Delaminated Tears of the Rotator Cuff: MRI Interpretation with Clinical Correlation
(1) Background: A delaminated tear is described as a horizontal split in the tendon substance. This review summarizes the clinical and radiologic characteristics of delaminated tears of the rotator cuff. (2) Methods: Initial radiological characteristics of a delaminated tear include the horizontal c...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-03-01
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| Series: | Diagnostics |
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| Online Access: | https://www.mdpi.com/2075-4418/13/6/1133 |
| _version_ | 1797612444237955072 |
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| author | Jun-Ho Kim Seul Ki Lee |
| author_facet | Jun-Ho Kim Seul Ki Lee |
| author_sort | Jun-Ho Kim |
| collection | DOAJ |
| description | (1) Background: A delaminated tear is described as a horizontal split in the tendon substance. This review summarizes the clinical and radiologic characteristics of delaminated tears of the rotator cuff. (2) Methods: Initial radiological characteristics of a delaminated tear include the horizontal component of a partial-thickness tear determined using magnetic resonance (MR) arthrography. As demonstrated using indirect MR arthrography, the tear gradually progresses to be defined as either horizontal intrasubstantial splitting of the bursal and articular layers or differential retraction of the bursal and articular layers. (3) Results: The existence of delaminated tears is a poor prognostic factor in functional and morphologic outcomes after the repair of rotator cuff tendons and many surgical techniques have been introduced to solve this problem. Although the presence of a delaminated tear does not affect the arthroscopic repair outcome, the presence of medium-to-large, retracted delaminated tears may be an adverse negative prognostic factor after single-row repair. (4) Conclusion: Advances in imaging and surgical techniques have improved the detection of delaminated rotator cuff tears. Preoperative identification of delaminated tears on magnetic resonance imaging is clinically important because tailored surgical repair techniques must be chosen for successful outcomes. |
| first_indexed | 2024-03-11T06:41:19Z |
| format | Article |
| id | doaj.art-e6834272eb8c475f9e28d8f27b7207a6 |
| institution | Directory Open Access Journal |
| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-03-11T06:41:19Z |
| publishDate | 2023-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-e6834272eb8c475f9e28d8f27b7207a62023-11-17T10:34:48ZengMDPI AGDiagnostics2075-44182023-03-01136113310.3390/diagnostics13061133Delaminated Tears of the Rotator Cuff: MRI Interpretation with Clinical CorrelationJun-Ho Kim0Seul Ki Lee1Department of Orthopaedic Surgery, Center for Joint Diseases, Kyung Hee University Hospital at Gangdong, Seoul 05278, Republic of KoreaDepartment of Radiology, St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, Seoul 06591, Republic of Korea(1) Background: A delaminated tear is described as a horizontal split in the tendon substance. This review summarizes the clinical and radiologic characteristics of delaminated tears of the rotator cuff. (2) Methods: Initial radiological characteristics of a delaminated tear include the horizontal component of a partial-thickness tear determined using magnetic resonance (MR) arthrography. As demonstrated using indirect MR arthrography, the tear gradually progresses to be defined as either horizontal intrasubstantial splitting of the bursal and articular layers or differential retraction of the bursal and articular layers. (3) Results: The existence of delaminated tears is a poor prognostic factor in functional and morphologic outcomes after the repair of rotator cuff tendons and many surgical techniques have been introduced to solve this problem. Although the presence of a delaminated tear does not affect the arthroscopic repair outcome, the presence of medium-to-large, retracted delaminated tears may be an adverse negative prognostic factor after single-row repair. (4) Conclusion: Advances in imaging and surgical techniques have improved the detection of delaminated rotator cuff tears. Preoperative identification of delaminated tears on magnetic resonance imaging is clinically important because tailored surgical repair techniques must be chosen for successful outcomes.https://www.mdpi.com/2075-4418/13/6/1133shoulderrotator cuffmagnetic resonance imagingdelaminated tearclassification |
| spellingShingle | Jun-Ho Kim Seul Ki Lee Delaminated Tears of the Rotator Cuff: MRI Interpretation with Clinical Correlation Diagnostics shoulder rotator cuff magnetic resonance imaging delaminated tear classification |
| title | Delaminated Tears of the Rotator Cuff: MRI Interpretation with Clinical Correlation |
| title_full | Delaminated Tears of the Rotator Cuff: MRI Interpretation with Clinical Correlation |
| title_fullStr | Delaminated Tears of the Rotator Cuff: MRI Interpretation with Clinical Correlation |
| title_full_unstemmed | Delaminated Tears of the Rotator Cuff: MRI Interpretation with Clinical Correlation |
| title_short | Delaminated Tears of the Rotator Cuff: MRI Interpretation with Clinical Correlation |
| title_sort | delaminated tears of the rotator cuff mri interpretation with clinical correlation |
| topic | shoulder rotator cuff magnetic resonance imaging delaminated tear classification |
| url | https://www.mdpi.com/2075-4418/13/6/1133 |
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