Serial MRI evaluation following arthroscopic rotator cuff repair in double-row technique

Archives of Orthopaedic and Trauma Surgery
Katharina StahnkeChristian Gerhardt

Abstract

So far, recurrent rotator cuff defects are described to occur in the early postoperative period after arthroscopic repair. The aim of this study was to evaluate the musculotendinous structure of the supraspinatus, as well as bone marrow edema or osteolysis after arthroscopic double-row repair. Therefore, magnetic resonance (MR) images were performed at defined intervals up to 2 years postoperatively. Case series; Level of evidence, 3. MR imaging was performed within 7 days, 3, 6, 12, 26, 52 and 108 weeks after surgery. All patients were operated using an arthroscopic modified suture bridge technique. Tendon integrity, tendon retraction ["foot-print-coverage" (FPC)], muscular atrophy and fatty infiltration (signal intensity analysis) were measured at all time points. Furthermore, postoperative bone marrow edema and signs of osteolysis were assessed. MR images of 13 non-consecutive patients (6f/7m, ∅ age 61.05 ± 7.7 years) could be evaluated at all time points until ∅ 108 weeks postoperatively. 5/6 patients with recurrent defect at final follow-up displayed a time of failure between 12 and 24 months after surgery. Predominant mode of failure was medial cuff failures in 4/6 cases. The initial FPC increased significantly up to 2 ye...Continue Reading

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Citations

May 4, 2018·The American Journal of Sports Medicine·Hong LiShiyi Chen
Jul 15, 2020·The American Journal of Sports Medicine·Yasutaka TakeuchiShota Hoshika
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Aug 4, 2019·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Seung-Bae OhJoon-Hyung Cho

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