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Semin Musculoskelet Radiol 2017; 21(04): 359-375
DOI: 10.1055/s-0037-1604009
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Musculotendinous Disorders in the Upper Extremity: Part 1. MRI of the Shoulder and Upper Arm

Russell C. Fritz
1   National Orthopedic Imaging Associates, Greenbrae, California
,
Robert D. Boutin
2   Department of Radiology, University of California, Davis, Sacramento, California
› Author Affiliations
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Publication History

Publication Date:
03 August 2017 (online)

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Abstract

Muscle and tendon injuries about the shoulder and upper arm are commonly evaluated and characterized with magnetic resonance imaging. This article reviews our experience with abnormalities of the rotator cuff tendons and muscles as well as the deltoid muscle in the shoulder. We discuss and illustrate abnormalities of the upper arm such as strain injuries of the pectoralis major, strain injuries of the teres major and latissimus dorsi, and contusion and crush injuries of the biceps and brachialis muscles in the upper arm.

Keywords

muscle - injury - sport - athlete - strain - shoulder - arm - MRI
 

  • References

  • 1 Boutin RD, Fritz RC. MRI of Musculotendinous injuries—Part I: “Non-strain” injuries. Curr Radiol Rep 2015; 3: 27 . DOI 10.1007/s40134-015-0108-x
    CrossrefPubMedGoogle Scholar
  • 2 Boutin RD, Fritz RC. MRI of musculotendinous injuries—what's new? Part II: Strain injuries. Curr Radiol Rep 2015; 3: 30 . DOI: 10.1007/s40134-015-0109-9
    CrossrefPubMedGoogle Scholar
  • 3 Reinus WR, Shady KL, Mirowitz SA, Totty WG. MR diagnosis of rotator cuff tears of the shoulder: value of using T2-weighted fat-saturated images. AJR Am J Roentgenol 1995; 164 (06) 1451-1455
    CrossrefPubMedGoogle Scholar
  • 4 Dwyer T, Razmjou H, Henry P, Gosselin-Fournier S, Holtby R. Association between pre-operative magnetic resonance imaging and reparability of large and massive rotator cuff tears. Knee Surg Sports Traumatol Arthrosc 2015; 23 (02) 415-422
    CrossrefPubMedGoogle Scholar
  • 5 Kannus P, Józsa L. Histopathological changes preceding spontaneous rupture of a tendon. A controlled study of 891 patients. J Bone Joint Surg Am 1991; 73 (10) 1507-1525
    CrossrefPubMedGoogle Scholar
  • 6 Ishii H, Brunet JA, Welsh RP, Uhthoff HK. “Bursal reactions” in rotator cuff tearing, the impingement syndrome, and calcifying tendinitis. J Shoulder Elbow Surg 1997; 6 (02) 131-136
    CrossrefPubMedGoogle Scholar
  • 7 Fritz RC. Magnetic resonance imaging of sports-related injuries to the shoulder: impingement and rotator cuff. Radiol Clin North Am 2002; 40 (02) 217-234 , vi
    CrossrefPubMedGoogle Scholar
  • 8 Jobe CM. Posterior superior glenoid impingement: expanded spectrum. Arthroscopy 1995; 11 (05) 530-536
    CrossrefPubMedGoogle Scholar
  • 9 Nakagawa S, Yoneda M, Hayashida K. , et al. The posterior rotator interval may be the initial site of rotator cuff tears in baseball players. J Shoulder Elbow Surg 1997; 6: S246
    PubMedGoogle Scholar
  • 10 Gartsman GM, Milne JC. Articular surface partial-thickness rotator cuff tears. J Shoulder Elbow Surg 1995; 4 (06) 409-415
    CrossrefPubMedGoogle Scholar
  • 11 Iannotti JP, Bernot MP, Kuhlman JR, Kelley MJ, Williams GR. Postoperative assessment of shoulder function: a prospective study of full-thickness rotator cuff tears. J Shoulder Elbow Surg 1996; 5 (06) 449-457
    CrossrefPubMedGoogle Scholar
  • 12 Moosmayer S, Gärtner AV, Tariq R. The natural course of nonoperatively treated rotator cuff tears: an 8.8-year follow-up of tear anatomy and clinical outcome in 49 patients. J Shoulder Elbow Surg 2017; 26 (04) 627-634
    CrossrefPubMedGoogle Scholar
  • 13 Lee S, Lucas RM, Lansdown DA. , et al. Magnetic resonance rotator cuff fat fraction and its relationship with tendon tear severity and subject characteristics. J Shoulder Elbow Surg 2015; 24 (09) 1442-1451
    CrossrefPubMedGoogle Scholar
  • 14 Goutallier D, Postel JM, Gleyze P, Leguilloux P, Van Driessche S. Influence of cuff muscle fatty degeneration on anatomic and functional outcomes after simple suture of full-thickness tears. J Shoulder Elbow Surg 2003; 12 (06) 550-554
    CrossrefPubMedGoogle Scholar
  • 15 Sakurai G, Ozaki J, Tomita Y, Kondo T, Tamai S. Incomplete tears of the subscapularis tendon associated with tears of the supraspinatus tendon: cadaveric and clinical studies. J Shoulder Elbow Surg 1998; 7 (05) 510-515
    CrossrefPubMedGoogle Scholar
  • 16 Miller BS, Downie BK, Kohen RB. , et al. When do rotator cuff repairs fail? Serial ultrasound examination after arthroscopic repair of large and massive rotator cuff tears. Am J Sports Med 2011; 39 (10) 2064-2070
    CrossrefPubMedGoogle Scholar
  • 17 Choi CH, Kim SK, Cho MR. , et al. Functional outcomes and structural integrity after double-pulley suture bridge rotator cuff repair using serial ultrasonographic examination. J Shoulder Elbow Surg 2012; 21 (12) 1753-1763
    CrossrefPubMedGoogle Scholar
  • 18 Mallon WJ, Wilson RJ, Basamania CJ. The association of suprascapular neuropathy with massive rotator cuff tears: a preliminary report. J Shoulder Elbow Surg 2006; 15 (04) 395-398
    CrossrefPubMedGoogle Scholar
  • 19 Boykin RE, Friedman DJ, Higgins LD, Warner JJ. Suprascapular neuropathy. J Bone Joint Surg Am 2010; 92 (13) 2348-2364
    CrossrefPubMedGoogle Scholar
  • 20 Mochizuki T, Sugaya H, Uomizu M. , et al. Humeral insertion of the supraspinatus and infraspinatus. New anatomical findings regarding the footprint of the rotator cuff. J Bone Joint Surg Am 2008; 90 (05) 962-969
    CrossrefPubMedGoogle Scholar
  • 21 Fritz RC, Helms CA, Steinbach LS, Genant HK. Suprascapular nerve entrapment: evaluation with MR imaging. Radiology 1992; 182 (02) 437-444
    CrossrefPubMedGoogle Scholar
  • 22 Piatt BE, Hawkins RJ, Fritz RC, Ho CP, Wolf E, Schickendantz M. Clinical evaluation and treatment of spinoglenoid notch ganglion cysts. J Shoulder Elbow Surg 2002; 11 (06) 600-604
    CrossrefPubMedGoogle Scholar
  • 23 Fleckenstein JL, Watumull D, Conner KE. , et al. Denervated human skeletal muscle: MR imaging evaluation. Radiology 1993; 187 (01) 213-218
    CrossrefPubMedGoogle Scholar
  • 24 Bredella MA, Tirman PF, Fritz RC, Wischer TK, Stork A, Genant HK. Denervation syndromes of the shoulder girdle: MR imaging with electrophysiologic correlation. Skeletal Radiol 1999; 28 (10) 567-572
    CrossrefPubMedGoogle Scholar
  • 25 Thakkar RS, Thakkar SC, Srikumaran U, McFarland EG, Fayad LM. Complications of rotator cuff surgery-the role of post-operative imaging in patient care. Br J Radiol 2014; 87 (1039): 20130630
    CrossrefPubMedGoogle Scholar
  • 26 Blazar PE, Williams GR, Iannotti JP. Spontaneous detachment of the deltoid muscle origin. J Shoulder Elbow Surg 1998; 7 (04) 389-392
    CrossrefPubMedGoogle Scholar
  • 27 Bennett WF. Subscapularis, medial, and lateral head coracohumeral ligament insertion anatomy. Arthroscopic appearance and incidence of “hidden” rotator interval lesions. Arthroscopy 2001; 17 (02) 173-180
    CrossrefPubMedGoogle Scholar
  • 28 Walch G, Nove-Josserand L, Levigne C, Renaud E. Tears of the supraspinatus tendon associated with “hidden” lesions of the rotator interval. J Shoulder Elbow Surg 1994; 3 (06) 353-360
    CrossrefPubMedGoogle Scholar
  • 29 Lee JC, Guy S, Connell D, Saifuddin A, Lambert S. MRI of the rotator interval of the shoulder. Clin Radiol 2007; 62 (05) 416-423
    CrossrefPubMedGoogle Scholar
  • 30 Codman EA. The Shoulder: Rupture of the Supraspinatus Tendon and Other Lesions in or about the Subacromial Space. Boston, MA: Thomas Todd; 1934
    Google Scholar
  • 31 Deutsch A, Altchek DW, Veltri DM, Potter HG, Warren RF. Traumatic tears of the subscapularis tendon. Clinical diagnosis, magnetic resonance imaging findings, and operative treatment. Am J Sports Med 1997; 25 (01) 13-22
    CrossrefPubMedGoogle Scholar
  • 32 Gerber C, Sebesta A. Impingement of the deep surface of the subscapularis tendon and the reflection pulley on the anterosuperior glenoid rim: a preliminary report. J Shoulder Elbow Surg 2000; 9 (06) 483-490
    CrossrefPubMedGoogle Scholar
  • 33 Millett PJ, Schoenahl JY, Allen MJ, Motta T, Gaskill TR. An association between the inferior humeral head osteophyte and teres minor fatty infiltration: evidence for axillary nerve entrapment in glenohumeral osteoarthritis. J Shoulder Elbow Surg 2013; 22 (02) 215-221
    CrossrefPubMedGoogle Scholar
  • 34 Mooers BR, Westermann RW, Wolf BR. Outcomes following suture-anchor repair of pectoralis major tears: a case series and review of the literature. Iowa Orthop J 2015; 35: 8-12
    PubMedGoogle Scholar
  • 35 de Castro Pochini A, Andreoli CV, Belangero PS. , et al. Clinical considerations for the surgical treatment of pectoralis major muscle ruptures based on 60 cases: a prospective study and literature review. Am J Sports Med 2014; 42 (01) 95-102
    CrossrefPubMedGoogle Scholar
  • 36 Provencher MT, Handfield K, Boniquit NT, Reiff SN, Sekiya JK, Romeo AA. Injuries to the pectoralis major muscle: diagnosis and management. Am J Sports Med 2010; 38 (08) 1693-1705
    CrossrefPubMedGoogle Scholar
  • 37 Cordasco FA, Mahony GT, Tsouris N, Degen RM. Pectoralis major tendon tears: functional outcomes and return to sport in a consecutive series of 40 athletes. J Shoulder Elbow Surg 2017; 26 (03) 458-463
    CrossrefPubMedGoogle Scholar
  • 38 ElMaraghy AW, Devereaux MW. A systematic review and comprehensive classification of pectoralis major tears. J Shoulder Elbow Surg 2012; 21 (03) 412-422
    CrossrefPubMedGoogle Scholar
  • 39 Pearle AD, Kelly BT, Voos JE, Chehab EL, Warren RF. Surgical technique and anatomic study of latissimus dorsi and teres major transfers. J Bone Joint Surg Am 2006; 88 (07) 1524-1531
    CrossrefPubMedGoogle Scholar
  • 40 Schickendantz MS, Kaar SG, Meister K, Lund P, Beverley L. Latissimus dorsi and teres major tears in professional baseball pitchers: a case series. Am J Sports Med 2009; 37 (10) 2016-2020
    CrossrefPubMedGoogle Scholar
  • 41 Lester JD, Boselli KJ, Kim PD, Ahmad CS. Isolated rupture of the teres major tendon. Orthopedics 2010; 33 (11) 847
    PubMedGoogle Scholar
  • 42 Nagda SH, Cohen SB, Noonan TJ, Raasch WG, Ciccotti MG, Yocum LA. Management and outcomes of latissimus dorsi and teres major injuries in professional baseball pitchers. Am J Sports Med 2011; 39 (10) 2181-2186
    CrossrefPubMedGoogle Scholar
  • 43 Lim JK, Tilford ME, Hamersly SF, Sallay PI. Surgical repair of an acute latissimus dorsi tendon avulsion using suture anchors through a single incision. Am J Sports Med 2006; 34 (08) 1351-1355
    CrossrefPubMedGoogle Scholar
  • 44 Ellman MB, Yanke A, Juhan T. , et al. Open repair of an acute latissimus tendon avulsion in a major league baseball pitcher. J Shoulder Elbow Surg 2013; 22 (07) e19-e23
    PubMedGoogle Scholar
  • 45 Pascual-Garrido C, Swanson BL, Bannar SM. Closed proximal muscle rupture of the biceps brachii in wakeboarders. Knee Surg Sports Traumatol Arthrosc 2012; 20 (06) 1019-1021
    CrossrefPubMedGoogle Scholar
  • 46 Bricknell MC, Craig SC. Military parachuting injuries: a literature review. Occup Med (Lond) 1999; 49 (01) 17-26
    CrossrefPubMedGoogle Scholar
  • 47 Balkissoon AR, Snyder CF, Basmanian C. MR imaging of traumatic closed injuries of the biceps brachii muscle in military parachutists. AJR Am J Roentgenol 1998; 170 (05) 1400-1401
    PubMedGoogle Scholar
  • 48 Dave RB, Stevens KJ, Shivaram GM, McAdams TR, Dillingham MF, Beaulieu CF. Ultrasound-guided musculoskeletal interventions in American football: 18 years of experience. AJR Am J Roentgenol 2014; 203 (06) W674-W683
    CrossrefPubMedGoogle Scholar
  • 49 Beiner JM, Jokl P. Muscle contusion injury and myositis ossificans traumatica. Clin Orthop Relat Res 2002; ;(403, Suppl): S110-S119
    PubMedGoogle Scholar