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Skeletal Radiology
Published in: Skeletal Radiology 1/2019

01-01-2019 | Review Article

Graft use in the treatment of large and massive rotator cuff tears: an overview of techniques and modes of failure with MRI correlation

Authors: Kyle R. Duchman, Dayne T. Mickelson, Barrett A. Little, Thomas W. Hash II, Devin B. Lemmex, Alison P. Toth, Grant E. Garrigues

Published in: Skeletal Radiology | Issue 1/2019

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Abstract

Despite technical advances, repair of large or massive rotator cuff tears continues to demonstrate a relatively high rate of failure. Rotator cuff repair or superior capsular reconstruction (SCR) using a variety of commercially available grafts provides a promising option in patients with tears that may be at high risk for failure or otherwise considered irreparable. There are three major graft constructs that exist when utilizing graft in rotator cuff repair or reconstruction: augmentation at the rotator cuff footprint, bridging, and SCR. Each construct has a unique appearance when evaluated using postoperative magnetic resonance imaging (MRI), and each construct has unique sites that are predisposed to failure. Understanding the basic principles of these constructs can help the radiologist better evaluate the postoperative MRI appearance of these increasingly utilized procedures.
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Metadata
Title
Graft use in the treatment of large and massive rotator cuff tears: an overview of techniques and modes of failure with MRI correlation
Authors
Kyle R. Duchman
Dayne T. Mickelson
Barrett A. Little
Thomas W. Hash II
Devin B. Lemmex
Alison P. Toth
Grant E. Garrigues
Publication date
01-01-2019
Publisher
Springer Berlin Heidelberg
Published in
Skeletal Radiology / Issue 1/2019
Print ISSN: 0364-2348
Electronic ISSN: 1432-2161
DOI
https://doi.org/10.1007/s00256-018-3015-4

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