PDF herunterladen
Semin Musculoskelet Radiol 2013; 17(01): 012-019
DOI: 10.1055/s-0033-1333909
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Postoperative Rotator Cuff

Ronald S. Adler
1   Department of Radiology, Center for Musculoskeletal Care, NYU Langone Medical Center, New York, New York
› Institutsangaben
Weitere Informationen

Publikationsverlauf

Publikationsdatum:
13. März 2013 (online)

Auch verfügbar auf
    Lizenzen und Reprints

Abstract

This article provides a brief overview of the current state of ultrasound (US) imaging of rotator cuff repairs with emphasis on current morphological assessment and development of newer techniques in which US may play an important role in assessing healing response. Emphasis is on the supraspinatus tendon inasmuch as it is the most commonly affected tendon in rotator cuff disease. Assessment of the tendon repair following joint replacement is also commented on in which the standard anterior approach may be associated with dehiscence of the subscapularis tendon.

Keywords

shoulder - rotator cuff - ultrasound - repair - postoperative
 

  • References

  • 1 American Academy of Orthopedic Surgeons. Research statistics on rotator cuff repairs, National Ambulatory Medical Care Survey, 1998–2004. U.S. Department of Health and Human Services; Centers for Disease Control and Prevention; National Center for Health Statistics. Available at: http://www.aaos.org/Research/stats/patientstats.asp . Accessed: May 9, 2007
    PubMed
  • 2 Cole BJ, McCarty III LP, Kang RW, Alford W, Lewis PB, Hayden JK. Arthroscopic rotator cuff repair: prospective functional outcome and repair integrity at minimum 2-year follow-up. J Shoulder Elbow Surg 2007; 16 (5) 579-585
    CrossrefPubMedSuche in Google Scholar
  • 3 Duquin TR, Buyea C, Bisson LJ. Which method of rotator cuff repair leads to the highest rate of structural healing? A systematic review. Am J Sports Med 2010; 38 (4) 835-841
    CrossrefPubMedSuche in Google Scholar
  • 4 Verma NN, Bhatia S, Baker III CL , et al. Outcomes of arthroscopic rotator cuff repair in patients aged 70 years or older. Arthroscopy 2010; 26 (10) 1273-1280
    PubMedSuche in Google Scholar
  • 5 Cofield RH, Parvizi J, Hoffmeyer PJ, Lanzer WL, Ilstrup DM, Rowland CM. Surgical repair of chronic rotator cuff tears. A prospective long-term study. J Bone Joint Surg Am 2001; 83-A (1) 71-77
    CrossrefPubMedSuche in Google Scholar
  • 6 Fealy S, Adler RS, Drakos MC , et al. Patterns of vascular and anatomical response after rotator cuff repair. Am J Sports Med 2006; 34 (1) 120-127
    PubMedSuche in Google Scholar
  • 7 Harryman II DT, Mack LA, Wang KY, Jackins SE, Richardson ML, Matsen III FA. Repairs of the rotator cuff. Correlation of functional results with integrity of the cuff. J Bone Joint Surg Am 1991; 73 (7) 982-989
    PubMedSuche in Google Scholar
  • 8 Klepps S, Bishop J, Lin J , et al. Prospective evaluation of the effect of rotator cuff integrity on the outcome of open rotator cuff repairs. Am J Sports Med 2004; 32 (7) 1716-1722
    CrossrefPubMedSuche in Google Scholar
  • 9 Nich C, Mütschler C, Vandenbussche E, Augereau B. Long-term clinical and MRI results of open repair of the supraspinatus tendon. Clin Orthop Relat Res 2009; 467 (10) 2613-2622
    CrossrefPubMedSuche in Google Scholar
  • 10 Wiener SN, Seitz Jr WH. Sonography of the shoulder in patients with tears of the rotator cuff: accuracy and value for selecting surgical options. AJR Am J Roentgenol 1993; 160 (1) 103-107; discussion 109–110
    CrossrefPubMedSuche in Google Scholar
  • 11 van Holsbeeck MT, Kolowich PA, Eyler WR , et al. US depiction of partial-thickness tear of the rotator cuff. Radiology 1995; 197 (2) 443-446
    CrossrefPubMedSuche in Google Scholar
  • 12 Teefey SA, Hasan SA, Middleton WD, Patel M, Wright RW, Yamaguchi K. Ultrasonography of the rotator cuff. A comparison of ultrasonographic and arthroscopic findings in one hundred consecutive cases. J Bone Joint Surg Am 2000; 82 (4) 498-504
    PubMedSuche in Google Scholar
  • 13 Middleton WD. Ultrasonography of the shoulder. Radiol Clin North Am 1992; 30 (5) 927-940
    PubMedSuche in Google Scholar
  • 14 van Holsbeeck M, Strouse PJ. Sonography of the shoulder: evaluation of the subacromial-subdeltoid bursa. AJR Am J Roentgenol 1993; 160 (3) 561-564
    CrossrefPubMedSuche in Google Scholar
  • 15 Thain LMF, Adler RS. Sonography of the rotator cuff and biceps tendon: technique, normal anatomy, and pathology. J Clin Ultrasound 1999; 27 (8) 446-458
    CrossrefPubMedSuche in Google Scholar
  • 16 Crass JR, Craig EV, Feinberg SB. Ultrasonography of rotator cuff tears: a review of 500 diagnostic studies. J Clin Ultrasound 1988; 16 (5) 313-327
    CrossrefPubMedSuche in Google Scholar
  • 17 Wülker N, Melzer C, Wirth CJ. Shoulder surgery for rotator cuff tears. Ultrasonographic 3-year follow-up of 97 cases. Acta Orthop Scand 1991; 62 (2) 142-147
    PubMedSuche in Google Scholar
  • 18 Gaenslen ES, Satterlee CC, Hinson GW. Magnetic resonance imaging for evaluation of failed repairs of the rotator cuff. Relationship to operative findings. J Bone Joint Surg Am 1996; 78 (9) 1391-1396
    PubMedSuche in Google Scholar
  • 19 Haygood TM, Oxner KG, Kneeland JB, Dalinka MK. Magnetic resonance imaging of the postoperative shoulder. Magn Reson Imaging Clin N Am 1993; 1 (1) 143-155
    PubMedSuche in Google Scholar
  • 20 Klepps S, Bishop J, Lin J , et al. Prospective evaluation of the effect of rotator cuff integrity on the outcome of open rotator cuff repairs. Am J Sports Med 2004; 32 (7) 1716-1722
    CrossrefPubMedSuche in Google Scholar
  • 21 Magee TH, Gaenslen ES, Seitz R, Hinson GA, Wetzel LH. MR imaging of the shoulder after surgery. AJR Am J Roentgenol 1997; 168 (4) 925-928
    CrossrefPubMedSuche in Google Scholar
  • 22 Gulotta LV, Nho SJ, Dodson CC, Adler RS, Altchek DW, MacGillivray JD. HSS Arthroscopic Rotator Cuff Registry. Prospective evaluation of arthroscopic rotator cuff repairs at 5 years: part I—functional outcomes and radiographic healing rates. J Shoulder Elbow Surg 2011; 20 (6) 934-940
    CrossrefPubMedSuche in Google Scholar
  • 23 Jost B, Zumstein M, Pfirrmann CW, Gerber C. Long-term outcome after structural failure of rotator cuff repairs. J Bone Joint Surg Am 2006; 88 (3) 472-479
    CrossrefPubMedSuche in Google Scholar
  • 24 DeFranco MJ, Bershadsky B, Ciccone J, Yum JK, Iannotti JP. Functional outcome of arthroscopic rotator cuff repairs: a correlation of anatomic and clinical results. J Shoulder Elbow Surg 2007; 16 (6) 759-765
    CrossrefPubMedSuche in Google Scholar
  • 25 Levy O, Venkateswaran B, Even T, Ravenscroft M, Copeland S. Mid-term clinical and sonographic outcome of arthroscopic repair of the rotator cuff. J Bone Joint Surg Br 2008; 90 (10) 1341-1347
    CrossrefPubMedSuche in Google Scholar
  • 26 Cho NS, Rhee YG. The factors affecting the clinical outcome and integrity of arthroscopically repaired rotator cuff tears of the shoulder. Clin Orthop Surg 2009; 1 (2) 96-104
    CrossrefPubMedSuche in Google Scholar
  • 27 Liem D, Lichtenberg S, Magosch P, Habermeyer P. Magnetic resonance imaging of arthroscopic supraspinatus tendon repair. J Bone Joint Surg Am 2007; 89 (8) 1770-1776
    CrossrefPubMedSuche in Google Scholar
  • 28 Tashjian RZ, Hollins AM, Kim HM , et al. Factors affecting healing rates after arthroscopic double-row rotator cuff repair. Am J Sports Med 2010; 38 (12) 2435-2442
    CrossrefPubMedSuche in Google Scholar
  • 29 Gulotta LV, Nho SJ, Dodson CC, Adler RS, Altchek DW, MacGillivray JD. HSS Arthroscopic Rotator Cuff Registry. Prospective evaluation of arthroscopic rotator cuff repairs at 5 years: part II—prognostic factors for clinical and radiographic outcomes. J Shoulder Elbow Surg 2011; 20 (6) 941-946
    CrossrefPubMedSuche in Google Scholar
  • 30 Gimbel JA, Van Kleunen JP, Mehta S, Perry SM, Williams GR, Soslowsky LJ. Supraspinatus tendon organizational and mechanical properties in a chronic rotator cuff tear animal model. J Biomech 2004; 37 (5) 739-749
    CrossrefPubMedSuche in Google Scholar
  • 31 Lin TW, Cardenas L, Soslowsky LJ. Biomechanics of tendon injury and repair. J Biomech 2004; 37 (6) 865-877
    CrossrefPubMedSuche in Google Scholar
  • 32 Perry SM, McIlhenny SE, Hoffman MC, Soslowsky LJ. Inflammatory and angiogenic mRNA levels are altered in a supraspinatus tendon overuse animal model. J Shoulder Elbow Surg 2005; 14 (1, Suppl S): 79S-83S
    CrossrefPubMedSuche in Google Scholar
  • 33 Molloy TJ, Kemp MW, Wang Y, Murrell GA. Microarray analysis of the tendinopathic rat supraspinatus tendon: glutamate signaling and its potential role in tendon degeneration. J Appl Physiol 2006; 101 (6) 1702-1709
    PubMedSuche in Google Scholar
  • 34 Fealy S, Rodeo SA, MacGillivray JD, Nixon AJ, Adler RS, Warren RF. Biomechanical evaluation of the relation between number of suture anchors and strength of the bone-tendon interface in a goat rotator cuff model. Arthroscopy 2006; 22 (6) 595-602
    PubMedSuche in Google Scholar
  • 35 Rodeo SA. Biologic augmentation of rotator cuff tendon repair. J Shoulder Elbow Surg 2007; 16 (5, Suppl) S191-S197
    CrossrefPubMedSuche in Google Scholar
  • 36 Rodeo SA, Potter HG, Kawamura S, Turner AS, Kim HJ, Atkinson BL. Biologic augmentation of rotator cuff tendon-healing with use of a mixture of osteoinductive growth factors. J Bone Joint Surg Am 2007; 89 (11) 2485-2497
    CrossrefPubMedSuche in Google Scholar
  • 37 Kovacevic D, Rodeo SA. Biological augmentation of rotator cuff tendon repair. Clin Orthop Relat Res 2008; 466 (3) 622-633
    CrossrefPubMedSuche in Google Scholar
  • 38 Slabaugh MA, Nho SJ, Grumet RC , et al. Does the literature confirm superior clinical results in radiographically healed rotator cuffs after rotator cuff repair?. Arthroscopy 2010; 26 (3) 393-403
    PubMedSuche in Google Scholar
  • 39 Verma NN, Dunn W, Adler RS , et al. All-arthroscopic versus mini-open rotator cuff repair: a retrospective review with minimum 2-year follow-up. Arthroscopy 2006; 22 (6) 587-594
    CrossrefPubMedSuche in Google Scholar
  • 40 Gamradt SC, Gallo RA, Adler RS , et al. Vascularity of the supraspinatus tendon three months after repair: characterization using contrast-enhanced ultrasound. J Shoulder Elbow Surg 2010; 19 (1) 73-80
    CrossrefPubMedSuche in Google Scholar
  • 41 Cadet ER, Adler RS, Gallo RA , et al. Contrast-enhanced ultrasound characterization of the vascularity of the repaired rotator cuff tendon: short-term and intermediate-term follow-up. J Shoulder Elbow Surg 2012; 21 (5) 597-603
    CrossrefPubMedSuche in Google Scholar
  • 42 Sofka CM, Adler RS. Original report. Sonographic evaluation of shoulder arthroplasty. AJR Am J Roentgenol 2003; 180 (4) 1117-1120
    CrossrefPubMedSuche in Google Scholar
  • 43 Ophir J, Céspedes I, Ponnekanti H, Yazdi Y, Li X. Elastography: a quantitative method for imaging the elasticity of biological tissues. Ultrason Imaging 1991; 13 (2) 111-134
    CrossrefPubMedSuche in Google Scholar
  • 44 Ponnekanti H, Ophir J, Cespedes I. Ultrasonic imaging of the stress distribution in elastic media due to an external compressor. Ultrasound Med Biol 1994; 20 (1) 27-33
    CrossrefPubMedSuche in Google Scholar
  • 45 Kim YS, Kim JM, Bigliani LU, Kim HJ, Jung HW. In vivo strain analysis of the intact supraspinatus tendon by ultrasound speckles tracking imaging. J Orthop Res 2011; 29 (12) 1931-1937
    CrossrefPubMedSuche in Google Scholar
  • 46 Mazzocca AD, Rincon LM, O'Connor RW , et al. Intra-articular partial-thickness rotator cuff tears: analysis of injured and repaired strain behavior. Am J Sports Med 2008; 36 (1) 110-116
    PubMedSuche in Google Scholar
  • 47 Brooks CH, Revell WJ, Heatley FW. A quantitative histological study of the vascularity of the rotator cuff tendon. J Bone Joint Surg Br 1992; 74 (1) 151-153
    PubMedSuche in Google Scholar
  • 48 Codman EA. The Shoulder. 2nd ed. Boston, MA: Thomas Todd; 1934
    Suche in Google Scholar
  • 49 Biberthaler P, Wiedemann E, Nerlich A , et al. Microcirculation associated with degenerative rotator cuff lesions. In vivo assessment with orthogonal polarization spectral imaging during arthroscopy of the shoulder. J Bone Joint Surg Am 2003; 85-A (3) 475-480
    PubMedSuche in Google Scholar
  • 50 Rudzki JR, Adler RS, Warren RF , et al. Contrast-enhanced ultrasound characterization of the vascularity of the rotator cuff tendon: age- and activity-related changes in the intact asymptomatic rotator cuff. J Shoulder Elbow Surg 2008; 17 (1, Suppl) 96S-100S
    CrossrefPubMedSuche in Google Scholar
  • 51 Adler RS, Fealy S, Rudzki JR , et al. Rotator cuff in asymptomatic volunteers: contrast-enhanced US depiction of intratendinous and peritendinous vascularity. Radiology 2008; 248 (3) 954-961
    CrossrefPubMedSuche in Google Scholar
  • 52 Adler RS, Johnson KM, Fealy S , et al. Contrast-enhanced sonographic characterization of the vascularity of the repaired rotator cuff: utility of maximum intensity projection imaging. J Ultrasound Med 2011; 30 (8) 1103-1109
    PubMedSuche in Google Scholar