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Semin Musculoskelet Radiol 2014; 18(04): 412-424
DOI: 10.1055/s-0034-1384830
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Current Concepts on Imaging Diagnosis of Rotator Cuff Disease

Eric Y. Chang
1   Department of Radiology, VA San Diego Healthcare System, San Diego, California
2   Department of Radiology, University of California, San Diego Medical Center, San Diego, California
,
Christine B. Chung
1   Department of Radiology, VA San Diego Healthcare System, San Diego, California
2   Department of Radiology, University of California, San Diego Medical Center, San Diego, California
› Author Affiliations
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Publication History

Publication Date:
03 September 2014 (online)

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Abstract

Rotator cuff disease is common and may be clinically silent or a cause of shoulder pain. Evaluation of the rotator cuff before and after surgery is challenging for the orthopedic surgeon, but the radiologist can make an accurate diagnosis and facilitate appropriate management. This article reviews the current concepts on imaging diagnosis of rotator cuff disease, beginning with a discussion of the complex anatomy of the rotator cuff, continuing into the normal and pathologic MR imaging appearances of the rotator cuff including tendinosis and tearing, and concluding with a review of the postoperative cuff after various surgical repair techniques.

Keywords

rotator cuff disease - rotator cuff anatomy - tendinosis - tendon tear - postoperative
 

  • References

  • 1 Chakravarty K, Webley M. Shoulder joint movement and its relationship to disability in the elderly. J Rheumatol 1993; 20 (8) 1359-1361
    PubMedGoogle Scholar
  • 2 Chard MD, Hazleman BL. Shoulder disorders in the elderly (a hospital study). Ann Rheum Dis 1987; 46 (9) 684-687
    CrossrefPubMedGoogle Scholar
  • 3 Chard MD, Hazleman R, Hazleman BL, King RH, Reiss BB. Shoulder disorders in the elderly: a community survey. Arthritis Rheum 1991; 34 (6) 766-769
    CrossrefPubMedGoogle Scholar
  • 4 van der Windt DA, Koes BW, de Jong BA, Bouter LM. Shoulder disorders in general practice: incidence, patient characteristics, and management. Ann Rheum Dis 1995; 54 (12) 959-964
    CrossrefPubMedGoogle Scholar
  • 5 Tashjian RZ. Epidemiology, natural history, and indications for treatment of rotator cuff tears. Clin Sports Med 2012; 31 (4) 589-604
    CrossrefPubMedGoogle Scholar
  • 6 Harrison AK, Flatow EL. Subacromial impingement syndrome. J Am Acad Orthop Surg 2011; 19 (11) 701-708
    PubMedGoogle Scholar
  • 7 Sher JS, Uribe JW, Posada A, Murphy BJ, Zlatkin MB. Abnormal findings on magnetic resonance images of asymptomatic shoulders. J Bone Joint Surg Am 1995; 77 (1) 10-15
    CrossrefPubMedGoogle Scholar
  • 8 Milgrom C, Schaffler M, Gilbert S, van Holsbeeck M. Rotator-cuff changes in asymptomatic adults. The effect of age, hand dominance and gender. J Bone Joint Surg Br 1995; 77 (2) 296-298
    PubMedGoogle Scholar
  • 9 Mall NA, Kim HM, Keener JD , et al. Symptomatic progression of asymptomatic rotator cuff tears: a prospective study of clinical and sonographic variables. J Bone Joint Surg Am 2010; 92 (16) 2623-2633
    PubMedGoogle Scholar
  • 10 Moosmayer S, Tariq R, Stiris M, Smith HJ. The natural history of asymptomatic rotator cuff tears: a three-year follow-up of fifty cases. J Bone Joint Surg Am 2013; 95 (14) 1249-1255
    CrossrefPubMedGoogle Scholar
  • 11 Sher JS, Iannotti JP, Williams GR , et al. The effect of shoulder magnetic resonance imaging on clinical decision making. J Shoulder Elbow Surg 1998; 7 (3) 205-209
    CrossrefPubMedGoogle Scholar
  • 12 Riley GP, Harrall RL, Constant CR, Chard MD, Cawston TE, Hazleman BL. Tendon degeneration and chronic shoulder pain: changes in the collagen composition of the human rotator cuff tendons in rotator cuff tendinitis. Ann Rheum Dis 1994; 53 (6) 359-366
    CrossrefPubMedGoogle Scholar
  • 13 Matuszewski PE, Chen YL, Szczesny SE , et al. Regional variation in human supraspinatus tendon proteoglycans: decorin, biglycan, and aggrecan. Connect Tissue Res 2012; 53 (5) 343-348
    CrossrefPubMedGoogle Scholar
  • 14 Clark JM, Harryman II DT. Tendons, ligaments, and capsule of the rotator cuff. Gross and microscopic anatomy. J Bone Joint Surg Am 1992; 74 (5) 713-725
    CrossrefPubMedGoogle Scholar
  • 15 Chang EY, Szeverenyi NM, Statum S, Chung CB. Rotator cuff tendon ultrastructure assessment with reduced-orientation dipolar anisotropy fiber imaging. AJR Am J Roentgenol 2014; 202 (4) W376–W378
    PubMedGoogle Scholar
  • 16 Morag Y, Jamadar DA, Boon TA, Bedi A, Caoili EM, Jacobson JA. Ultrasound of the rotator cable: prevalence and morphology in asymptomatic shoulders. AJR Am J Roentgenol 2012; 198 (1) W27–W30
    PubMedGoogle Scholar
  • 17 Macarini L, Muscarella S, Lelario M , et al. Rotator cable at MR imaging: considerations on morphological aspects and biomechanical role. Radiol Med (Torino) 2011; 116 (1) 102-113
    CrossrefPubMedGoogle Scholar
  • 18 Gyftopoulos S, Bencardino J, Nevsky G , et al. Rotator cable: MRI study of its appearance in the intact rotator cuff with anatomic and histologic correlation. AJR Am J Roentgenol 2013; 200 (5) 1101-1105
    CrossrefPubMedGoogle Scholar
  • 19 Burkhart SS, Esch JC, Jolson RS. The rotator crescent and rotator cable: an anatomic description of the shoulder's “suspension bridge”. Arthroscopy 1993; 9 (6) 611-616
    CrossrefPubMedGoogle Scholar
  • 20 Nguyen ML, Quigley RJ, Galle SE , et al. Margin convergence anchorage to bone for reconstruction of the anterior attachment of the rotator cable. Arthroscopy 2012; 28 (9) 1237-1245
    CrossrefPubMedGoogle Scholar
  • 21 Mesiha MM, Derwin KA, Sibole SC, Erdemir A, McCarron JA. The biomechanical relevance of anterior rotator cuff cable tears in a cadaveric shoulder model. J Bone Joint Surg Am 2013; 95 (20) 1817-1824
    CrossrefPubMedGoogle Scholar
  • 22 Nimura A, Kato A, Yamaguchi K , et al. The superior capsule of the shoulder joint complements the insertion of the rotator cuff. J Shoulder Elbow Surg 2012; 21 (7) 867-872
    CrossrefPubMedGoogle Scholar
  • 23 Nimura A, Akita K. Reply to: “The superior capsule of the shoulder joint complements the insertion of the rotator cuff”. J Shoulder Elbow Surg 2013; 22 (2) e20-e21
    PubMedGoogle Scholar
  • 24 Kato A, Nimura A, Yamaguchi K, Mochizuki T, Sugaya H, Akita K. An anatomical study of the transverse part of the infraspinatus muscle that is closely related with the supraspinatus muscle. Surg Radiol Anat 2012; 34 (3) 257-265
    CrossrefPubMedGoogle Scholar
  • 25 Kim SY, Boynton EL, Ravichandiran K, Fung LY, Bleakney R, Agur AM. Three-dimensional study of the musculotendinous architecture of supraspinatus and its functional correlations. Clin Anat 2007; 20 (6) 648-655
    CrossrefPubMedGoogle Scholar
  • 26 Roh MS, Wang VM, April EW, Pollock RG, Bigliani LU, Flatow EL. Anterior and posterior musculotendinous anatomy of the supraspinatus. J Shoulder Elbow Surg 2000; 9 (5) 436-440
    CrossrefPubMedGoogle Scholar
  • 27 Gagey N, Gagey O, Bastian G, Lassau JP. The fibrous frame of the supraspinatus muscle. Correlations between anatomy and MRI findings. Surg Radiol Anat 1990; 12 (4) 291-292
    CrossrefPubMedGoogle Scholar
  • 28 Vahlensieck M, an Haack K, Schmidt HM. Two portions of the supraspinatus muscle: a new finding about the muscles macroscopy by dissection and magnetic resonance imaging. Surg Radiol Anat 1994; 16 (1) 101-104
    CrossrefPubMedGoogle Scholar
  • 29 Huang CY, Wang VM, Pawluk RJ , et al. Inhomogeneous mechanical behavior of the human supraspinatus tendon under uniaxial loading. J Orthop Res 2005; 23 (4) 924-930
    CrossrefPubMedGoogle Scholar
  • 30 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 (5) 962-969
    CrossrefPubMedGoogle Scholar
  • 31 Dugas JR, Campbell DA, Warren RF, Robie BH, Millett PJ. Anatomy and dimensions of rotator cuff insertions. J Shoulder Elbow Surg 2002; 11 (5) 498-503
    CrossrefPubMedGoogle Scholar
  • 32 Curtis AS, Burbank KM, Tierney JJ, Scheller AD, Curran AR. The insertional footprint of the rotator cuff: an anatomic study. Arthroscopy 2006; 22 (6) e1
    PubMedGoogle Scholar
  • 33 Ruotolo C, Fow JE, Nottage WM. The supraspinatus footprint: an anatomic study of the supraspinatus insertion. Arthroscopy 2004; 20 (3) 246-249
    CrossrefPubMedGoogle Scholar
  • 34 Resnick D, Kang HS, Pretterklieber ML. Internal Derangements of Joints. 2nd ed. Philadelphia, PA: Saunders/Elsevier; 2007
    Google Scholar
  • 35 Saji T, Arai R, Harada H , et al. Anatomical study on the origin and the insertion of the teres minor muscle. Paper presented at: International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine; May 12–16, 2013; Toronto, Canada
    PubMedGoogle Scholar
  • 36 Gray H, Clemente CD. Anatomy of the Human Body. 30th American ed. Philadelphia, PA: Lea & Febiger; 1985
    Google Scholar
  • 37 Arai R, Sugaya H, Mochizuki T, Nimura A, Moriishi J, Akita K. Subscapularis tendon tear: an anatomic and clinical investigation. Arthroscopy 2008; 24 (9) 997-1004
    CrossrefPubMedGoogle Scholar
  • 38 Richards DP, Burkhart SS, Tehrany AM, Wirth MA. The subscapularis footprint: an anatomic description of its insertion site. Arthroscopy 2007; 23 (3) 251-254
    CrossrefPubMedGoogle Scholar
  • 39 DePalma AF. Surgery of the Shoulder. 3rd ed. Philadelphia, PA: Lippincott; 1983
    Google Scholar
  • 40 Di Giacomo G. Atlas of Functional Shoulder Anatomy. Milan, Italy, and New York, NY: Springer; 2008
    CrossrefGoogle Scholar
  • 41 Arai R, Mochizuki T, Yamaguchi K , et al. Functional anatomy of the superior glenohumeral and coracohumeral ligaments and the subscapularis tendon in view of stabilization of the long head of the biceps tendon. J Shoulder Elbow Surg 2010; 19 (1) 58-64
    CrossrefPubMedGoogle Scholar
  • 42 D'Addesi LL, Anbari A, Reish MW, Brahmabhatt S, Kelly JD. The subscapularis footprint: an anatomic study of the subscapularis tendon insertion. Arthroscopy 2006; 22 (9) 937-940
    CrossrefPubMedGoogle Scholar
  • 43 Chard MD, Cawston TE, Riley GP, Gresham GA, Hazleman BL. Rotator cuff degeneration and lateral epicondylitis: a comparative histological study. Ann Rheum Dis 1994; 53 (1) 30-34
    CrossrefPubMedGoogle Scholar
  • 44 Järvinen M, Józsa L, Kannus P, Järvinen TL, Kvist M, Leadbetter W. Histopathological findings in chronic tendon disorders. Scand J Med Sci Sports 1997; 7 (2) 86-95
    PubMedGoogle Scholar
  • 45 Berenson MC, Blevins FT, Plaas AH, Vogel KG. Proteoglycans of human rotator cuff tendons. J Orthop Res 1996; 14 (4) 518-525
    CrossrefPubMedGoogle Scholar
  • 46 Karjalainen PT, Soila K, Aronen HJ , et al. MR imaging of overuse injuries of the Achilles tendon. AJR Am J Roentgenol 2000; 175 (1) 251-260
    CrossrefPubMedGoogle Scholar
  • 47 Krasnosselskaia LV, Fullerton GD, Dodd SJ, Cameron IL. Water in tendon: orientational analysis of the free induction decay. Magn Reson Med 2005; 54 (2) 280-288
    CrossrefPubMedGoogle Scholar
  • 48 Berendsen HJC. Nuclear magnetic resonance study of collagen hydration. J Chem Phys 1962; 36: 3297
    CrossrefPubMedGoogle Scholar
  • 49 Gagey N, Quillard J, Gagey O, Meduri G, Bittoun J, Lassau JP. Tendon of the normal supraspinatus muscle: correlations between MR imaging and histology. Surg Radiol Anat 1995; 17 (4) 329-334
    CrossrefPubMedGoogle Scholar
  • 50 Kjellin I, Ho CP, Cervilla V , et al. Alterations in the supraspinatus tendon at MR imaging: correlation with histopathologic findings in cadavers. Radiology 1991; 181 (3) 837-841
    CrossrefPubMedGoogle Scholar
  • 51 Tuite MJ. Magnetic resonance imaging of rotator cuff disease and external impingement. Magn Reson Imaging Clin N Am 2012; 20 (2) 187-200 , ix
    CrossrefPubMedGoogle Scholar
  • 52 Reilly P, Macleod I, Macfarlane R, Windley J, Emery RJ. Dead men and radiologists don't lie: a review of cadaveric and radiological studies of rotator cuff tear prevalence. Ann R Coll Surg Engl 2006; 88 (2) 116-121
    PubMedGoogle Scholar
  • 53 Ellman H. Diagnosis and treatment of incomplete rotator cuff tears. Clin Orthop Relat Res 1990; (254) 64-74
    PubMedGoogle Scholar
  • 54 Weber SC. Arthroscopic debridement and acromioplasty versus mini-open repair in the treatment of significant partial-thickness rotator cuff tears. Arthroscopy 1999; 15 (2) 126-131
    CrossrefPubMedGoogle Scholar
  • 55 McConville OR, Iannotti JP. Partial-thickness tears of the rotator cuff: evaluation and management. J Am Acad Orthop Surg 1999; 7 (1) 32-43
    PubMedGoogle Scholar
  • 56 Fukuda H. The management of partial-thickness tears of the rotator cuff. J Bone Joint Surg Br 2003; 85 (1) 3-11
    CrossrefPubMedGoogle Scholar
  • 57 Kim HM, Dahiya N, Teefey SA , et al. Location and initiation of degenerative rotator cuff tears: an analysis of three hundred and sixty shoulders. J Bone Joint Surg Am 2010; 92 (5) 1088-1096
    PubMedGoogle Scholar
  • 58 Fukuda H, Hamada K, Yamanaka K. Pathology and pathogenesis of bursal-side rotator cuff tears viewed from en bloc histologic sections. Clin Orthop Relat Res 1990; (254) 75-80
    PubMedGoogle Scholar
  • 59 Fukuda H, Hamada K, Nakajima T, Tomonaga A. Pathology and pathogenesis of the intratendinous tearing of the rotator cuff viewed from en bloc histologic sections. Clin Orthop Relat Res 1994; (304) 60-67
    PubMedGoogle Scholar
  • 60 Codman EA, Akerson IB. The pathology associated with rupture of the supraspinatus tendon. Ann Surg 1931; 93 (1) 348-359
    CrossrefPubMedGoogle Scholar
  • 61 Maman E, Harris C, White L, Tomlinson G, Shashank M, Boynton E. Outcome of nonoperative treatment of symptomatic rotator cuff tears monitored by magnetic resonance imaging. J Bone Joint Surg Am 2009; 91 (8) 1898-1906
    CrossrefPubMedGoogle Scholar
  • 62 Mazzocca AD, Rincon LM, O'Connor RW , et al. Intra-articular partial-thickness rotator cuff tears: analysis of injured and repaired strain behavior. Am J Sports Med 2008; 36 (1) 110-116
    PubMedGoogle Scholar
  • 63 Strauss EJ, Salata MJ, Kercher J , et al. Multimedia article. The arthroscopic management of partial-thickness rotator cuff tears: a systematic review of the literature. Arthroscopy 2011; 27 (4) 568-580
    CrossrefPubMedGoogle Scholar
  • 64 de Jesus JO, Parker L, Frangos AJ, Nazarian LN. Accuracy of MRI, MR arthrography, and ultrasound in the diagnosis of rotator cuff tears: a meta-analysis. AJR Am J Roentgenol 2009; 192 (6) 1701-1707
    CrossrefPubMedGoogle Scholar
  • 65 Sheah K, Bredella MA, Warner JJP, Halpern EF, Palmer WE. Transverse thickening along the articular surface of the rotator cuff consistent with the rotator cable: identification with MR arthrography and relevance in rotator cuff evaluation. AJR Am J Roentgenol 2009; 193 (3) 679-686
    CrossrefPubMedGoogle Scholar
  • 66 Lunn JV , et al. A novel lesion of the infraspinatus characterized by musculotendinous disruption, edema, and late fatty infiltration. J Shoulder Elbow Surg 2008; 17: 546-553
    CrossrefPubMedGoogle Scholar
  • 67 Gyftopoulos S, O' Donnell J, Shah NP , et al. Correlation of MRI with arthroscopy for the evaluation of the subscapularis tendon: a musculoskeletal division's experience. Skeletal Radiol 2013; 42: 1269-1275
    CrossrefPubMedGoogle Scholar
  • 68 Adams CR, Schoolfield JD, Burkhart SS. Accuracy of preoperative magnetic resonance imaging in predicting a subscapularis tendon tear based on arthroscopy. Arthroscopy 2010; 26 (11) 1427-1433
    CrossrefPubMedGoogle Scholar
  • 69 Burkhart SS, Tehrany AM. Arthroscopic subscapularis tendon repair: technique and preliminary results. Arthroscopy 2002; 18 (5) 454-463
    CrossrefPubMedGoogle Scholar
  • 70 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 (5) 510-515
    CrossrefPubMedGoogle Scholar
  • 71 Lo IK, Burkhart SS. Current concepts in arthroscopic rotator cuff repair. Am J Sports Med 2003; 31 (2) 308-324
    PubMedGoogle Scholar
  • 72 Tauro JC. Arthroscopic repair of large rotator cuff tears using the interval slide technique. Arthroscopy 2004; 20 (1) 13-21
    PubMedGoogle Scholar
  • 73 Pill SG, Phillips J, Kissenberth MJ, Hawkins RJ. Decision making in massive rotator cuff tears. Instr Course Lect 2012; 61: 97-111
    PubMedGoogle Scholar
  • 74 Delaney RA, Lin A, Warner JJ. Nonarthroplasty options for the management of massive and irreparable rotator cuff tears. Clin Sports Med 2012; 31 (4) 727-748
    CrossrefPubMedGoogle Scholar
  • 75 Han Y, Shin JH, Seok CW, Lee CH, Kim SH. Is posterior delamination in arthroscopic rotator cuff repair hidden to the posterior viewing portal?. Arthroscopy 2013; 29 (11) 1740-1747
    CrossrefPubMedGoogle Scholar
  • 76 Farley TE, Neumann CH, Steinbach LS, Jahnke AJ, Petersen SS. Full-thickness tears of the rotator cuff of the shoulder: diagnosis with MR imaging. AJR Am J Roentgenol 1992; 158 (2) 347-351
    CrossrefPubMedGoogle Scholar
  • 77 Tashjian RZ, Hung M, Burks RT, Greis PE. Influence of preoperative musculotendinous junction position on rotator cuff healing using single-row technique. Arthroscopy 2013; 29 (11) 1748-1754
    CrossrefPubMedGoogle Scholar
  • 78 Meyer DC, Hoppeler H, von Rechenberg B, Gerber C. A pathomechanical concept explains muscle loss and fatty muscular changes following surgical tendon release. J Orthop Res 2004; 22 (5) 1004-1007
    CrossrefPubMedGoogle Scholar
  • 79 Albritton MJ, Graham RD, Richards II RS, Basamania CJ. An anatomic study of the effects on the suprascapular nerve due to retraction of the supraspinatus muscle after a rotator cuff tear. J Shoulder Elbow Surg 2003; 12 (5) 497-500
    CrossrefPubMedGoogle Scholar
  • 80 Gladstone JN, Bishop JY, Lo IK, Flatow EL. Fatty infiltration and atrophy of the rotator cuff do not improve after rotator cuff repair and correlate with poor functional outcome. Am J Sports Med 2007; 35 (5) 719-728
    CrossrefPubMedGoogle Scholar
  • 81 Goutallier D, Postel JM, Bernageau J, Lavau L, Voisin MC. Fatty muscle degeneration in cuff ruptures. Pre- and postoperative evaluation by CT scan. Clin Orthop Relat Res 1994; (304) 78-83
    PubMedGoogle Scholar
  • 82 Fuchs B, Weishaupt D, Zanetti M, Hodler J, Gerber C. Fatty degeneration of the muscles of the rotator cuff: assessment by computed tomography versus magnetic resonance imaging. J Shoulder Elbow Surg 1999; 8 (6) 599-605
    CrossrefPubMedGoogle Scholar
  • 83 Thomazeau H, Boukobza E, Morcet N, Chaperon J, Langlais F. Prediction of rotator cuff repair results by magnetic resonance imaging. Clin Orthop Relat Res 1997; (344) 275-283
    PubMedGoogle Scholar
  • 84 Zanetti M, Gerber C, Hodler J. Quantitative assessment of the muscles of the rotator cuff with magnetic resonance imaging. Invest Radiol 1998; 33 (3) 163-170
    CrossrefPubMedGoogle Scholar
  • 85 Warner JJ, Higgins L, Parsons IV IM, Dowdy P. Diagnosis and treatment of anterosuperior rotator cuff tears. J Shoulder Elbow Surg 2001; 10 (1) 37-46
    CrossrefPubMedGoogle Scholar
  • 86 Lippe J, Spang JT, Leger RR, Arciero RA, Mazzocca AD, Shea KP. Inter-rater agreement of the Goutallier, Patte, and Warner classification scores using preoperative magnetic resonance imaging in patients with rotator cuff tears. Arthroscopy 2012; 28 (2) 154-159
    CrossrefPubMedGoogle Scholar
  • 87 Kuzel BR, Grindel S, Papandrea R, Ziegler D. Fatty infiltration and rotator cuff atrophy. J Am Acad Orthop Surg 2013; 21 (10) 613-623
    CrossrefPubMedGoogle Scholar
  • 88 Oh JH, Kim SH, Choi JA, Kim Y, Oh CH. Reliability of the grading system for fatty degeneration of rotator cuff muscles. Clin Orthop Relat Res 2010; 468 (6) 1558-1564
    CrossrefPubMedGoogle Scholar
  • 89 Ensor KL, Kwon YW, Dibeneditto MR, Zuckerman JD, Rokito AS. The rising incidence of rotator cuff repairs. J Shoulder Elbow Surg 2013; 22 (12) 1628-1632
    CrossrefPubMedGoogle Scholar
  • 90 Galatz LM, Sandell LJ, Rothermich SY , et al. Characteristics of the rat supraspinatus tendon during tendon-to-bone healing after acute injury. J Orthop Res 2006; 24 (3) 541-550
    CrossrefPubMedGoogle Scholar
  • 91 McCarron JA, Derwin KA, Bey MJ , et al. Failure with continuity in rotator cuff repair “healing”. Am J Sports Med 2013; 41 (1) 134-141
    CrossrefPubMedGoogle Scholar
  • 92 Iannotti JP, Deutsch A, Green A , et al. Time to failure after rotator cuff repair: a prospective imaging study. J Bone Joint Surg Am 2013; 95 (11) 965-971
    CrossrefPubMedGoogle Scholar
  • 93 Chen M, Xu W, Dong Q, Huang Q, Xie Z, Mao Y. Outcomes of single-row versus double-row arthroscopic rotator cuff repair: a systematic review and meta-analysis of current evidence. Arthroscopy 2013; 29 (8) 1437-1449
    CrossrefPubMedGoogle Scholar
  • 94 Boileau P, Brassart N, Watkinson DJ, Carles M, Hatzidakis AM, Krishnan SG. Arthroscopic repair of full-thickness tears of the supraspinatus: does the tendon really heal?. J Bone Joint Surg Am 2005; 87 (6) 1229-1240
    Google Scholar
  • 95 Millett PJ, Warth RJ, Dornan GJ, Lee JT, Spiegl UJ. Clinical and structural outcomes after arthroscopic single-row versus double-row rotator cuff repair: a systematic review and meta-analysis of level I randomized clinical trials. J Shoulder Elbow Surg 2014; 23 (4) 586-597
    CrossrefPubMedGoogle Scholar
  • 96 Iyengar JJ, Porat S, Burnett KR, Marrero-Perez L, Hernandez VH, Nottage WM. Magnetic resonance imaging tendon integrity assessment after arthroscopic partial-thickness rotator cuff repair. Arthroscopy 2011; 27 (3) 306-313
    CrossrefPubMedGoogle Scholar
  • 97 Duc SR, Mengiardi B, Pfirrmann CW, Jost B, Hodler J, Zanetti M. Diagnostic performance of MR arthrography after rotator cuff repair. AJR Am J Roentgenol 2006; 186 (1) 237-241
    CrossrefPubMedGoogle Scholar
  • 98 Kim S-J, Kim S-H, Lim S-H, Chun YM. Use of magnetic resonance arthrography to compare clinical features and structural integrity after arthroscopic repair of bursal versus articular side partial-thickness rotator cuff tears. Am J Sports Med 2013; 41 (9) 2041-2047
    CrossrefPubMedGoogle Scholar
  • 99 Crim J, Burks R, Manaster BJ, Hanrahan C, Hung M, Greis P. Temporal evolution of MRI findings after arthroscopic rotator cuff repair. AJR Am J Roentgenol 2010; 195 (6) 1361-1366
    CrossrefPubMedGoogle Scholar
  • 100 Spielmann AL, Forster BB, Kokan P, Hawkins RH, Janzen DL. Shoulder after rotator cuff repair: MR imaging findings in asymptomatic individuals—initial experience. Radiology 1999; 213 (3) 705-708
    CrossrefPubMedGoogle Scholar
  • 101 Owen RS, Iannotti JP, Kneeland JB, Dalinka MK, Deren JA, Oleaga L. Shoulder after surgery: MR imaging with surgical validation. Radiology 1993; 186 (2) 443-447
    CrossrefPubMedGoogle Scholar
  • 102 Khazzam M, Kuhn JE, Mulligan E , et al. Magnetic resonance imaging identification of rotator cuff retears after repair: interobserver and intraobserver agreement. Am J Sports Med 2012; 40 (8) 1722-1727
    CrossrefPubMedGoogle Scholar
  • 103 Reilly P, Amis AA, Wallace AL, Emery RJ. Supraspinatus tears: propagation and strain alteration. J Shoulder Elbow Surg 2003; 12 (2) 134-138
    CrossrefPubMedGoogle Scholar
  • 104 Feeney MS, O'dowd J, Kay EW, Colville J. Glenohumeral articular cartilage changes in rotator cuff disease. J Shoulder Elbow Surg 2003; 12 (1) 20-23
    CrossrefPubMedGoogle Scholar
  • 105 Ide J, Maeda S, Takagi K. Arthroscopic transtendon repair of partial-thickness articular-side tears of the rotator cuff: anatomical and clinical study. Am J Sports Med 2005; 33 (11) 1672-1679
    CrossrefPubMedGoogle Scholar
  • 106 Lo IK, Burkhart SS. Transtendon arthroscopic repair of partial-thickness, articular surface tears of the rotator cuff. Arthroscopy 2004; 20 (2) 214-220
    CrossrefPubMedGoogle Scholar
  • 107 Wolf EM, Pennington WT, Agrawal V. Arthroscopic side-to-side rotator cuff repair. Arthroscopy 2005; 21 (7) 881-887
    CrossrefPubMedGoogle Scholar
  • 108 Burkhart SS. The principle of margin convergence in rotator cuff repair as a means of strain reduction at the tear margin. Ann Biomed Eng 2004; 32 (1) 166-170
    CrossrefPubMedGoogle Scholar
  • 109 Suchenski M, McCarthy MB, Chowaniec D , et al. Material properties and composition of soft-tissue fixation. Arthroscopy 2010; 26 (6) 821-831
    CrossrefPubMedGoogle Scholar
  • 110 Apreleva M, Ozbaydar M, Fitzgibbons PG, Warner JJ. Rotator cuff tears: the effect of the reconstruction method on three-dimensional repair site area. Arthroscopy 2002; 18 (5) 519-526
    CrossrefPubMedGoogle Scholar
  • 111 Park MC, ElAttrache NS, Tibone JE, Ahmad CS, Jun BJ, Lee TQ. Part I: Footprint contact characteristics for a transosseous-equivalent rotator cuff repair technique compared with a double-row repair technique. J Shoulder Elbow Surg 2007; 16 (4) 461-468
    CrossrefPubMedGoogle Scholar
  • 112 Denard PJ, Burkhart SS. The evolution of suture anchors in arthroscopic rotator cuff repair. Arthroscopy 2013; 29 (9) 1589-1595
    CrossrefPubMedGoogle Scholar
  • 113 Park MC, Elattrache NS, Ahmad CS, Tibone JE. “Transosseous-equivalent” rotator cuff repair technique. Arthroscopy 2006; 22 (12) e1-e5
    PubMedGoogle Scholar
  • 114 Voos JE, Barnthouse CD, Scott AR. Arthroscopic rotator cuff repair: techniques in 2012. Clin Sports Med 2012; 31 (4) 633-644
    CrossrefPubMedGoogle Scholar
  • 115 Garofalo R, Castagna A, Borroni M, Krishnan SG. Arthroscopic transosseous (anchorless) rotator cuff repair. Knee Surg Sports Traumatol Arthrosc 2012; 20 (6) 1031-1035
    CrossrefPubMedGoogle Scholar
  • 116 Salata MJ, Sherman SL, Lin EC , et al. Biomechanical evaluation of transosseous rotator cuff repair: do anchors really matter?. Am J Sports Med 2013; 41 (2) 283-290
    CrossrefPubMedGoogle Scholar
  • 117 Chen NC, Bedi A. Rotator cuff defect: acute or chronic?. J Hand Surg Am 2011; 36 (3) 513-515 , quiz 515
    CrossrefPubMedGoogle Scholar
  • 118 Cho NS, Yi JW, Lee BG, Rhee YG. Retear patterns after arthroscopic rotator cuff repair: single-row versus suture bridge technique. Am J Sports Med 2010; 38 (4) 664-671
    CrossrefPubMedGoogle Scholar
  • 119 Hayashida K, Tanaka M, Koizumi K, Kakiuchi M. Characteristic retear patterns assessed by magnetic resonance imaging after arthroscopic double-row rotator cuff repair. Arthroscopy 2012; 28 (4) 458-464
    CrossrefPubMedGoogle Scholar