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Rotator Cuff Full-Thickness Tear
Michael J. Tuite, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          TERMINOLOGY

          • Abbreviations

            • Rotator cuff tear (RCT)
            • Full-thickness rotator cuff or supraspinatus tendon tear (FTRCT, FTSSTT)
          • Definitions

            • Tear extending from articular to bursal surface of rotator cuff tendon
              • Tear does not need to involve complete tendon or lead to retraction of entire tendon
            • If also full-width tendon tear: Complete cuff tear

          IMAGING

          • General Features

            • Radiographic Findings

              • CT Findings

                • MR Findings

                  • Ultrasonographic Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Staging, Grading, & Classification

                            • Gross Pathologic & Surgical Features

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Consider

                                        • Image Interpretation Pearls

                                          • Reporting Tips

                                            Selected References

                                            1. Choo HJ et al: Delaminated tears of the rotator cuff: prevalence, characteristics, and diagnostic accuracy using indirect MR arthrography. AJR Am J Roentgenol. 204(2):360-6, 2015
                                            2. Roy JS et al: Diagnostic accuracy of ultrasonography, MRI and MR arthrography in the characterisation of rotator cuff disorders: a meta-analysis. Br J Sports Med. 49(20):1316-28, 2015
                                            3. de Jesus JO et al: Accuracy of MRI, MR arthrography, and ultrasound in the diagnosis of rotator cuff tears: a meta-analysis. AJR Am J Roentgenol. 192(6):1701-7, 2009
                                            4. Jung JY et al: Comparison study of indirect MR arthrography and direct MR arthrography of the shoulder. Skeletal Radiol. 38(7):659-67, 2009
                                            5. Kang CH et al: Supraspinatus tendon tears: comparison of 3D US and MR arthrography with surgical correlation. Skeletal Radiol. 38(11):1063-9, 2009
                                            6. Rutten MJ et al: Detection of rotator cuff tears: the value of MRI following ultrasound. Eur Radiol. Epub ahead of print, 2009
                                            7. Van Dyck P et al: Tears of the supraspinatus tendon: assessment with indirect magnetic resonance arthrography in 67 patients with arthroscopic correlation. Acta Radiol. 50(9):1057-63, 2009
                                            8. Vandevenne JE et al: Fast MR arthrography using VIBE sequences to evaluate the rotator cuff. Skeletal Radiol. 38(7):669-74, 2009
                                            9. Herold T et al: Indirect MR arthrography of the shoulder: use of abduction and external rotation to detect full- and partial-thickness tears of the supraspinatus tendon. Radiology. 240(1):152-60, 2006
                                            10. Magee T et al: 3.0-T MRI of the supraspinatus tendon. AJR Am J Roentgenol. 187(4):881-6, 2006
                                            11. Chang CY et al: Comparison of shoulder ultrasound and MR imaging in diagnosing full-thickness rotator cuff tears. Clin Imaging. 26(1):50-4, 2002
                                            12. Palmer WE et al: Rotator cuff: evaluation with fat-suppressed MR arthrography. Radiology. 188(3):683-7, 1993
                                            Related Anatomy
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                                            Related Differential Diagnoses
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                                            References
                                            Tables

                                            Tables

                                            KEY FACTS

                                            • Terminology

                                              • Imaging

                                                • Top Differential Diagnoses

                                                  • Clinical Issues

                                                    TERMINOLOGY

                                                    • Abbreviations

                                                      • Rotator cuff tear (RCT)
                                                      • Full-thickness rotator cuff or supraspinatus tendon tear (FTRCT, FTSSTT)
                                                    • Definitions

                                                      • Tear extending from articular to bursal surface of rotator cuff tendon
                                                        • Tear does not need to involve complete tendon or lead to retraction of entire tendon
                                                      • If also full-width tendon tear: Complete cuff tear

                                                    IMAGING

                                                    • General Features

                                                      • Radiographic Findings

                                                        • CT Findings

                                                          • MR Findings

                                                            • Ultrasonographic Findings

                                                              • Imaging Recommendations

                                                                DIFFERENTIAL DIAGNOSIS

                                                                  PATHOLOGY

                                                                  • General Features

                                                                    • Staging, Grading, & Classification

                                                                      • Gross Pathologic & Surgical Features

                                                                        CLINICAL ISSUES

                                                                        • Presentation

                                                                          • Demographics

                                                                            • Natural History & Prognosis

                                                                              • Treatment

                                                                                DIAGNOSTIC CHECKLIST

                                                                                • Consider

                                                                                  • Image Interpretation Pearls

                                                                                    • Reporting Tips

                                                                                      Selected References

                                                                                      1. Choo HJ et al: Delaminated tears of the rotator cuff: prevalence, characteristics, and diagnostic accuracy using indirect MR arthrography. AJR Am J Roentgenol. 204(2):360-6, 2015
                                                                                      2. Roy JS et al: Diagnostic accuracy of ultrasonography, MRI and MR arthrography in the characterisation of rotator cuff disorders: a meta-analysis. Br J Sports Med. 49(20):1316-28, 2015
                                                                                      3. de Jesus JO et al: Accuracy of MRI, MR arthrography, and ultrasound in the diagnosis of rotator cuff tears: a meta-analysis. AJR Am J Roentgenol. 192(6):1701-7, 2009
                                                                                      4. Jung JY et al: Comparison study of indirect MR arthrography and direct MR arthrography of the shoulder. Skeletal Radiol. 38(7):659-67, 2009
                                                                                      5. Kang CH et al: Supraspinatus tendon tears: comparison of 3D US and MR arthrography with surgical correlation. Skeletal Radiol. 38(11):1063-9, 2009
                                                                                      6. Rutten MJ et al: Detection of rotator cuff tears: the value of MRI following ultrasound. Eur Radiol. Epub ahead of print, 2009
                                                                                      7. Van Dyck P et al: Tears of the supraspinatus tendon: assessment with indirect magnetic resonance arthrography in 67 patients with arthroscopic correlation. Acta Radiol. 50(9):1057-63, 2009
                                                                                      8. Vandevenne JE et al: Fast MR arthrography using VIBE sequences to evaluate the rotator cuff. Skeletal Radiol. 38(7):669-74, 2009
                                                                                      9. Herold T et al: Indirect MR arthrography of the shoulder: use of abduction and external rotation to detect full- and partial-thickness tears of the supraspinatus tendon. Radiology. 240(1):152-60, 2006
                                                                                      10. Magee T et al: 3.0-T MRI of the supraspinatus tendon. AJR Am J Roentgenol. 187(4):881-6, 2006
                                                                                      11. Chang CY et al: Comparison of shoulder ultrasound and MR imaging in diagnosing full-thickness rotator cuff tears. Clin Imaging. 26(1):50-4, 2002
                                                                                      12. Palmer WE et al: Rotator cuff: evaluation with fat-suppressed MR arthrography. Radiology. 188(3):683-7, 1993