[Lesions of the Rotator Cuff and Biceps Tendon]

Overview

Journal Radiologie (Heidelb)

Specialty Radiology

Date 2024 Jan 17

PMID 38231415

Authors

I Yel

Affiliations

Soon will be listed here.

Abstract

Clinical/methodological Problem: The rotator cuff is a complex anatomical structure and the integrity is pivotal for the shoulder functionality. The pathologies are often multifactorial, resulting from degenerative, vascular, traumatic and mechanical factors.

Radiological Standard Procedures: Radiography, ultrasound, computed tomography (CT), and magnetic resonance imaging (MRI) form the pillars of radiological diagnostics. Each modality has specific advantages and limitations in the visualization and assessment of pathologies of the rotator cuff and biceps tendon.

Methodological Innovations: The MR arthrography offers additional insights in unclear cases by enhancing the differentiation between complete and partial tears.

Performance: The MRI provides detailed information on tendon quality and associated damages, such as muscle atrophy and fat infiltration, making it the preferred method. The use of MR arthrography can identify defects through increased intra-articular pressure or contrast medium leakage.

Evaluation: Muscle damage, as induced by edema in acute injuries or fatty degeneration in chronic conditions, can be evaluated using imaging techniques. Special attention is warranted for the infraspinatus, subscapularis and teres minor muscles due to their unique injury patterns and prevalences.

References

Weiner D, Macnab I . Superior migration of the humeral head. A radiological aid in the diagnosis of tears of the rotator cuff. J Bone Joint Surg Br. 1970; 52(3):524-7. View

Goutallier D, Le Guilloux P, Postel J, Radier C, Bernageau J, Zilber S . Acromio humeral distance less than six millimeter: its meaning in full-thickness rotator cuff tear. Orthop Traumatol Surg Res. 2011; 97(3):246-51. DOI: 10.1016/j.otsr.2011.01.010. View

Sanguanjit P, Apivatgaroon A, Boonsun P, Srimongkolpitak S, Chernchujit B . The differences of the acromiohumeral interval between supine and upright radiographs of the shoulder. Sci Rep. 2022; 12(1):9404. PMC: 9174172. DOI: 10.1038/s41598-022-13632-0. View

Rugg C, Gallo R, Craig E, Feeley B . The pathogenesis and management of cuff tear arthropathy. J Shoulder Elbow Surg. 2018; 27(12):2271-2283. DOI: 10.1016/j.jse.2018.07.020. View

van Holsbeeck M, Kolowich P, EYLER W, Craig J, Shirazi K, Habra G . US depiction of partial-thickness tear of the rotator cuff. Radiology. 1995; 197(2):443-6. DOI: 10.1148/radiology.197.2.7480690. View

Crass J, Craig E, Bretzke C, FEINBERG S . Ultrasonography of the rotator cuff. Radiographics. 1985; 5(6):941-53. DOI: 10.1148/radiographics.5.6.3916822. View

Middleton W, Reinus W, Totty W, Melson C, Murphy W . Ultrasonographic evaluation of the rotator cuff and biceps tendon. J Bone Joint Surg Am. 1986; 68(3):440-50. View

Burkhart S, Esch J, Jolson R . The rotator crescent and rotator cable: an anatomic description of the shoulder's "suspension bridge". Arthroscopy. 1993; 9(6):611-6. DOI: 10.1016/s0749-8063(05)80496-7. View

Sheah K, Bredella M, Warner J, Halpern E, Palmer W . Transverse thickening along the articular surface of the rotator cuff consistent with the rotator cable: identification with MR arthrography and relevance in rotator cuff evaluation. AJR Am J Roentgenol. 2009; 193(3):679-86. DOI: 10.2214/AJR.08.2285. View

10.

Gyftopoulos S, Bencardino J, Nevsky G, Hall G, Soofi Y, Desai P . Rotator cable: MRI study of its appearance in the intact rotator cuff with anatomic and histologic correlation. AJR Am J Roentgenol. 2013; 200(5):1101-5. DOI: 10.2214/AJR.12.9312. View

11.

Sher J, Uribe J, Posada A, Murphy B, Zlatkin M . Abnormal findings on magnetic resonance images of asymptomatic shoulders. J Bone Joint Surg Am. 1995; 77(1):10-5. DOI: 10.2106/00004623-199501000-00002. View

12.

Milgrom C, Schaffler M, Gilbert S, van Holsbeeck M . Rotator-cuff changes in asymptomatic adults. The effect of age, hand dominance and gender. J Bone Joint Surg Br. 1995; 77(2):296-8. View

13.

Miniaci A, Mascia A, Salonen D, Becker E . Magnetic resonance imaging of the shoulder in asymptomatic professional baseball pitchers. Am J Sports Med. 2002; 30(1):66-73. DOI: 10.1177/03635465020300012501. View

14.

Habermeyer P, Krieter C, Tang K, Lichtenberg S, Magosch P . A new arthroscopic classification of articular-sided supraspinatus footprint lesions: a prospective comparison with Snyder's and Ellman's classification. J Shoulder Elbow Surg. 2008; 17(6):909-13. DOI: 10.1016/j.jse.2008.06.007. View

15.

Vinson E, Helms C, Higgins L . Rim-rent tear of the rotator cuff: a common and easily overlooked partial tear. AJR Am J Roentgenol. 2007; 189(4):943-6. DOI: 10.2214/AJR.07.2242. View

16.

Millstein E, Snyder S . Arthroscopic management of partial, full-thickness, and complex rotator cuff tears: indications, techniques, and complications. Arthroscopy. 2003; 19 Suppl 1:189-99. DOI: 10.1016/j.arthro.2003.10.033. View

17.

Kassarjian A, Torriani M, Ouellette H, Palmer W . Intramuscular rotator cuff cysts: association with tendon tears on MRI and arthroscopy. AJR Am J Roentgenol. 2005; 185(1):160-5. DOI: 10.2214/ajr.185.1.01850160. View

18.

Warner J, Higgins L, Parsons 4th I, Dowdy P . Diagnosis and treatment of anterosuperior rotator cuff tears. J Shoulder Elbow Surg. 2001; 10(1):37-46. DOI: 10.1067/mse.2001.112022. View

19.

Lo I, Burkhart S . Arthroscopic repair of massive, contracted, immobile rotator cuff tears using single and double interval slides: technique and preliminary results. Arthroscopy. 2004; 20(1):22-33. DOI: 10.1016/j.arthro.2003.11.013. View

20.

Burkhart S, Danaceau S, Pearce Jr C . Arthroscopic rotator cuff repair: Analysis of results by tear size and by repair technique-margin convergence versus direct tendon-to-bone repair. Arthroscopy. 2001; 17(9):905-12. DOI: 10.1053/jars.2001.26821. View