scholarly journals Role of Magnetic Resonance Imaging in the Evaluation of Rotator Cuff Tears

Cureus ◽  
2022 ◽  
Author(s):  
Deepak V Koganti ◽  
Purnachandra Lamghare ◽  
Vinay Kumar Parripati ◽  
Rachit Khandelwal ◽  
Ayapaneni Dileep Reddy
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Rotator Cuff ◽  
Rotator Cuff Tears ◽  
Resonance Imaging

Can Preoperative Magnetic Resonance Imaging Predict the Reparability of Massive Rotator Cuff Tears?

2017 ◽  
Vol 45 (7) ◽  
pp. 1654-1663 ◽  
Author(s):  
Jung Youn Kim ◽  
Ji Seon Park ◽  
Yong Girl Rhee
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Rotator Cuff ◽  
Fatty Infiltration ◽  
Preoperative Magnetic Resonance Imaging ◽  
Rotator Cuff Tears ◽  
Resonance Imaging ◽  
Massive Rotator Cuff Tears ◽  
Preoperative Magnetic Resonance ◽  
Auc Value

Background: Numerous studies have shown preoperative fatty infiltration of rotator cuff muscles to be strongly negatively correlated with the successful repair of massive rotator cuff tears (RCTs). Purpose: To assess the association between factors identified on preoperative magnetic resonance imaging (MRI), especially infraspinatus fatty infiltration, and the reparability of massive RCTs. Study Design: Case-control study; Level of evidence, 3. Methods: We analyzed a total of 105 patients with massive RCTs for whom MRI was performed ≤6 months before arthroscopic procedures. The mean age of the patients was 62.7 years (range, 46-83 years), and 46 were men. Among them, complete repair was possible in 50 patients (48%) and not possible in 55 patients (52%). The tangent sign, fatty infiltration of the rotator cuff, and Patte classification were evaluated as predictors of reparability. Using the receiver operating characteristic curve and the area under the curve (AUC), the prediction accuracy of each variable and combinations of variables were measured. Results: Reparability was associated with fatty infiltration of the supraspinatus ( P = .0045) and infraspinatus ( P < .001) muscles, the tangent sign ( P = .0033), and the Patte classification ( P < .001) but not with fatty infiltration of the subscapularis and teres minor ( P = .425 and .132, respectively). The cut-off values for supraspinatus and infraspinatus fatty infiltration were grade >3 and grade >2, respectively. The examination of single variables revealed that infraspinatus fatty infiltration showed the highest AUC value (0.812; sensitivity: 0.86; specificity: 0.76), while the tangent sign showed the lowest AUC value (0.626; sensitivity: 0.38; specificity: 0.87). Among 2-variable combinations, the combination of infraspinatus fatty infiltration and the Patte classification showed the highest AUC value (0.874; sensitivity: 0.54; specificity: 0.96). The combination of 4 variables, that is, infraspinatus and supraspinatus fatty infiltration, the tangent sign, and the Patte classification, had an AUC of 0.866 (sensitivity: 0.28; specificity: 0.98), which was lower than the highest AUC value (0.874; sensitivity: 0.54; specificity: 0.96) among the 2-variable combinations. Conclusion: The tangent sign or Patte classification alone was not a predictive indicator of the reparability of massive RCTs. Among single variables, infraspinatus fatty infiltration was the most effective in predicting reparability, while the combination of Goutallier classification <3 of the infraspinatus and Patte classification ≤2 of the rotator cuff muscles was the most predictive among the combinations of variables. This information may help predict the reparability of massive RCTs.

scholarly journals Failure of Dermal Allograft Repair of Massive Rotator Cuff Tears in Magnetic Resonance Imaging and Clinical Assessment

2019 ◽  
Vol 11 (2) ◽  
pp. 200 ◽  
Author(s):  
Conor James Craig Gouk ◽  
Ryan Mark Shulman ◽  
Craig Buchan ◽  
Michael John Evan Thomas ◽  
Fraser James Taylor
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Rotator Cuff ◽  
Clinical Assessment ◽  
Rotator Cuff Tears ◽  
Resonance Imaging ◽  
Massive Rotator Cuff Tears

Calcific Tendinosis Reduces Diagnostic Performance of Magnetic Resonance Imaging in the Detection of Rotator Cuff Tears

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Andrew P. Sill ◽  
Taryar Zaw ◽  
Jonathan A. Flug ◽  
David E. Hartigan ◽  
Mark J. Kransdorf ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Rotator Cuff ◽  
Diagnostic Performance ◽  
Rotator Cuff Tears ◽  
Resonance Imaging
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