 230949901987517 ◽  
Author(s):  
Mehmet Arican ◽  
Yalçın Turhan ◽  
Zekeriya Okan Karaduman ◽  
Tacettin Ayanoğlu
Keyword(s):  
Rotator Cuff ◽  
Rotator Cuff Tear ◽  
Functional Outcomes ◽  
Dash Score ◽  
Open Approach ◽  
Full Thickness ◽  
Gold Standard Method ◽  
Cuff Tear ◽  
The Mean

Purpose: Despite the improvements in the repair equipment techniques of rotator cuff, a gold standard method has not been defined yet and transosseous fixation through deltoid-splitting (mini-open) approach is still regarded as a good option. The primary purpose of this study is to present satisfactory clinical and functional outcomes with a novel transosseous device in full-thickness rotator cuff tear through deltoid-splitting. Materials and Methods: This retrospective study was performed on 70 consecutive patients who underwent surgery by a single surgeon from June 2014 to June 2016 for a full-thickness rotator cuff tear and was managed with a novel transosseous device. Total number of patients, mean age, percentage of male and female patients, mean duration of follow-up, percentage of involvement of the dominant extremity, affected shoulder, and tear size were recorded. Functional and clinical outcomes were assessed baseline and postoperatively at 3 and 6 months and final follow-up using Disabilities of the Arm, Shoulder and Hand (Q-DASH) and Constant-Murley scores. Results: A total of 70 (49 (70%) female, 21 (30%) male) patients whose mean age was 58.66 ± 9.19 (38–77) years were included. The mean surgery time was 35.33 ± 5.34 (28–55) min. The mean follow-up time was 28.31 ± 3.03 (24–36) months. According to the DeOrio and Cofield classification, 15 (21.43%) tears were small, 33 (47.14%) medium, 16 (22.86%) large, and 6 (8.57%) massive. By the final follow-up, the mean Constant-Murley score had significantly improved from 27.67 ± 7.46 (13–41) to 81.25 ± 3.77 (74–87; p = 0.0001) and the Q-DASH score had decreased from 82.34 ± 10.37 (65.91–100) to 10.28 ± 6.88 (0–23.45; p = 0.0001). There were no significant differences in the Constant-Murley or Q-DASH score at baseline–final follow-up between the small, medium, large, and massive tear groups ( p > 0.05). Conclusions: Treatment of full-thickness rotator cuff tear using this novel transosseous device significantly improved functional and clinical scores. However, further long-term prospective randomized multicenter trials involving comparative studies are necessary to confirm these findings.

Bursal lipohematoma: a CT sign of full thickness rotator cuff tear in patients with proximal humerus fractures

2019 ◽  
Vol 26 (3) ◽  
pp. 257-262
Author(s):  
Yogesh Sean Gupta ◽  
Stephen Ling ◽  
Omer Awan ◽  
Padmaja Jonnalagada ◽  
Sarah Fenerty ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Rotator Cuff Tear ◽  
Proximal Humerus ◽  
Proximal Humerus Fractures ◽  
Full Thickness ◽  
Cuff Tear ◽  
Humerus Fractures
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