Magnetic Resonance Imaging Without Contrast As a Diagnostic Method for Partial Injury of the Long Head of the Biceps Tendon

Overview

Journal Rev Bras Ortop

Specialty Orthopedics

Date 2017 Feb 15

PMID 28194380

Citations 4

Authors

Alexandre Tadeu do Nascimento

Gustavo Kogake Claudio

Affiliations

Soon will be listed here.

Abstract

Objective: To evaluate the use of magnetic resonance imaging (MRI) without contrast as a diagnostic method of partial lesions of the long head of the biceps, using arthroscopic surgery as the gold standard.

Methods: We evaluated data from MRI and arthroscopic surgical findings of patients operated due to rotator cuff and SLAP injuries. MRI without contrast of at least 1.5 T, with a radiologist report, was used as a criterion for the detection of long head of the biceps injury. All cases were operated by the same surgeon at this hospital.

Results: This study evaluated data from 965 patients, 311 women (32%) and 654 men (68%), with a mean age of 45 years, who underwent arthroscopic surgery for rotator cuff and SLAP repair from September 2012 to September 2015. Overall, the sensitivity and specificity of MRI was 0.22 (CI: 0.17-0.26) and 0.98 (CI: 0.96-0.99), respectively.

Conclusions: MRI has a low sensitivity and high specificity for detection of partial tears of the long head of the biceps tendon.

Citing Articles

MRI findings and clinical testing for preoperative diagnosis of long head of the biceps pathology.

Gallinet D, Antoni M, Berhouet J, Charousset C, Guery J J Exp Orthop. 2024; 11(4):e70050.

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Diagnostic performance of long head of biceps tendon tears on MRI: systematic review and meta-analysis.

Almeida G, Graf N, Wildermuth S, Fischer T, Waelti S, Jacxsens M Eur Radiol. 2023; 34(7):4309-4320.

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The long head of biceps at the shoulder: a scoping review.

Diplock B, Hing W, Marks D BMC Musculoskelet Disord. 2023; 24(1):232.

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Biceps tenotomy or tenodesis in association with rotator cuff repair: is there an influence on functional results? A retrospective cohort study.

Malavolta E, Sousa A, Conforto Gracitelli M, Assuncao J, Brandao de Andrade E Silva F, Amado Ferreira Neto A Sao Paulo Med J. 2022; 140(2):237-243.

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