link
Bookmarks
Rotator Cuff Tear
Julia R. Crim, MD
To access 4,300 diagnoses written by the world's leading experts in radiology, please log in or subscribe.Log inSubscribe
0
2
3
0

KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Definitions

                • Rotator cuff: 4 tendons (supraspinatus, infraspinatus, teres minor, and subscapularis) that arise on scapula and insert on proximal humerus
                  • Act to stabilize, elevate, and rotate humerus
                • Partial-thickness tear: Some fibers are torn but not entire thickness from deep to superficial surface
                • Full-thickness tear: Tendon torn from deep surface to superficial surface
                  • However, intact tendon may be present adjacent to tear
                • Complete tear: Entire width and depth of tendon are torn
                • Tendon footprint (or footplate): Humeral insertion

              IMAGING

              • General Features

                • Imaging Recommendations

                  • MR Findings

                    • CT Findings

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          CLINICAL ISSUES

                          • Presentation

                            • Demographics

                              • Natural History & Prognosis

                                DIAGNOSTIC CHECKLIST

                                • Consider

                                  • Image Interpretation Pearls

                                    Selected References

                                    1. 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
                                    2. 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
                                    3. Waldt S et al: Rotator cuff tears: assessment with MR arthrography in 275 patients with arthroscopic correlation. Eur Radiol. 17(2):491-8, 2007
                                    4. Jbara M et al: Shoulder MR arthrography: how, why, when. Radiol Clin North Am. 43(4):683-92, viii, 2005
                                    5. Meister K et al: MR arthrography of partial thickness tears of the undersurface of the rotator cuff: an arthroscopic correlation. Skeletal Radiol. 33(3):136-41, 2004
                                    Related Anatomy
                                    Loading...
                                    Related Differential Diagnoses
                                    Loading...
                                    References
                                    Tables

                                    Tables

                                    KEY FACTS

                                    • Terminology

                                      • Imaging

                                        • Top Differential Diagnoses

                                          • Pathology

                                            • Clinical Issues

                                              • Diagnostic Checklist

                                                TERMINOLOGY

                                                • Definitions

                                                  • Rotator cuff: 4 tendons (supraspinatus, infraspinatus, teres minor, and subscapularis) that arise on scapula and insert on proximal humerus
                                                    • Act to stabilize, elevate, and rotate humerus
                                                  • Partial-thickness tear: Some fibers are torn but not entire thickness from deep to superficial surface
                                                  • Full-thickness tear: Tendon torn from deep surface to superficial surface
                                                    • However, intact tendon may be present adjacent to tear
                                                  • Complete tear: Entire width and depth of tendon are torn
                                                  • Tendon footprint (or footplate): Humeral insertion

                                                IMAGING

                                                • General Features

                                                  • Imaging Recommendations

                                                    • MR Findings

                                                      • CT Findings

                                                        DIFFERENTIAL DIAGNOSIS

                                                          PATHOLOGY

                                                          • General Features

                                                            CLINICAL ISSUES

                                                            • Presentation

                                                              • Demographics

                                                                • Natural History & Prognosis

                                                                  DIAGNOSTIC CHECKLIST

                                                                  • Consider

                                                                    • Image Interpretation Pearls

                                                                      Selected References

                                                                      1. 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
                                                                      2. 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
                                                                      3. Waldt S et al: Rotator cuff tears: assessment with MR arthrography in 275 patients with arthroscopic correlation. Eur Radiol. 17(2):491-8, 2007
                                                                      4. Jbara M et al: Shoulder MR arthrography: how, why, when. Radiol Clin North Am. 43(4):683-92, viii, 2005
                                                                      5. Meister K et al: MR arthrography of partial thickness tears of the undersurface of the rotator cuff: an arthroscopic correlation. Skeletal Radiol. 33(3):136-41, 2004