Comparative Analysis of Real-Time Dynamic Ultrasound and Magnetic Resonance Imaging in the Diagnosis of Rotator Cuff Tear Injury

Objective. To explore the value of real-time dynamic ultrasound and magnetic resonance imaging (MRI) in the diagnosis of rotator cuff injury. Methods. From January 2020 to June 2021, the clinical data of 55 patients with rotator cuff injury were collected. All patients were examined by real-time dynamic ultrasound and MRI at the same time within two weeks before surgery, which was confirmed by arthroscopy. The value of real-time dynamic ultrasound, MRI, and the real-time dynamic ultrasound combined with MRI in the diagnosis of rotator cuff injury was evaluated. Results. Among the 55 patients with rotator cuff injury, real-time dynamic ultrasound showed full-thickness rotator cuff tear in 12 patients (21.82%), including type I in 2 patients (3.64%), type II in 6 patients (10.91%), and type III in 4 patients (7.27%), and partial rotator cuff tear in 31 patients (56.36%), including type IV in 16 patients (29.00%), type V in 5 patients (9.09%), and type VI in 10 patients (18.18%). MRI showed full-thickness rotator cuff tear in 12 patients (21.82%), including type I in 2 patients (3.64%), type II in 6 patients (10.91%), and type III in 4 patients (7.27%), and partial rotator cuff tear in 37 patients (67.27%), including type IV in 20 patients (36.36%), type V in 7 patients (12.73%), and type VI in 10 patients (18.18%). The combined examination showed full-thickness rotator cuff tear in 12 patients (21.82%), including type I in 2 patients (3.64%), type II in 6 patients (10.91%), and type III in 4 patients (7.27%), and partial rotator cuff tear in 39 cases (70.91%), including type IV in 21 cases (38.12%), type V in 7 patients (12.73%), and type VI in 12 patients (21.82%). The diagnostic accuracy of real-time dynamic ultrasound in complete tearing, partial tearing and the overall accuracy were 92.31%, 73.81% and 78.18%, respectively. The diagnostic accuracy of complete tear, partial tear and the overall accuracy of MRI were 92.31%, 88.00% and 89.09%, respectively. The diagnostic accuracy of complete tear and partial tear and overall accuracy in the real-time dynamic ultrasound combined with MRI were 92.31%, 95.24%, and 94.55%, respectively. The diagnostic accuracy and overall diagnostic accuracy of the combined examination of partial tears were higher than those of the real-time dynamic ultrasound and MRI examinations alone. Conclusion. Real-time dynamic ultrasound and MRI have high application value in the diagnosis of rotator cuff injury, and the combined diagnosis is conducive to improving the diagnostic accuracy of patients with partial tear.

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Treatment of Partial Rotator Cuff Tear with Ultrasound-guided Platelet-rich Plasma

Journal of Clinical Imaging Science ◽

10.4103/jcis.jcis_26_17 ◽

2017 ◽

Vol 7 ◽

pp. 32 ◽

Cited By ~ 11

Author(s):

Vetrivel Chezian Sengodan ◽

Sajith Kurian ◽

Raghupathy Ramasamy

Keyword(s):

Rotator Cuff ◽

Rotator Cuff Tear ◽

Platelet Rich Plasma ◽

Rotator Cuff Tears ◽

Lateral Side ◽

Ultrasound Guided ◽

Cuff Tear ◽

Plasma Injection ◽

Partial Rotator Cuff Tear ◽

Shoulder Score

Background: The treatment of symptomatic partial rotator cuff tear has presented substantial challenge to orthopaedic surgeons as it can vary from conservative to surgical repair. Researches have established the influence of platelet rich plasma in healing damaged tissue. Currently very few data are available regarding the evidence of clinical and radiological outcome of partial rotator cuff tear treated with ultrasound guided platelet rich plasma injection in English literature. Materials and Methods: 20 patients with symptomatic partial rotator cuff tears were treated with ultrasound guided platelet rich plasma injection. Before and after the injection of platelet rich plasma scoring was done with visual analogue score, Constant shoulder score, and UCLA shoulder score at 8 weeks and third month. A review ultrasound was performed 8 weeks after platelet rich plasma injection to assess the rotator cuff status. Results: Our study showed statistically significant improvements in 17 patients in VAS pain score, constant shoulder score and UCLA shoulder score. No significant changes in ROM were noted when matched to the contra-lateral side (P < 0.001) at the 3 month follow-up. The study also showed good healing on radiological evaluation with ultrasonogram 8 weeks after platelet rich plasma injection. Conclusion: Ultrasound guided platelet rich plasma injection for partial rotator cuff tears is an effective procedure that leads to significant decrease in pain, improvement in shoulder functions, much cost-effective and less problematic compared to a surgical treatment.

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Arginine L-alpha-ketoglutarate, methylsulfonylmethane, hydrolyzed type I collagen and bromelain in rotator cuff tear repair: a prospective randomized study

Current Medical Research and Opinion ◽

10.1185/03007995.2012.737772 ◽

2012 ◽

Vol 28 (11) ◽

pp. 1767-1774 ◽

Cited By ~ 12

Author(s):

S. Gumina ◽

D. Passaretti ◽

M.D. Gurzì ◽

V. Candela

Keyword(s):

Rotator Cuff ◽

Rotator Cuff Tear ◽

Type I Collagen ◽

Randomized Study ◽

Prospective Randomized Study ◽

Type I ◽

Cuff Tear ◽

Rotator Cuff Tear Repair

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Does Preoperative Conservative Management Affect the Success of Arthroscopic Repair of Partial Rotator Cuff Tear?

Indian Journal of Orthopaedics ◽

10.1007/s43465-021-00479-2 ◽

2021 ◽

Author(s):

Tacettin Ayanoglu ◽

Mustafa Ozer ◽

Mehmet Cetinkaya ◽

Ahmet Yigit Kaptan ◽

Coskun Ulucakoy ◽

...

Keyword(s):

Rotator Cuff ◽

Rotator Cuff Tear ◽

Conservative Management ◽

Arthroscopic Repair ◽

Cuff Tear ◽

Partial Rotator Cuff Tear

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The effect of platelet-rich plasma injections in the non-surgical treatment of a partial rotator cuff tear

International Journal of Case Reports and Images ◽

10.5348/ijcri-201493-cr-10404 ◽

2014 ◽

Vol 5 (7) ◽

pp. 524 ◽

Cited By ~ 2

Author(s):

Julien Freitag ◽

Ross Lenssen ◽

Drew Slimmon ◽

Simon Balster

Keyword(s):

Surgical Treatment ◽

Rotator Cuff ◽

Rotator Cuff Tear ◽

Platelet Rich Plasma ◽

Cuff Tear ◽

Partial Rotator Cuff Tear ◽

Non Surgical Treatment

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Arthroscopic Implantation of a Bio-Inductive Collagen Scaffold for Treatment of an Articular-Sided Partial Rotator Cuff Tear

Arthroscopy Techniques ◽

10.1016/j.eats.2015.05.012 ◽

2015 ◽

Vol 4 (5) ◽

pp. e483-e485 ◽

Cited By ~ 7

Author(s):

Richard K.N. Ryu ◽

Jessica H.J. Ryu ◽

Jeffrey S. Abrams ◽

Felix H. Savoie

Keyword(s):

Rotator Cuff ◽

Rotator Cuff Tear ◽

Collagen Scaffold ◽

Cuff Tear ◽

Partial Rotator Cuff Tear

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The Diagnostic Accuracy of Special Tests for Rotator Cuff Tear

American Journal of Physical Medicine & Rehabilitation ◽

10.1097/phm.0000000000000566 ◽

2017 ◽

Vol 96 (3) ◽

pp. 176-183 ◽

Cited By ~ 28

Author(s):

Nitin B. Jain ◽

Jennifer Luz ◽

Laurence D. Higgins ◽

Yan Dong ◽

Jon J.P. Warner ◽

...

Keyword(s):

Rotator Cuff ◽

Diagnostic Accuracy ◽

Rotator Cuff Tear ◽

Cuff Tear

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A Study of Association Between Acromion Types and Shoulder Pathology

10.21203/rs.3.rs-718330/v1 ◽

2021 ◽

Author(s):

Sagar Venkataraman ◽

Prabhu Ethiraj ◽

Arun Heddur Shanthappa ◽

Kishore Vellingiri

Keyword(s):

Rotator Cuff ◽

Rotator Cuff Tear ◽

Left Shoulder ◽

Type I ◽

Age Group ◽

Shoulder Impingement ◽

Shoulder Pathology ◽

Cuff Tear ◽

Shoulder Syndrome

Abstract Background and aim: Shoulder impingement and rotator cuff tear are commonly seen shoulder pathology. Pathological changes in soft tissue around shoulder can be due to intrinsic degenerative in tendons or extrinsic mechanical compression due to Acromion types. Arthroscopic acromioplasty is still standard procedure done for shoulder impingement pathology and during rotator cuff repair. Our primary objective was to determine acromion types, its prevalence rate with shoulder pathology.Methods: Total 85 patients who met inclusion criteria were included in the study. Acromion types were classified according to Bigliani et al type I acromion has flat undersurface, type II acromion has curved undersurface, type III acromion has hooked undersurface on Supraspinatous outlet view radiographs. Types of Acromion were co-related with shoulder pathology and age group.Results: Out of 85 patients with shoulder pathology 43 patients had impingement shoulder syndrome and 42 patients had rotator cuff tear. Mean age group for impingement shoulder syndrome group was 39.6 years and for rotator cuff tear group was 58.6 years. Overall right shoulder is affected more compared to left shoulder. Type 2 acromion was seen in 64.7% study population and type 1 is seen in 23.5% and type 3 is seen in 11.8%.Conclusions: In our study type 2 acromion is more frequently seen in shoulder pathology involving rotator cuff tear and impingement syndrome. Acromion morphology does not vary with age.

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