Correlation between mri findings and clinical outcome after rotator cuff repair
Main Article Content
Abstract
The purpose of this study was to investigate the relationship between postoperative MRI images and clinical outcome on 52 patients after arthroscopic rotator cuff repair at least 6 months, from January 2020 to June 2021. The results showed that the rate of recurrent supraspinatus muscle tendon tear was 9.62% and all patients were found to have recurrent tear within 6 months after surgery. The clinical improvement after surgery was significant, most of them were at good and excellent levels. There was a concordance between the Sugaya classification on MRI features with clinical score according to UCLA, ASES with p < 0.001. The relationship between fatty degeneration and muscle atrophy with clinical score and rate of recurrent tear was significant with p < 0.05. Thus, patients with lower Sugaya grades have better shoulder joint conditions after surgery. Patients with a high index of fatty degeneration and muscle atrophy on MRI have poorer clinical outcome and a higher risk of recurrent tearing.
Article Details
Keywords
After rotator cuff repair, recurrent tears, rotator cuff MRI, Sugaya, UCLA, ASES
References
2. Neviaser RJ. Evaluation and management of failed rotator cuff repairs. Orthop Clin North Am. 1997;28(2):215-224. doi:10.1016/s0030-5898(05)70281-9
3. Le BTN, Wu XL, Lam PH, Murrell GAC. Factors predicting rotator cuff retears: an analysis of 1000 consecutive rotator cuff repairs. Am J Sports Med. 2014;42(5):1134-1142. doi:10.1177/0363546514525336
4. Choi S, Kim MK, Kim GM, Roh Y-H, Hwang IK, Kang H. Factors associated with clinical and structural outcomes after arthroscopic rotator cuff repair with a suture bridge technique in medium, large, and massive tears. J Shoulder Elbow Surg. 2014;23(11):1675-1681. doi:10.1016/j.jse.2014.02.021
5. Diebold G, Lam P, Walton J, Murrell GAC. Relationship Between Age and Rotator Cuff Retear: A Study of 1,600 Consecutive Rotator Cuff Repairs. J Bone Jt Surg. 2017;99(14):1198-1205. doi:10.2106/JBJS.16.00770
6. Koh KH, Laddha MS, Lim TK, Park JH, Yoo JC. Serial structural and functional assessments of rotator cuff repairs: do they differ at 6 and 19 months postoperatively? J Shoulder Elbow Surg. 2012;21(7):859-866. doi:10.1016/j.jse.2011.05.027
7. Collin P, Yoshida M, Delarue A, Lucas C, Jossaume T, Lädermann A. Evaluating postoperative rotator cuff healing: Prospective comparison of MRI and ultrasound. Orthop Traumatol Surg Res. 2015;101(6):S265-S268. doi:10.1016/j.otsr.2015.06.006
8. Malavolta EA, Assunção JH, Ramos FF, et al. Serial structural MRI evaluation of arthroscopy rotator cuff repair: does Sugaya’s classification correlate with the postoperative clinical outcomes? Arch Orthop Trauma Surg. 2016;136(6):791-797. doi:10.1007/s00402-016-2429-5
9. Phan Đình Mừng, Trần Đình Chiến, Phạm Đăng Ninh. Kết quả chụp cộng hưởng từ sau phẫu thuật nôi soi khâu chóp xoay rách: tương quan giữa chỉ số thoái hóa mỡ với phục hồi chức năng khớp vai. Tạp chí Y học Việt Nam. 2018;7(2):13-16.
10. Beltran LS, Bencardino JT, Steinbach LS. Postoperative MRI of the shoulder. J Magn Reson Imaging JMRI. 2014;40(6):1280-1297. doi:10.1002/jmri.24570
11. Gladstone JN, Bishop JY, Lo IKY, 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. doi:10.1177/0363546506297539
12. Yoo JH, Cho NS, Rhee YG. Effect of postoperative repair integrity on health-related quality of life after rotator cuff repair: healed versus retear group. Am J Sports Med. 2013;41(11):2637-2644. doi:10.1177/0363546513499152
13. Muniandy M, Niglis L, Dosch JC, Meyer N, Kempf JF, Collin P. Postoperative rotator cuff integrity: can we consider type 3 Sugaya classification as retear? J Shoulder Elbow Surg. 2021;30(1):97-103. doi:10.1016/j.jse.2020.05.002
14. Thakkar RS, Thakkar SC, Srikumaran U, McFarland EG, Fayad LM. Complications of rotator cuff surgery—the role of post-operative imaging in patient care. Br J Radiol. 2014;87(1039):20130630. doi:10.1259/bjr.20130630
15. Goutallier D, Postel J-M, Gleyze P, Leguilloux P, Van Driessche S. Influence of cuff muscle fatty degeneration on anatomic and functional outcomes after simple suture of full-thickness tears. J Shoulder Elbow Surg. 2003;12(6):550-554. doi:10.1016/S1058-2746(03)00211-8