Role of ultrasound and MRI in the evaluation of postoperative rotator cuff
Rotator cuff tears are common shoulder injuries in patients above 40 years of age, causing pain, disability, and reduced quality of life. Most recurrent rotator cuff tears happen within three months. Surgical repair is often necessary in patients with large or symptomatic tears to restore shoulder f...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Sciendo
2023-11-01
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| Series: | Journal of Ultrasonography |
| Subjects: | |
| Online Access: | https://doi.org/10.15557/jou.2023.0028 |
| _version_ | 1797435632654483456 |
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| author | Sahu Amit Kumar Moran Erin Kathleen Gandikota Girish |
| author_facet | Sahu Amit Kumar Moran Erin Kathleen Gandikota Girish |
| author_sort | Sahu Amit Kumar |
| collection | DOAJ |
| description | Rotator cuff tears are common shoulder injuries in patients above 40 years of age, causing pain, disability, and reduced quality of life. Most recurrent rotator cuff tears happen within three months. Surgical repair is often necessary in patients with large or symptomatic tears to restore shoulder function and relieve symptoms. However, 25% of patients experience pain and dysfunction even after successful surgery. Imaging plays an essential role in evaluating patients with postoperative rotator cuff pain. The ultrasound and magnetic resonance imaging are the most commonly used imaging modalities for evaluating rotator cuff. The ultrasound is sometimes the preferred first-line imaging modality, given its easy availability, lower cost, ability to perform dynamic tendon evaluation, and reduced post-surgical artifacts compared to magnetic resonance imaging. It may also be superior in terms of earlier diagnosis of smaller re-tears. Magnetic resonance imaging is better for assessing the extent of larger tears and for detecting other complications of rotator cuff surgery, such as hardware failure and infection. However, postoperative imaging of the rotator cuff can be challenging due to the presence of hardware and variable appearance of the repaired tendon, which can be confused with a re-tear. This review aims to provide an overview of the current practice and findings of postoperative imaging of the rotator cuff using magnetic resonance imaging and ultrasound. We discuss the advantages and limitations of each modality and the normal and abnormal imaging appearance of repaired rotator cuff tendon. |
| first_indexed | 2024-03-09T10:50:01Z |
| format | Article |
| id | doaj.art-07abbfeb40144686a11f2bc2d67d2852 |
| institution | Directory Open Access Journal |
| issn | 2451-070X |
| language | English |
| last_indexed | 2024-03-09T10:50:01Z |
| publishDate | 2023-11-01 |
| publisher | Sciendo |
| record_format | Article |
| series | Journal of Ultrasonography |
| spelling | doaj.art-07abbfeb40144686a11f2bc2d67d28522023-12-01T07:19:20ZengSciendoJournal of Ultrasonography2451-070X2023-11-012395e188e20110.15557/jou.2023.0028Role of ultrasound and MRI in the evaluation of postoperative rotator cuffSahu Amit Kumar0Moran Erin Kathleen1Gandikota Girish21Department of Radiology, Max Superspeciality Hospital, New Delhi, India2Department of Radiology, University of North Carolina, Chapel Hill, USA2Department of Radiology, University of North Carolina, Chapel Hill, USARotator cuff tears are common shoulder injuries in patients above 40 years of age, causing pain, disability, and reduced quality of life. Most recurrent rotator cuff tears happen within three months. Surgical repair is often necessary in patients with large or symptomatic tears to restore shoulder function and relieve symptoms. However, 25% of patients experience pain and dysfunction even after successful surgery. Imaging plays an essential role in evaluating patients with postoperative rotator cuff pain. The ultrasound and magnetic resonance imaging are the most commonly used imaging modalities for evaluating rotator cuff. The ultrasound is sometimes the preferred first-line imaging modality, given its easy availability, lower cost, ability to perform dynamic tendon evaluation, and reduced post-surgical artifacts compared to magnetic resonance imaging. It may also be superior in terms of earlier diagnosis of smaller re-tears. Magnetic resonance imaging is better for assessing the extent of larger tears and for detecting other complications of rotator cuff surgery, such as hardware failure and infection. However, postoperative imaging of the rotator cuff can be challenging due to the presence of hardware and variable appearance of the repaired tendon, which can be confused with a re-tear. This review aims to provide an overview of the current practice and findings of postoperative imaging of the rotator cuff using magnetic resonance imaging and ultrasound. We discuss the advantages and limitations of each modality and the normal and abnormal imaging appearance of repaired rotator cuff tendon.https://doi.org/10.15557/jou.2023.0028mriultrasoundrotator cuff tearpostoperative cuff |
| spellingShingle | Sahu Amit Kumar Moran Erin Kathleen Gandikota Girish Role of ultrasound and MRI in the evaluation of postoperative rotator cuff Journal of Ultrasonography mri ultrasound rotator cuff tear postoperative cuff |
| title | Role of ultrasound and MRI in the evaluation of postoperative rotator cuff |
| title_full | Role of ultrasound and MRI in the evaluation of postoperative rotator cuff |
| title_fullStr | Role of ultrasound and MRI in the evaluation of postoperative rotator cuff |
| title_full_unstemmed | Role of ultrasound and MRI in the evaluation of postoperative rotator cuff |
| title_short | Role of ultrasound and MRI in the evaluation of postoperative rotator cuff |
| title_sort | role of ultrasound and mri in the evaluation of postoperative rotator cuff |
| topic | mri ultrasound rotator cuff tear postoperative cuff |
| url | https://doi.org/10.15557/jou.2023.0028 |
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