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01-02-2015 | Original Paper

Full-thickness supraspinatus tendon tears: correlation of findings by arthroscopy and magnetic resonance imaging

Authors: Eduardo Angeli Malavolta, Jorge Henrique Assunção, Alex Oliveira de Araujo, Carlos Augusto Seito, Mauro Emilio Conforto Gracitelli, Marcelo Bordalo-Rodrigues, Arnaldo Amado Ferreira Neto

Published in: International Orthopaedics | Issue 2/2015

Abstract

Purpose

The main aim of this study was to correlate measurements of the width and retraction of isolated full-thickness supraspinatus tendon tears determined by magnetic resonance imaging (MRI) with measurements recorded by arthroscopy using a continuous millimetre scale.

Methods

A total of 53 individuals with isolated supraspinatus tears and retraction < 30 mm underwent arthroscopy at our centre. Tear width and retraction measured by arthroscopy (reference standard) and MRI (index test) on a continuous millimetre scale were compared. All measurements were performed by a single radiologist blinded to intra-operative findings and one surgeon who had previous access to MRI results.

Results

The average tear retraction was 12.60 ± 4.89 mm by arthroscopy and 16.81 ± 6.29 mm by MRI. Those measures exhibited moderate correlation (r = 0.643, p < 0.001) and an average difference of 4.21 mm (p < 0.001). Average tear width was 12.87 ± 4.15 mm by arthroscopy and 14.19 ± 5.20 by MRI. Those measures exhibited moderate correlation (r = 0.526, p < 0.001) and an average difference of 1.32 mm, which was not statistically significant (p = 0.109).

Conclusion

Measures of retraction and width obtained by MRI and arthroscopy exhibited moderate correlation in small- or medium-sized supraspinatus tears.

Yamamoto A, Takagishi K, Osawa T, Yanagawa T, Nakajima D, Shitara H et al (2010) Prevalence and risk factors of a rotator cuff tear in the general population. J Shoulder Elbow Surg 19:116–120. doi:10.1016/j.jse.2009.04.006 PubMedCrossRef

Colvin AC, Harrison AK, Egorova N, Moskowitz A, Flatow EL (2012) National trends in rotator cuff repair. J Bone Joint Surg Am 94:227–233. doi:10.2106/JBJS.J.00739 PubMedCentralPubMedCrossRef

Carbonel I, Martinez AA, Calvo A, Ripalda J, Herrera A (2012) Single-row versus double-row arthroscopic repair in the treatment of rotator cuff tears: a prospective randomized clinical study. Int Orthop 36:1877–1883. doi:10.1007/s00264-012-1559-9 PubMedCentralPubMedCrossRef

Oh JH, Kim SH, Ji MH, Jo KH, Bin SW, Gong HS (2009) Prognostic factors affecting anatomic outcome of rotator cuff repair and correlation with functional outcome. Arthroscopy 25:30–39. doi:10.1016/j.arthro.2008.08.010 PubMedCrossRef

Bryant L, Shnier R, Bryant C, Murrell GAC (2002) A comparison of clinical estimation, ultrasonography, magnetic resonance imaging, and arthroscopy in determining the size of rotator cuff tears. J Shoulder Elbow Surg 11:219–224. doi:10.1067/mse.2002.121923 PubMedCrossRef

Chun KA, Kim MS, Kim YJ (2010) Comparisons of the various partial-thickness rotator cuff tears on MR arthrography and arthroscopic correlation. Korean J Radiol 11:528–535. doi:10.3348/kjr.2010.11.5.528 PubMedCentralPubMedCrossRef

Farin PU, Kaukanen E, Jaroma H, Väätäinen U, Miettinen H, Soimakallio S (1996) Site and size of rotator-cuff tear. Findings at ultrasound, double-contrast arthrography, and computed tomography arthrography with surgical correlation. Invest Radiol 31:387–394PubMedCrossRef

Foad A, Wijdicks CA (2012) The accuracy of magnetic resonance imaging and magnetic resonance arthrogram versus arthroscopy in the diagnosis of subscapularis tendon injury. Arthroscopy 28:636–641. doi:10.1016/j.arthro.2011.10.006 PubMedCrossRef

Fotiadou AN, Vlychou M, Papadopoulos P, Karataglis DS, Palladas P, Fezoulidis IV (2008) Ultrasonography of symptomatic rotator cuff tears compared with MR imaging and surgery. Eur J Radiol 68:174–179. doi:10.1016/j.ejrad.2007.11.002 PubMedCrossRef

10.

Kang CH, Kim SS, Kim JH, Chung KB, Kim YH, Oh Y-W et al (2009) Supraspinatus tendon tears: comparison of 3D US and MR arthrography with surgical correlation. Skelet Radiol 38:1063–1069. doi:10.1007/s00256-009-0734-6 CrossRef

11.

Kluger R, Mayrhofer R, Kroner A, Pabinger C, Partan G, Hruby W et al (2003) Sonographic versus magnetic resonance arthrographic evaluation of full-thickness rotator cuff tears in millimetres. J Shoulder Elbow Surg 12:110–116. doi:10.1067/mse.2003.10 PubMedCrossRef

12.

Martín-Hervás C, Romero J, Navas-Acién A, Reboiras JJ, Munuera L (2001) Ultrasonographic and magnetic resonance images of rotator cuff lesions compared with arthroscopy or open surgery findings. J Shoulder Elbow Surg 10:410–415. doi:10.1067/mse.2001.116515 PubMedCrossRef

13.

Meister K, Thesing J, Montgomery WJ, Indelicato PA, Walczak S, Fontenot W (2004) MR arthrography of partial thickness tears of the undersurface of the rotator cuff: an arthroscopic correlation. Skelet Radiol 33:136–141. doi:10.1007/s00256-003-0688-z CrossRef

14.

Milosavljevic J, Elvin A, Rahme H (2005) Ultrasonography of the rotator cuff: a comparison with arthroscopy in one-hundred-and-ninety consecutive cases. Acta Radiol 46:858–865. doi:10.1080/02841850500270506 PubMedCrossRef

15.

Naqvi G, Jadaan M, Harrington P (2009) Accuracy of ultrasonography and magnetic resonance imaging for detection of full thickness rotator cuff tears. Int J Shoulder Surg 3:94–97. doi:10.4103/0973-6042.63218 PubMedCentralPubMedCrossRef

16.

Singisetti K, Hinsche A (2011) Shoulder ultrasonography versus arthroscopy for the detection of rotator cuff tears: analysis of errors. J Orthop Surg (Hong Kong) 19:76–79

17.

Teefey SA, Rubin DA, Middleton WD, Hildebolt CF, Leibold RA, Yamaguchi K (2004) Detection and quantification of rotator cuff tears. Comparison of ultrasonographic, magnetic resonance imaging, and arthroscopic findings in seventy-one consecutive cases. J Bone Joint Surg Am 86-A:708–716PubMed

18.

Van Dyck P, Gielen JL, Veryser J, Weyler J, Vanhoenacker FM, Van Glabbeek F, De Weerdt W et al (2009) Tears of the supraspinatus tendon: assessment with indirect magnetic resonance arthrography in 67 patients with arthroscopic correlation. Acta Radiol 50:1057–1063. doi:10.3109/02841850903232723 PubMedCrossRef

19.

Vlychou M, Dailiana Z, Fotiadou A, Papanagiotou M, Fezoulidis IV, Malizos KN (2009) Symptomatic partial rotator cuff tears: diagnostic performance of ultrasound and magnetic resonance imaging with surgical correlation. Acta Radiol 50:101–105. doi:10.1080/02841850802600764 PubMedCrossRef

20.

Waldt S, Bruegel M, Mueller D, Holzapfel K, Imhoff AB, Rummeny EJ et al (2007) Rotator cuff tears: assessment with MR arthrography in 275 patients with arthroscopic correlation. Eur Radiol 17:491–498. doi:10.1007/s00330-006-0370-7 PubMedCrossRef

21.

Mall NA, Kim HM, Keener JD, Steger-May K, Teefey SA, Middleton WD et al (2010) Symptomatic progression of asymptomatic rotator cuff tears: a prospective study of clinical and sonographic variables. J Bone Joint Surg Am 92:2623–2633. doi:10.2106/JBJS.I.00506 PubMedCentralPubMedCrossRef

22.

Safran O, Schroeder J, Bloom R, Weil Y, Milgrom C (2011) Natural history of nonoperatively treated symptomatic rotator cuff tears in patients 60 years old or younger. Am J Sports Med 39:710–714. doi:10.1177/0363546510393944 PubMedCrossRef

23.

Lenza M, Buchbinder R, Takwoingi Y, Johnston RV, Hanchard NC, Faloppa F (2013) Magnetic resonance imaging, magnetic resonance arthrography and ultrasonography for assessing rotator cuff tears in people with shoulder pain for whom surgery is being considered. Cochrane Database Syst Rev 9:1–41. doi:10.1002/14651858.CD009020.pub2

24.

Hernigou P, Flouzat Lachaniette CH, Delambre J, Zilber S, Duffiet P, Chevallier N, Rouard H (2014) Biologic augmentation of rotator cuff repair with mesenchymal stem cells during arthroscopy improves healing and prevents further tears: a case-controlled study. Int Orthop. doi:10.1007/s00264-014-2391-1

Title: Full-thickness supraspinatus tendon tears: correlation of findings by arthroscopy and magnetic resonance imaging
Authors: Eduardo Angeli Malavolta
Jorge Henrique Assunção
Alex Oliveira de Araujo
Carlos Augusto Seito
Mauro Emilio Conforto Gracitelli
Marcelo Bordalo-Rodrigues
Arnaldo Amado Ferreira Neto
Publication date: 01-02-2015
Publisher: Springer Berlin Heidelberg
Published in: International Orthopaedics / Issue 2/2015
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-014-2490-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Full-thickness supraspinatus tendon tears: correlation of findings by arthroscopy and magnetic resonance imaging

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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