What Can Be Seen After Rotator Cuff Repair: a Brief Review of Diagnostic Imaging Findings

Overview

Journal Musculoskelet Surg

Date 2017 Feb 15

PMID 28194577

Citations 31

Authors

A Barile

F Bruno

S Mariani

F Arrigoni

A Reginelli

M De Filippo

M Zappia

A Splendiani

E Di Cesare

C Masciocchi

Affiliations

Soon will be listed here.

Abstract

Diagnostic imaging plays an important role in the postoperative evaluation of the rotator cuff, as pain and disability may occur or persist after treatment. Postoperative imaging is therefore of paramount importance for clinicians before planning additional treatments. Multimodality imaging of the postoperative shoulder includes radiography, magnetic resonance (MR) imaging, MR arthrography, computed tomography (CT), CT arthrography, and ultrasound. Correct interpretation of imaging findings of the postoperative shoulder necessitates that the radiologist be familiar with the various treatment strategies, their possible complications and sources of failure, knowledge of normal and abnormal postoperative findings, and awareness of the advantages and weaknesses of the different imaging techniques. Imaging findings, however, should always be correlated with the clinical presentation because postoperative imaging abnormalities do not necessarily correlate with symptoms. This manuscript is a review of some of the most common treatment strategies for rotator cuff pathology, with a focus on expected postoperative imaging findings and postoperative complications.

Citing Articles

Role of ultrasound and MRI in the evaluation of postoperative rotator cuff.

Sahu A, Moran E, Gandikota G J Ultrason. 2023; 23(95):e188-e201.

PMID: 38020508 PMC: 10668931. DOI: 10.15557/jou.2023.0028.

The application of shear wave elastography with ultrasound for rotator cuff tears: a systematic review.

Seth I, Hackett L, Bulloch G, Sathe A, Alphonse S, Murrell G JSES Rev Rep Tech. 2023; 3(3):336-342.

PMID: 37588504 PMC: 10426512. DOI: 10.1016/j.xrrt.2023.02.008.

Imaging Features of Main Hepatic Resections: The Radiologist Challenging.

Cutolo C, Fusco R, Simonetti I, De Muzio F, Grassi F, Trovato P J Pers Med. 2023; 13(1).

PMID: 36675795 PMC: 9862253. DOI: 10.3390/jpm13010134.

Current Biological Strategies to Enhance Surgical Treatment for Rotator Cuff Repair.

Zhang C, Wu J, Li X, Wang Z, Lu W, Wong T Front Bioeng Biotechnol. 2021; 9:657584.

PMID: 34178957 PMC: 8226184. DOI: 10.3389/fbioe.2021.657584.

Diagnostic and interventional radiology fundamentals of synovial pathology.

Acanfora C, Bruno F, Palumbo P, Arrigoni F, Natella R, Mazzei M Acta Biomed. 2020; 91(8-S):107-115.

PMID: 32945285 PMC: 7944671. DOI: 10.23750/abm.v91i8-S.9993.

References

Barile A, Lanni G, Conti L, Mariani S, Calvisi V, Castagna A . Lesions of the biceps pulley as cause of anterosuperior impingement of the shoulder in the athlete: potentials and limits of MR arthrography compared with arthroscopy. Radiol Med. 2012; 118(1):112-22. DOI: 10.1007/s11547-012-0838-2. View

Lo I, Burkhart S . Double-row arthroscopic rotator cuff repair: re-establishing the footprint of the rotator cuff. Arthroscopy. 2003; 19(9):1035-42. DOI: 10.1016/j.arthro.2003.09.036. View

Scialpi M, Palumbo B, Pierotti L, Gravante S, Piunno A, Rebonato A . Detection and characterization of focal liver lesions by split-bolus multidetector-row CT: diagnostic accuracy and radiation dose in oncologic patients. Anticancer Res. 2014; 34(8):4335-44. View

Rand T, Trattnig S, Breitenseher M, Wurnig C, Marschner B, Imhof H . The postoperative shoulder. Top Magn Reson Imaging. 2000; 10(4):203-13. DOI: 10.1097/00002142-199908000-00002. View

Buckwalter K, Parr J, Choplin R, Capello W . Multichannel CT Imaging of Orthopedic Hardware and Implants. Semin Musculoskelet Radiol. 2006; 10(1):86-97. DOI: 10.1055/s-2006-934219. View

Mishra A, Woodall Jr J, Vieira A . Treatment of tendon and muscle using platelet-rich plasma. Clin Sports Med. 2008; 28(1):113-25. DOI: 10.1016/j.csm.2008.08.007. View

Barth J, Fotiadis E, Barthelemy R, Genna S, Saffarini M . Ultrasonic evaluation of the repair integrity can predict functional outcomes after arthroscopic double-row rotator cuff repair. Knee Surg Sports Traumatol Arthrosc. 2015; 23(2):376-85. DOI: 10.1007/s00167-015-3505-z. View

De Filippo M, Corsi A, Evaristi L, Bertoldi C, Sverzellati N, Averna R . Critical issues in radiology requests and reports. Radiol Med. 2010; 116(1):152-62. DOI: 10.1007/s11547-010-0587-z. View

Zappia M, Cuomo G, Martino M, Reginelli A, Brunese L . The effect of foot position on Power Doppler Ultrasound grading of Achilles enthesitis. Rheumatol Int. 2016; 36(6):871-4. DOI: 10.1007/s00296-016-3461-z. View

10.

Caranci F, Napoli M, Cirillo M, Briganti G, Brunese L, Briganti F . Basilar artery hypoplasia. Neuroradiol J. 2013; 25(6):739-43. DOI: 10.1177/197140091202500613. View

11.

Housner J, Jacobson J, Misko R . Sonographically guided percutaneous needle tenotomy for the treatment of chronic tendinosis. J Ultrasound Med. 2009; 28(9):1187-92. DOI: 10.7863/jum.2009.28.9.1187. View

12.

Conforti R, Capasso R, Bonavita S, Califano T, Russo A, Giganti M . [The value of the MRI in defining the morfology of cerebral aging]. Recenti Prog Med. 2013; 104(7-8):314-7. DOI: 10.1701/1315.14567. View

13.

Zlatkin M . MRI of the postoperative shoulder. Skeletal Radiol. 2002; 31(2):63-80. DOI: 10.1007/s00256-001-0460-1. View

14.

Patten R, Mack L, Wang K, Lingel J . Nondisplaced fractures of the greater tuberosity of the humerus: sonographic detection. Radiology. 1992; 182(1):201-4. DOI: 10.1148/radiology.182.1.1727282. View

15.

Neer 2nd C . Anterior acromioplasty for the chronic impingement syndrome in the shoulder: a preliminary report. J Bone Joint Surg Am. 1972; 54(1):41-50. View

16.

Severud E, Ruotolo C, Abbott D, Nottage W . All-arthroscopic versus mini-open rotator cuff repair: A long-term retrospective outcome comparison. Arthroscopy. 2003; 19(3):234-8. DOI: 10.1053/jars.2003.50036. View

17.

Versaci F, Trivisonno A, Olivieri C, Caranci F, Brunese L, Prati F . Late renal artery stenosis after renal denervation: is it the tip of the iceberg?. Int J Cardiol. 2014; 172(3):e507-8. DOI: 10.1016/j.ijcard.2014.01.018. View

18.

Cadet E, Adler R, Gallo R, Gamradt S, Warren R, Cordasco F . Contrast-enhanced ultrasound characterization of the vascularity of the repaired rotator cuff tendon: short-term and intermediate-term follow-up. J Shoulder Elbow Surg. 2011; 21(5):597-603. DOI: 10.1016/j.jse.2011.04.001. View

19.

Mack L, Nyberg D, Matsen 3rd F, Kilcoyne R, Harvey D . Sonography of the postoperative shoulder. AJR Am J Roentgenol. 1988; 150(5):1089-93. DOI: 10.2214/ajr.150.5.1089. View

20.

Galatz L, Ball C, Teefey S, Middleton W, Yamaguchi K . The outcome and repair integrity of completely arthroscopically repaired large and massive rotator cuff tears. J Bone Joint Surg Am. 2004; 86(2):219-24. DOI: 10.2106/00004623-200402000-00002. View