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01-12-2007 | Musculoskeletal

Multimodality imaging of the postoperative shoulder

Published in: European Radiology | Issue 12/2007

Abstract

Multimodality imaging of the postoperative shoulder includes radiography, magnetic resonance (MR) imaging, MR arthrography, computed tomography (CT), CT arthrography, and ultrasound. Target-oriented evaluation of the postoperative shoulder necessitates familiarity with surgical techniques, their typical complications and sources of failure, knowledge of normal and abnormal postoperative findings, awareness of the advantages and weaknesses with the different radiologic techniques, and clinical information on current symptoms and function. This article reviews the most commonly used surgical procedures for treatment of anterior glenohumeral instability, lesions of the labral-bicipital complex, subacromial impingement, and rotator cuff lesions and highlights the significance of imaging findings with a view to detection of recurrent lesions and postoperative complications in a multimodality approach.

Owen RS, Ianotti JP, Kneeland JB, Dalinka MK, Deren JA, Oleaga L (1993) Shoulder after surgery: MR imaging with surgical validation. Radiology 186:443–447PubMed

Magee TH, Gaenslen ES, Seitz R, Hinson GA, Wetzel LH (1997) MR imaging of the shoulder after surgery. AJR Am J Roentgenol 168:925–928PubMed

Spielmann AL, Foster BB, Hawkins RH, Janzen DL (1999) Shoulder after rotator cuff repair: MR imaging findings in asymptomatic individuals—initial experience. Radiology 213:705–708PubMed

Sugimoto H, Suzuki K, Mihara K, Kubota H, Tsuitsui H (2002) MR arthrography of shoulders after suture-anchor Bankart repair. Radiology 224:105–111PubMedCrossRef

Wagner SC, Schweitzer ME, Morrison WB, Fenlin JM, Bartolozzi AR (2002) Shoulder instability: accuracy of MR imaging performed after surgery in depicting recurrent injury - initial findings. Radiology 222:196–203PubMedCrossRef

Zanetti M, Jost B, Hodler J, Gerber C (2000) MR imaging after rotator cuff repair: full-thickness defect and bursitis-like subacromial abnormalities in asymptomatic subjects. Skeletal Radiol 29:314–319PubMedCrossRef

Zlatkin MB (2002) MRI of the postoperative shoulder. Skeletal Radiol 31:63–80PubMedCrossRef

Zanetti M, Hodler J (2004) MR imaging of the shoulder after surgery. Magn Reson Imaging Clin N Am 12:169–183PubMedCrossRef

Mohana-Borges AVR, Chung CB, Resnick D (2004) MR imaging and MR arthrography of the postoperative shoulder: spectrum of normal and abnormal findings. Radiographics 24:69–85PubMedCrossRef

10.

Woertler K, Rummeny EJ (2004) [Postoperative imaging of the shoulder]. Radiologe 44:604–612

11.

Peh WCG, Chan JHM (2001) Artifacts in musculoskeletal magnetic resonance imaging: identification and correction. Skeletal Radiol 30:179–191PubMedCrossRef

12.

Buckwalter KA, Rydberg J, Kopecky KK, Yang KCEL (2001) Musculoskeletal imaging with multislice CT. AJR Am J Roentgenol 176:979–986PubMed

13.

Farber JM, Buckwalter KA (2002) Sports related injuries of the shoulder: instability. Radiol Clin N Am 40:235–249PubMedCrossRef

14.

Walch G (1996) Chronic anterior glenohumeral instability. J Bone Joint Surg B 78:670–677

15.

Millett PJ, Clavert P, Warner JJP (2005) Open operative treatment for anterior shoulder instability: why and when? J Bone Joint Surg Am 87:419–432PubMedCrossRef

16.

Imhoff AB, Roscher E, Konig U (1998) [Arthroscopic shoulder stabilization. Differentiated treatment strategy with Suretac, Fastak, Holmium: YAG-laser and electrosurgery]. Orthopade 27:518–531PubMed

17.

Mallon WJ, Speer KP (1995) Multidirectional instability: current concepts. J Shoulder Elbow Surg 4:54–64PubMedCrossRef

18.

Van der Reis W, Wolf EM (2001) Arthroscopic rotator cuff interval capsular closure. Orthopedics 24:657–661PubMed

19.

Yamamoto N, Itoi E, Tuoheti Y et al (2006) Effect of rotator interval closure on glenohumeral stability and motion: a cadaveric study. J Shoulder Elbow Surg 15:750–758PubMedCrossRef

20.

Hovelius L, Sandström B, Sundgren K, Saebö M (2004) One hundred eighteen Bristow-Latarjet repairs for recurrent anterior dislocation of the shoulder prospectively followed for fifteen years: Study 1—Clinical results. J Shoulder Elbow Surg 13:509–516PubMedCrossRef

21.

Schroder DT, Provencher MT, Mologne TS, Muldoon MP, Cox JS (2006) The modified Bristow-Latarjet procedure for anterior shoulder instability: 26-year outcomes in naval academy midshipmen. Am J Sports Med 34:778–786PubMedCrossRef

22.

Allain J, Goutallier D, Glorion C (1998) Long-term results of the Latarjet procedure for the treatment of anterior instability of the shoulder. J Bone Joint Surg Am 80:841–852PubMedCrossRef

23.

Rand T, Freilinger W, Breitenseher M, Trattnig S, Garcia M, Landsiedl F, Imhof H (1999) Magnetic resonance arthrography (MRA) in the postoperative shoulder. Magn Reson Imaging 17:843–850PubMedCrossRef

24.

Burkhart SS, De Beer JF (2000) Traumatic glenohumeral bone defects and their relationship to failure of arthroscopic Bankart repairs: significance of the inverted-pear glenoid and the humeral engaging Hill-Sachs lesion. Arthroscopy 16:677–694PubMedCrossRef

25.

Woertler K, Waldt S (2006) MR imaging in sports-related glenohumeral instability. Eur Radiol 16:2622–2636PubMedCrossRef

26.

Sachs RA, Williams B, Stone ML, Paxton L, Kuney M (2005) Open bankart repair: correlation of results with postoperative subscapularis function. Am J Sports Med 33:1458–1462PubMedCrossRef

27.

Scheibel M, Tsynman A, Schroeder RJ, Magosch P, Habermeyer P (2006) Postoperative subscapularis muscle insufficiency after primary and revision open shoulder surgery. Am J Sports Med 34:1586–1593PubMedCrossRef

28.

Singson RD, Feldman F, Bigliani LU, Rosenberg ZS (1987) Recurrent shoulder dislocation after surgical repair: double-contrast CT arthrography. Work in progress. Radiology 164:425–428PubMed

29.

Hashiuchi T, Ozaki T, Sakurai G, Imada K (2000) The changes occurring after the Putti-Platt procedure using magnetic resonance imaging. Arch Orthop Traum Surg 120:286–289CrossRef

30.

Vahlensieck M, Lang P, Wagner U, Möller F, van Deimling U, Genant HK, Schild HH (1999) Shoulder MRI after surgical treatment of instability. Eur J Radiol 30:2–4PubMedCrossRef

31.

Habermeyer P, Lehmann L, Lichtenberg S (2000) [Rotator cuff tear. Diagnostic and therapy]. Orthopade 29:196–208PubMed

32.

Mazzocca AD, Bicos J, Santangelo S, Romeo AA, Arciero RA (2005) The biomechanical evaluation of four fixation techniques for proximal biceps tenodesis. Arthroscopy 21:1296–1306PubMedCrossRef

33.

Snyder SJ, Karzel RP, Del-Pizzo W, Ferkel RD, Friedmann MJ (1990) SLAP lesions of the shoulder. Arthroscopy 6:274–279PubMedCrossRef

34.

Franceschi F, Longo UG, Ruzzini L, Papalia R, Rizzello G, Denaro V (2006) To detach the long head of the biceps tendon after tenodesis or not: Outcome analysis at the 4-year follow-up of two different techniques. Int Orthop, DOI 10.1007/s00264-006-0206-8

35.

Ellman H (1987) Arthroscopic subacromial decompression; analysis of one- to three-year results. Arthroscopy 3:173–181PubMedCrossRef

36.

Gartsman GM (1990) Arthroscopic acromioplasty for lesions of the rotator cuff. J Bone Joint Surg Am 72:169–180PubMed

37.

Neer CS (1972) Anterior acromioplasty for the chronic impingement syndrome in the shoulder. J Bone Joint Surg Am 54:41–50PubMed

38.

Ogilvie-Harris DJ, Wiley AM, Sattarin J (1990) Failed acromioplasty for impingement syndrome. J Bone Joint Surg Br 72:1070–1072PubMed

39.

Mayerhoefer ME, Breitenseher MJ, Roposch A, Treitl C, Wurnig C (2005) Comparison of MRI and conventional radiography for assessment of acromial shape. AJR Am J Roentgenol 184:671–675PubMed

40.

Gusmer PB, Potter HG, Donovan WD, O’Brien SJ (1997) MR imaging of the shoulder after rotator cuff repair. AJR Am J Roentgenol 168:559–563PubMed

41.

Arroyo JS, Hershon SJ, Bigliani LU (1997) Special considerations in the athletic throwing shoulder. Orthop Clin North Am 28:69–78PubMedCrossRef

42.

Waldt S, Bruegel M, Mueller D, Holzapfel K, Imhoff AB, Rummeny E, Woertler K (2007) Rotator cuff tears: assessment with MR arthrography in 275 patients with arthroscopic correlation. Eur Radiol 17:491–498PubMedCrossRef

43.

Levy HJ, Uribe JW, Delaney LG (1990) Arthroscopic assisted rotator cuff repair: preliminary results. Arthroscopy 6:55–60PubMedCrossRef

44.

Blevins FT, Warren RF, Cavo C, Altchek DW, Dines D, Palletta G, Wickiewicz TL (1996) Arthroscopic assisted rotator cuff repair: results using a mini-open deltoid splitting approach. Arthroscopy 12:50–59PubMedCrossRef

45.

Burkhardt SS, Nottage WM, Ogilvie-Harris DJ, Kohn HS, Pachelli A (1994) Partial repair of irreparable rotator cuff tears. Arthroscopy 10:363–370CrossRef

46.

Cofield RH (1982) Subscapular muscle transposition for repair of chronic rotator cuff tears. Surg Gynecol Obstet 154:667–672PubMed

47.

Neviaser JS (1971) Ruptures of the rotator cuff of the shoulder. New concepts in the diagnosis and operative treatment of chronic ruptures. Arch Surg 102:483–485PubMed

48.

Gerber C, Maquieira G, Espinosa N (2006) Latissimus dorsi transfer for the treatment of irreparable rotator cuff tears. J Bone Joint Surg Am 88:113–120PubMedCrossRef

49.

Wirth MA, Rockwood CA Jr (1997) Operative treatment of irreparable rupture of the subscapularis. J Bone Joint Surg Am 79:722–731PubMed

50.

Knudsen HB, Gelineck J, Sojberg JO, Olsen BS, Johannsen HV, Sneppen O (1999) Functional and magnetic resonance imaging evaluation after single-tendon rotator cuff reconstruction. J Shoulder Elbow Surg 8:242–246PubMedCrossRef

51.

Jost B, Zumstein M, Pfirmann CW, Gerber C (2006) Long-term outcome after structural failure of rotator cuff repairs. J Bone Joint Surg Am 88:472–479PubMedCrossRef

52.

Calvert PT, Packer NP, Stoker DJ, Bayley JI, Kessel L (1986) Arthrography of the shoulder after operative repair of the torn rotator cuff. J Bone Joint Surg Br 68:147–150PubMed

53.

Duc SR, Mengiardi B, Pfirrmann CW, Jost B, Hodler J, Zanetti M (2006) Diagnostic performance of MR arthrography after rotator cuff repair. AJR Am J Roentgenol 186:237–241PubMedCrossRef

54.

Magee T, Shapiro M, Hewell G, Williams D (2003) Complications of rotator cuff surgery in which bioabsorbable anchors are used. AJR Am J Roentgenol 181:1227–1231PubMed

55.

Goutallier D, Postel JM, Bernageau J, Lavau L, Voisin MC (1994) Fatty muscle degeneration in cuff ruptures. Clin Orthop Rel Res 304:78–83

56.

Gaenslen ES, Satterlee CC, Hinson GW (1996) Magnetic resonance imaging for evaluation of failed repairs of the rotator cuff. J Bone Joint Surg Am 78:1391–1396PubMed

57.

Mellado JM, Calmet J, Olona M, Ballabriga J, Camins A, Pérez del Palomar L, Giné J (2006) MR assessment of the repaired rotator cuff: prevalence, size, location, and clinical relevance of tendon rerupture. Eur Radiol 16:2186–2196PubMedCrossRef

58.

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

59.

Prickett WD, Teefey SA, Galatz LM, Calfee RP, Middleton WD, Yamaguchi K (2003) Accuracy of ultrasound imaging of the rotator cuff in shoulders that are painful postoperatively. J Bone Joint Surg Am 85:1084–1089PubMedCrossRef

60.

Strobel K, Hodler J, Meyer DC, Pfirrmann CWA, Pirkl C, Zanetti M (2005) Fatty atrophy of supraspinatus and infraspinatus muscles: accuracy of US. Radiology 237:584–589PubMedCrossRef

61.

Charousset C, Bellaiche L, Duranthon LD, Grimberg J (2005) Accuracy of CT arthrography in the assessment of tears of the rotator cuff. J Bone Joint Surg Br 87:824–828PubMed

62.

Charousset C, Duranthon LD, Grimberg J, Bellaiche L (2006) [Arthro-CT-scan analysis of rotator cuff healing after arthroscopic repair: analysis of predictive factors in a consecutive series of 167 arthroscopic repairs]. Rev Chir Orthop Reparatrice Appar Mot 92:223–233PubMed

63.

Bostman OM, Pihlajamaki HK (2000) Adverse tissue reactions in bioabsorbable fixation devices. Clin Orthop Relat Res 371:216–227PubMedCrossRef

64.

Drogset JO, Grontvedt T, Myhr G (2006) Magnetic resonance imaging analysis of bioabsorbable interference screws used for fixation of bone-patellar tendon-bone autografts in endoscopic reconstruction of the anterior cruciate ligament. Am J Sports Med 34:1164–1169PubMedCrossRef

65.

Park HB, Keyurapan E, Harpreet SG, Selhi HS, McFarland EG (2006) Suture anchors and tacks for shoulder surgery. Part II: The prevention and treatment of complications. Am J Sports Med 34:136–144PubMedCrossRef

66.

Major NM, Banks MC (2003) MR imaging of complications of loose surgical tacks in the shoulder. AJR Am J Roentgenol 180:377–380PubMed

67.

Perlmutter GS (1999) Axillary nerve injury. Clin Orthop Relat Res 368:28–36PubMedCrossRef

68.

Ludig T, Walter F, Chapuis D, Molé D, Roland J, Blum A (2001) MR imaging evaluation of suprascapular nerve entrapment. Eur Radiol 11:2161–2169PubMedCrossRef

69.

Bredella MA, Tirman PFJ, Fritz RC, Wischer TK, Stork A, Genant HK (1999) Denervation syndromes of the shoulder girdle: MR imaging with electrophysiologic correlation. Skeletal Radiol 28:567–572PubMedCrossRef

70.

Brower AC (1996) Septic arthritis. Radiol Clin North Am 34:293–309PubMed

71.

Graif M, Schweitzer ME, Deely D, Matteuci T (1999) The septic versus nonseptic inflamed joint : MR characteristics. Skeletal Radiol 28:616–620PubMedCrossRef

72.

Cameron ML, Kocher MS, Briggs KK, Horan MP, Hawkins RJ (2003) The prevalence of glenohumeral osteoarthrosis in unstable shoulders. Am J Sports Med 31:53–55PubMed

73.

Guntern DV, Pfirrmann CW, Schmid MR, Zanetti M, Binkert CA, Schneeberger AG, Hodler J (2003) Articular cartilage lesions of the glenohumeral joint: diagnostic effectiveness of MR arthrography and prevalence in patients with subacromial impingement syndrome. Radiology 226:165–170PubMedCrossRef

74.

Waldt S, Bruegel M, Ganter K, Kuhn V, Link TM, Rummeny EJ, Woertler K (2005) Comparison of multislice CT arthrography and MR arthrography for the detection of articular cartilage lesions of the elbow. Eur Radiol 15:748–791CrossRef

75.

Schmid MR, Pfirrmann CW, Hodler J, Vienne P, Zanetti M (2003) Cartilage lesions in the ankle joint: comparison of MR arthrography and CT arthrography. Skeletal Radiol 32:259–265PubMedCrossRef

Title: Multimodality imaging of the postoperative shoulder
Publication date: 01-12-2007
Published in: European Radiology / Issue 12/2007
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI: https://doi.org/10.1007/s00330-007-0649-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Multimodality imaging of the postoperative shoulder

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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