Diagnosis and treatment of rotator cuff injury in tennis by magnetic resonance imaging combined with exercise therapy

Objective: The objective of this study was to outline a novel unique concept of secondary impingement of the muscles, myotendons, and tendons of the rotator cuff from hypertrophy as a result of strength training exercises. Methods: In this retrospective observational study, 58 patients were referred for an magnetic resonance imaging (MRI) by the orthopedic surgeon to the radiology department over a period of 1½ years. All patients gave a history of strength training exercises and presented with clinical features of rotator cuff impingement. Results: We identified features of hypertrophy of rotator cuff muscles, myotendons, and tendons in 12 of these 58 patients. This was the only abnormality on MRI. The hypertrophy of rotator cuff muscles and tendon bulk completely filling the subacromial space to the point of overfilling and resulting in secondary compressive features. Conclusion: Rotator cuff impingement is a common phenomenon that can occur with various inlet and outlet pathological conditions. However, rotator cuff impingement may also result from muscle and tendon hypertrophy from strength training regimens. Hypertrophy of the rotator cuff can result in overfilling of the subacromial space, leading to secondary impingement, which we have termed as “pseudo-impingement.”

Download Full-text

Characteristic Retear Patterns Assessed by Magnetic Resonance Imaging After Arthroscopic Double-Row Rotator Cuff Repair

Yearbook of Orthopedics ◽

10.1016/j.yort.2012.05.006 ◽

2012 ◽

Vol 2012 ◽

pp. 217-218

Author(s):

B.F. Morrey

Keyword(s):

Magnetic Resonance Imaging ◽

Magnetic Resonance ◽

Rotator Cuff ◽

Rotator Cuff Repair ◽

Resonance Imaging ◽

Double Row ◽

Cuff Repair

Download Full-text

The value of contrast-enhanced FLAIR magnetic resonance imaging in detecting meningeal abnormalities in suspected cases of meningitis compared to conventional contrast-enhanced T1WI sequences

Egyptian Journal of Radiology and Nuclear Medicine ◽

10.1186/s43055-020-00348-2 ◽

2020 ◽

Vol 51 (1) ◽

Author(s):

Wael Hamza Kamr ◽

Mohamed Gaber Eissawy ◽

Amr Saadawy

Keyword(s):

Magnetic Resonance Imaging ◽

Magnetic Resonance ◽

Early Diagnosis ◽

Diagnosis And Treatment ◽

Effective Management ◽

Resonance Imaging ◽

Flair Sequence ◽

Csf Analysis ◽

Contrast Enhanced ◽

Magnetic Resonance Imaging Mri

Abstract Background Early diagnosis of meningitis with magnetic resonance imaging (MRI) would be useful for appropriate and effective management, decrease morbidity and mortality, and provide better diagnosis and treatment. The objective of the current study is to compare the accuracy of contrast-enhanced FLAIR (CE-FLAIR) and contrast-enhanced T1WI (CE-T1WI) in the detection of meningeal abnormalities in suspected cases of meningitis. Results Out of 45 patients, 37 patients were confirmed to have meningitis on CSF analysis. Out of the 37 patients, 34 patients were positive on CE-FLAIR sequence and 27 were positive on CE-T1WI. The sensitivity of CE-FLAIR sequence was 91.9% and specificity 100%, while the sensitivity of CE-T1WI sequence was 73% and specificity 100%. Conclusion CE-FLAIR is more sensitive than CE-T1WI in diagnosis of meningitis. It is recommended to be used in any cases with clinically suspected meningitis.

Download Full-text

Musculotendinous Disorders in the Upper Extremity: Part 1. MRI of the Shoulder and Upper Arm

Seminars in Musculoskeletal Radiology ◽

10.1055/s-0037-1604009 ◽

2017 ◽

Vol 21 (04) ◽

pp. 359-375

Author(s):

Robert Boutin ◽

Russell Fritz

Keyword(s):

Magnetic Resonance Imaging ◽

Magnetic Resonance ◽

Rotator Cuff ◽

Latissimus Dorsi ◽

Deltoid Muscle ◽

Tendon Injuries ◽

Resonance Imaging ◽

Upper Arm ◽

Teres Major ◽

Crush Injuries

AbstractMuscle and tendon injuries about the shoulder and upper arm are commonly evaluated and characterized with magnetic resonance imaging. This article reviews our experience with abnormalities of the rotator cuff tendons and muscles as well as the deltoid muscle in the shoulder. We discuss and illustrate abnormalities of the upper arm such as strain injuries of the pectoralis major, strain injuries of the teres major and latissimus dorsi, and contusion and crush injuries of the biceps and brachialis muscles in the upper arm.

Download Full-text

Interosseous-lumbrical adhesions of the hand: Contribution of magnetic resonance imaging to diagnosis and treatment planning

The Journal Of Hand Surgery ◽

10.1053/jhsu.2002.33704 ◽

2002 ◽

Vol 27 (4) ◽

pp. 639-643 ◽

Cited By ~ 5

Author(s):

Virak Tan ◽

Dominique A. Rothenfluh ◽

Pedro K. Beredjiklian ◽

Hollis G. Potter ◽

Andrew J. Weiland

Keyword(s):

Magnetic Resonance Imaging ◽

Magnetic Resonance ◽

Treatment Planning ◽

Diagnosis And Treatment ◽

Resonance Imaging

Download Full-text

Magnetic Resonance Imaging Identification of Rotator Cuff Retears After Repair

The American Journal of Sports Medicine ◽

10.1177/0363546512449424 ◽

2012 ◽

Vol 40 (8) ◽

pp. 1722-1727 ◽

Cited By ~ 53

Author(s):

Michael Khazzam ◽

John E. Kuhn ◽

Ed Mulligan ◽

Joseph A. Abboud ◽

Keith M. Baumgarten ◽

...

Keyword(s):

Magnetic Resonance Imaging ◽

Magnetic Resonance ◽

Rotator Cuff ◽

Resonance Imaging

Download Full-text

Relationship between calcific tendinopathy and rotator cuff tear on shoulder magnetic resonance imaging: case-controlled comparison

Polish Journal of Radiology ◽

10.5114/pjr.2020.92709 ◽

2020 ◽

Vol 85 (1) ◽

pp. 8-13 ◽

Cited By ~ 1

Author(s):

Hamza Sucuoğlu ◽

Abdülkadir Asan

Keyword(s):

Magnetic Resonance Imaging ◽

Magnetic Resonance ◽

Rotator Cuff ◽

Rotator Cuff Tear ◽

Resonance Imaging ◽

Calcific Tendinopathy ◽

Cuff Tear

Download Full-text

Correlation of clinical examination, ultrasound, magnetic resonance imaging and arthroscopy as diagnostic tools in shoulder pathology

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20200473 ◽

2020 ◽

Vol 6 (2) ◽

pp. 247

Author(s):

Sondipon Biswas ◽

Naman Kanodia ◽

Rajat Tak ◽

Siddharth Agrawal ◽

Kiran Shankar Roy

Keyword(s):

Magnetic Resonance Imaging ◽

Magnetic Resonance ◽

Rotator Cuff ◽

Positive Predictive Value ◽

Negative Predictive Value ◽

Predictive Value ◽

Gold Standard ◽

Shoulder Arthroscopy ◽

Resonance Imaging ◽

Shoulder Pathologies

Background: Shoulder pathologies can cause significant pain, discomfort, and affect the activity of daily living. The aim of this study was to compare the efficacy of clinical examination, ultrasound, magnetic resonance imaging (MRI) with shoulder arthroscopy in diagnosing various shoulder pathologies, considering shoulder arthroscopy as the gold standard tool.Methods: This was a prospective, comparative study conducted over 35 patients, between 18-75 years of age presenting with chronic shoulder pain or instability of more than 2 months duration. All patients were examined clinically, followed by high resolution ultrasound, MRI, arthroscopy of the affected shoulder.Results: The sensitivity and specificity of ultrasonography (USG) for diagnosing full thickness tear was 100% each and for MRI was 88% and 100% respectively. For subacromial impingement USG had sensitivity of 66.67%, specificity of 94.12%, positive predictive value of 50% and negative predictive value of 88.89%. For rotator cuff tear USG had sensitivity of 92.86%, specificity of 50%, positive predictive value of 81.25% and negative predictive value of 75% considering shoulder arthroscopy as gold standard.Conclusions: USG and MRI both are sensitive techniques for diagnosing of rotator cuff pathologies. USG has high accuracy in diagnosing partial thickness tears as compare to MRI. MRI proved to be superior in estimation of site and extent of tear. Considering shoulder arthroscopy as gold standard, it can be reserved for patients with suspicious of USG/MRI findings or those who may need surgical intervention simultaneously.

Download Full-text