Skip to main content

Rotator Cuff Tear: Imaging

  • Chapter
  • First Online:
Arthroscopic Transosseous Rotator Cuff Repair

Abstract

The use of modern diagnostic techniques as magnetic resonance allows you to overcome some discrepancies between the morphological and clinical data in patients with a suspected rotator cuff lesion. A musculoskeletal radiologist or an orthopedic surgeon may assess not only the presence and the type of a cuff lesion but also several tendon and muscle features as the thickness of the remaining tendon and the quality of the tendon margins and humeral bone, which are critical in choosing the type of surgical approach to be performed.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Aliprandi A, Sdao S, Cannaò PM, Khattak YJ, Longo S, Sconfienza LM, Sardanelli F. Imaging of shoulder pain in overhead throwing athletes. Sport Sci Health. 2013;9:81–8. https://doi.org/10.1007/s11332-013-0151-z.

    Article  Google Scholar 

  • Aluisio FV, Osbahr DC, Speer KP. Analysis of rotator cuff muscles in adult human cadaveric specimens. Am J Orthop. 2003;32(3):124–9.

    PubMed  Google Scholar 

  • Bigliani LU, Ticker JB, Flatow EL, Soslowsky LJ, Mow VC. Relationship of acromial architecture and diseases of the rotator cuff [in German]. Orthopade. 1991;20(5):302–9.

    PubMed  CAS  Google Scholar 

  • Burkhart SS, Danaceau SM, Pearce CE Jr. Arthroscopic rotator cuff repair: analysis of results by tear size and by repair technique—margin convergence versus direct tendon-to-bone repair. Arthroscopy. 2001;17(9):905–12.

    Article  CAS  PubMed  Google Scholar 

  • Choo HJ, Lee SJ, Kim OH, Seo SS, Kim JH. Comparison of three-dimensional isotropic T1-weighted fast spin-echo MR arthrography with two-dimensional MR arthrography of the shoulder. Radiology. 2012;262(3):921–31. https://doi.org/10.1148/radiol.11111261.

    Article  PubMed  Google Scholar 

  • Dinnes J, Loveman E, McIntyre L, Waugh N. The effectiveness of diagnostic tests for the assessment of shoulder pain due to soft tissue disorders: a systematic review. Health Technol Assess. 2003;7:iii.

    Article  CAS  PubMed  Google Scholar 

  • Farin PU, Jaroma H, Soimakallio S. Medial displacement of the biceps brachii tendon: evaluation with dynamic sonography during maximal external shoulder rotation. Radiology. 1995;195(3):845–8.

    Article  CAS  PubMed  Google Scholar 

  • Foad A, Wijdicks CA. The accuracy of magnetic resonance imaging and magnetic resonance arthrogram versus arthroscopy in the diagnosis of subscapularis tendon injury. Arthroscopy. 2012;28:636–41.

    Article  PubMed  Google Scholar 

  • Fuchs B, Weishaupt D, Zanetti M, Hodler J, Gerber C. Fatty degeneration of the muscles of the rotator cuff: assessment by computed tomography versus magnetic resonance imaging. J Shoulder Elb Surg. 1999;8(6):599–605.

    Article  CAS  Google Scholar 

  • Goutallier D, Postel JM, Bernageau J, Lavau L, Voisin MC. Fatty muscle degeneration in cuff ruptures. Pre- and postoperative evaluation by CT scan. Clin Orthop Relat Res. 1994;304:78–83.

    Google Scholar 

  • Goutallier D, Postel JM, Zilber S, Van Driessche S. Shoulder surgery: from cuff repair to joint replacement an update. Joint Bone Spine. 2003;70(6):422–32.

    Article  PubMed  Google Scholar 

  • Habermeyer P, Magosch P, Pritsch M, Scheibel MT, Lichtenberg S. Anterosuperior impingement of the shoulder as a result of pulley lesions: a prospective arthroscopic study. J Should Elbow Surg. 2004;13(1):5–12.

    Article  Google Scholar 

  • Iannotti JP. Full-thickness rotator cuff tears: factors affecting surgical outcome. J Am Acad Orthop Surg. 1994;2(2):87–95.

    Article  CAS  PubMed  Google Scholar 

  • Lafosse L, Jost B, Reiland Y, Audebert S. Bruno Toussaint and Reuben Gobezie. J Bone Joint Surg Am. 2007;89:1184–93.

    Article  PubMed  Google Scholar 

  • Lee YH, Kim AH, Suh JS. Magnetic resonance visualization of surgical classification of rotator cuff tear: comparison with three-dimensional shoulder magnetic resonance arthrography at 3.0 T. Clin Imaging. 2014;38(6):858–63. https://doi.org/10.1016/j.clinimag.2014.07.003.

    Article  PubMed  Google Scholar 

  • Magee T, Williams D. 3.0-T MRI of the supraspinatus tendon. AJR Am J Roentgenol. 2006;187:881–6.

    Article  PubMed  Google Scholar 

  • Magee T, Shapiro M, Williams D. Comparison of high-field strength versus low-field-strength MRI of the shoulder. AJR Am J Roentgenol. 2003;181:1211–5.

    Article  PubMed  Google Scholar 

  • Millstein ES, Snyder SJ. Arthroscopic management of partial, full thickness, and complex rotator cuff tears: indications, techniques, and complications. Arthroscopy. 2003;19(Suppl 1):189–99. https://doi.org/10.1016/j.arthro.2003.10.033].

    Article  PubMed  Google Scholar 

  • Parsons IM, Apreleva M, Fu FH, Woo SL. The effect of rotator cuff tears on reaction forces at the glenohumeral joint. J Orthop Res. 2002;20(3):439–46.

    Article  CAS  PubMed  Google Scholar 

  • Patte D. Classification of rotator cuff lesions. Clin Orthop Relat Res. 1990;(254):81–6.

    Google Scholar 

  • Post M, Silver R, Singh M. Rotator cuff tear: diagnosis and treatment. Clin Orthop Relat Res. 1983;(173):78–91.

    Google Scholar 

  • Romeo AA, Hang DW, Bach BR Jr, Shott S. Re- pair of full thickness rotator cuff tears: gender, age, and other factors affecting outcome. Clin Orthop Relat Res. 1999;367:243–55.

    Article  Google Scholar 

  • Sherman OH. MR imaging of impingement and rotator cuff disorders: a surgical perspective. Magn Reson Imaging Clin N Am. 1997;5(4):721–34.

    PubMed  CAS  Google Scholar 

  • Snyder S. Arthroscopic classification of rotator cuff lesions and surgical decision making. In: Wilkins LW, editor. . Philadelphia: Shoulder Arthroscopy; 2003. p. 201–7.

    Google Scholar 

  • Thomazeau H, Rolland Y, Lucas C, Duval JM, Langlais F. Atrophy of the supraspinatus belly: assessment by MRI in 55 patients with rotator cuff pathology. Acta Orthop Scand. 1996;67(3):264–8.

    Article  CAS  PubMed  Google Scholar 

  • Toivonen DA, Tuite MJ, Orwin JF. Acromial structure and tears of the rotator cuff. J Shoulder Elb Surg. 1995;4(5):376–83.

    Article  CAS  Google Scholar 

  • Walch G, Nove’-Josserand L, Boileau P, Levigne C. Subluxations and dislocations of the tendon of the long head of the biceps. J Should Elbow Surg. 1998;7(2):100–8.

    Article  CAS  Google Scholar 

  • Waldt S, Bruegel M, Mueller D, Holzapfel K, Imhoff AB, Rummeny EJ, Woertler K. Rotator cuff tears: assessment with MR arthrography in 275 patients with arthroscopic correlation. EurRadiol. 2007;17:491–8.

    CAS  Google Scholar 

  • Yazici M, Kopuz C, Gulman B. Morphologic variants of acromion in neonatal cadavers. J Pediatr Orthop. 1995;15(5):644–7.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Chillemi, C., Castagna, A., Osimani, M. (2018). Rotator Cuff Tear: Imaging. In: Arthroscopic Transosseous Rotator Cuff Repair. Springer, Cham. https://doi.org/10.1007/978-3-319-76153-4_3

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-76153-4_3

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-76152-7

  • Online ISBN: 978-3-319-76153-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics