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KEY FACTS
Terminology
Imaging
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Synonyms
- Cuff = rotator cuff
- Cuff debridement used for partial tears
- Retear = rerupture
Definitions
- Debridement or repair of rotator cuff tear
- Usually with coracoacromial arch decompression
- Arthroscopic most common; miniopen or open repairs less common
- Standard surgical procedures
- Debridement of shallow partial-thickness tears (< 1/2 to 2/3 thickness of cuff)
- Repair of full-thickness or deep partial-thickness tears
- Bone trough (transosseous)
- Suture anchors
- Bioabsorbable tacks
- Anterior subacromial decompression (ASAD) (acromioplasty)
- Acromioclavicular (AC) joint resection (Mumford procedure)
- Coracoacromial ligament resection
- Postoperative integrity of cuff does not necessarily equate to lack of symptoms
- Debridement or repair of rotator 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
Reporting Tips
Selected References
- Kang HJ et al: Assessment of postoperative acromial and subacromial morphology after arthroscopic acromioplasty using magnetic resonance imaging. Skeletal Radiol. ePub, 2020
- Barth J et al: Ultrasonic evaluation of the repair integrity can predict functional outcomes after arthroscopic double-row rotator cuff repair. Knee Surg Sports Traumatol Arthrosc. 23(2):376-85, 2015
- Lee JE et al: Repaired supraspinatus tendons in clinically improving patients: early postoperative findings and interval changes on MRI. Korean J Radiol. 16(2):363-71, 2015
- Saccomanno MF et al: Magnetic resonance imaging criteria for the assessment of the rotator cuff after repair: a systematic review. Knee Surg Sports Traumatol Arthrosc. 23(2):423-42, 2015
- Codsi MJ et al: Assessment of rotator cuff repair integrity using ultrasound and magnetic resonance imaging in a multicenter study. J Shoulder Elbow Surg. 23(10):1468-72, 2014
- Thakkar RS et al: Complications of rotator cuff surgery-the role of post-operative imaging in patient care. Br J Radiol. 87(1039):20130630, 2014
- Crim J et al: Temporal evolution of MRI findings after arthroscopic rotator cuff repair. AJR Am J Roentgenol. 195(6):1361-6, 2010
- McMenamin D et al: Imaging of the shoulder after surgery. Eur J Radiol. 68(1):106-19, 2008
- Liem D et al: Magnetic resonance imaging of arthroscopic supraspinatus tendon repair. J Bone Joint Surg Am. 89(8):1770-6, 2007
- Potter HG et al: Imaging of the rotator cuff following repair: human and animal models. J Shoulder Elbow Surg. 16(5 Suppl):S134-9, 2007
- Woertler K: Multimodality imaging of the postoperative shoulder. Eur Radiol. 17(12):3038-55, 2007
- Duc SR et al: Diagnostic performance of MR arthrography after rotator cuff repair. AJR Am J Roentgenol. 186(1):237-41, 2006
- Mellado JM et al: MR assessment of the repaired rotator cuff: prevalence, size, location, and clinical relevance of tendon rerupture. Eur Radiol. 16(10):2186-96, 2006
- Ruzek KA et al: Postoperative imaging of the shoulder. Radiol Clin North Am. 44(3):331-41, 2006
- Wu J et al: MRI of the postoperative shoulder. Clin Sports Med. 25(3):445-64, vi, 2006
- Zanetti M et al: MR imaging of the shoulder after surgery. Radiol Clin North Am. 44(4):537-51, viii, 2006
- Mellado JM et al: Surgically repaired massive rotator cuff tears: MRI of tendon integrity, muscle fatty degeneration, and muscle atrophy correlated with intraoperative and clinical findings. AJR Am J Roentgenol. 184(5):1456-63, 2005
- Mohana-Borges AV et al: MR imaging and MR arthrography of the postoperative shoulder: spectrum of normal and abnormal findings. Radiographics. 24(1):69-85, 2004
- Prickett WD et al: Accuracy of ultrasound imaging of the rotator cuff in shoulders that are painful postoperatively. J Bone Joint Surg Am. 85-A(6):1084-9, 2003
- Zlatkin MB: MRI of the postoperative shoulder. Skeletal Radiol. 31(2):63-80, 2002
- Zanetti M et al: MR imaging after rotator cuff repair: full-thickness defects and bursitis-like subacromial abnormalities in asymptomatic subjects. Skeletal Radiol. 29(6):314-9, 2000
- Rand T et al: The postoperative shoulder. Top Magn Reson Imaging. 10(4):203-13, 1999
- Spielmann AL et al: Shoulder after rotator cuff repair: MR imaging findings in asymptomatic individuals--initial experience. Radiology. 213(3):705-8, 1999
- Gusmer PB et al: MR imaging of the shoulder after rotator cuff repair. AJR Am J Roentgenol. 168(2):559-63, 1997
- Longobardi RS et al: MR imaging of the postoperative shoulder. Magn Reson Imaging Clin N Am. 5(4):841-59, 1997
- Magee TH et al: MR imaging of the shoulder after surgery. AJR Am J Roentgenol. 168(4):925-8, 1997
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Synonyms
- Cuff = rotator cuff
- Cuff debridement used for partial tears
- Retear = rerupture
Definitions
- Debridement or repair of rotator cuff tear
- Usually with coracoacromial arch decompression
- Arthroscopic most common; miniopen or open repairs less common
- Standard surgical procedures
- Debridement of shallow partial-thickness tears (< 1/2 to 2/3 thickness of cuff)
- Repair of full-thickness or deep partial-thickness tears
- Bone trough (transosseous)
- Suture anchors
- Bioabsorbable tacks
- Anterior subacromial decompression (ASAD) (acromioplasty)
- Acromioclavicular (AC) joint resection (Mumford procedure)
- Coracoacromial ligament resection
- Postoperative integrity of cuff does not necessarily equate to lack of symptoms
- Debridement or repair of rotator 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
Reporting Tips
Selected References
- Kang HJ et al: Assessment of postoperative acromial and subacromial morphology after arthroscopic acromioplasty using magnetic resonance imaging. Skeletal Radiol. ePub, 2020
- Barth J et al: Ultrasonic evaluation of the repair integrity can predict functional outcomes after arthroscopic double-row rotator cuff repair. Knee Surg Sports Traumatol Arthrosc. 23(2):376-85, 2015
- Lee JE et al: Repaired supraspinatus tendons in clinically improving patients: early postoperative findings and interval changes on MRI. Korean J Radiol. 16(2):363-71, 2015
- Saccomanno MF et al: Magnetic resonance imaging criteria for the assessment of the rotator cuff after repair: a systematic review. Knee Surg Sports Traumatol Arthrosc. 23(2):423-42, 2015
- Codsi MJ et al: Assessment of rotator cuff repair integrity using ultrasound and magnetic resonance imaging in a multicenter study. J Shoulder Elbow Surg. 23(10):1468-72, 2014
- Thakkar RS et al: Complications of rotator cuff surgery-the role of post-operative imaging in patient care. Br J Radiol. 87(1039):20130630, 2014
- Crim J et al: Temporal evolution of MRI findings after arthroscopic rotator cuff repair. AJR Am J Roentgenol. 195(6):1361-6, 2010
- McMenamin D et al: Imaging of the shoulder after surgery. Eur J Radiol. 68(1):106-19, 2008
- Liem D et al: Magnetic resonance imaging of arthroscopic supraspinatus tendon repair. J Bone Joint Surg Am. 89(8):1770-6, 2007
- Potter HG et al: Imaging of the rotator cuff following repair: human and animal models. J Shoulder Elbow Surg. 16(5 Suppl):S134-9, 2007
- Woertler K: Multimodality imaging of the postoperative shoulder. Eur Radiol. 17(12):3038-55, 2007
- Duc SR et al: Diagnostic performance of MR arthrography after rotator cuff repair. AJR Am J Roentgenol. 186(1):237-41, 2006
- Mellado JM et al: MR assessment of the repaired rotator cuff: prevalence, size, location, and clinical relevance of tendon rerupture. Eur Radiol. 16(10):2186-96, 2006
- Ruzek KA et al: Postoperative imaging of the shoulder. Radiol Clin North Am. 44(3):331-41, 2006
- Wu J et al: MRI of the postoperative shoulder. Clin Sports Med. 25(3):445-64, vi, 2006
- Zanetti M et al: MR imaging of the shoulder after surgery. Radiol Clin North Am. 44(4):537-51, viii, 2006
- Mellado JM et al: Surgically repaired massive rotator cuff tears: MRI of tendon integrity, muscle fatty degeneration, and muscle atrophy correlated with intraoperative and clinical findings. AJR Am J Roentgenol. 184(5):1456-63, 2005
- Mohana-Borges AV et al: MR imaging and MR arthrography of the postoperative shoulder: spectrum of normal and abnormal findings. Radiographics. 24(1):69-85, 2004
- Prickett WD et al: Accuracy of ultrasound imaging of the rotator cuff in shoulders that are painful postoperatively. J Bone Joint Surg Am. 85-A(6):1084-9, 2003
- Zlatkin MB: MRI of the postoperative shoulder. Skeletal Radiol. 31(2):63-80, 2002
- Zanetti M et al: MR imaging after rotator cuff repair: full-thickness defects and bursitis-like subacromial abnormalities in asymptomatic subjects. Skeletal Radiol. 29(6):314-9, 2000
- Rand T et al: The postoperative shoulder. Top Magn Reson Imaging. 10(4):203-13, 1999
- Spielmann AL et al: Shoulder after rotator cuff repair: MR imaging findings in asymptomatic individuals--initial experience. Radiology. 213(3):705-8, 1999
- Gusmer PB et al: MR imaging of the shoulder after rotator cuff repair. AJR Am J Roentgenol. 168(2):559-63, 1997
- Longobardi RS et al: MR imaging of the postoperative shoulder. Magn Reson Imaging Clin N Am. 5(4):841-59, 1997
- Magee TH et al: MR imaging of the shoulder after surgery. AJR Am J Roentgenol. 168(4):925-8, 1997
