19. Characteristics of rotator cuff injury on 3T-MR Imaging of the patients with shouder pain

Nguyen Dinh Minh, Nguyen Duy Hung

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Abstract

A cross-sectional study on characteristics of rotator cuff tendon injury on 3T-MRI in patients with shoulder pain at Viet-Duc Friendship Hospital from April to August 2021. The results included 114 patients (64 men and 50 women). The mean age is 52±12.1 years old. The most common injury is the supraspinatus tendon, accounting for 66/114 (57.9%) cases, in which the rate of the group 50 years old and over is 45/63 (71.4%) higher than the group under 50 years old, 21/51 (41.2%), (p < 0.01, OR = 3.6; 95%CI: 1.6 - 7.8). Tendon hyperintense was common with 33/114 (28.9%) supraspinatus, 17/114 (14.9%) infraspinatus, 12/114 (10.5%) subscapular and 6/114 (5.3%) biceps tendon. Partial-thickness tear of the rotator cuff tendon was found in 34/114 (29.8%) supraspinatus, 5/114 (4.4%) infraspinatus and 8/114 (7%) subscapular tendons. Full-thickness tear occurred in 13/114 (11.4%) supraspinatus tendons, 3/114 (2.6%) subscapular and 1 case of infraspinatus tendon and 1 case of biceps tendon rupture. Thus, the rotator cuff injury on 3T-MRI in shoulder pain is very diverse.

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References

1. Sambandam SN, Khanna V, Gul A, Mounasamy V. Rotator cuff tears: An evidence based approach. World J Orthop.2015;6(11):902-18. doi: 10.5312/wjo.v6 .i11.902.
2. McGinley JC, Agrawal S, Biswal S. Rotator cuff tears: Association with acromion angulation on MRI. Clin Imaging. 2012;36(6):791-6. doi: 10.1016/j.clinimag.2012.04.007.
3. Tuite MJ, Small KM. Imaging evaluation of nonacute shoulder pain. AJR Am J Roentgenol. 2017;209(3):525-533. doi: 10.2214/ajr.17.1808 5.
4. Phan Đình Mừng, Trần Đình Chiến, Phạm Đăng Ninh. Nhận xét đặc điểm tổn thương chóp xoay trên chụp cộng hưởng từ đối chiếu với nội soi khớp vai. Tạo chí Y Dược học Quân sự. 2019;6:69-72.
5. Barreto RPG, Braman JP, Ludewig PM, Ribeiro LP, Camargo PR. Bilateral magnetic resonance imaging findings in individuals with unilateral shoulder pain. J Shoulder Elbow Surg. 2019;28(9):1699-1706. doi: 10.1016/j.jse. 2019.04.001.
6. McGarvey C, Harb Z, Smith C, Houghton R, Corbett S, Ajuied A. Diagnosis of rotator cuff tears using 3-Tesla MRI versus 3-Tesla MRA: A systematic review and meta-analysis. Skeletal Radiology. 2016;45(2):251-261. doi: 10.1007/s00256-015-2299-x.
7. Lee JH, Yoon YC, Jee S, Kwon JW, Cha JG, Yoo JC. Comparison of three-dimensional isotropic and two-dimensional conventional indirect MR arthrography for the diagnosis of rotator cuff tears. Korean J Radiol. 2014;15(6):771-780. doi: 10.3348/kjr.20 14.15.6.771.
8. Morag Y, Jacobson JA, Miller B, De Maeseneer M, Girish G, Jamadar D. MR imaging of rotator cuff injury: what the clinician needs to know. Radiographics. 2006;26(4):1045-65. doi: 10.1148/rg.264055087.
9. McCrum E. MR Imaging of the rotator cuff. Magn Reson Imaging Clin N Am. 2020;28(2):165-179. doi: 10.1016/j.mric.2019.12.002.
10. Lee RW, Choi SJ, Lee MH, et al. Diagnostic accuracy of 3T conventional shoulder MRI in the detection of the long head of the biceps tendon tears associated with rotator cuff tendon tears. Skeletal Radiol. 2016;45(12):1705-1715. doi: 10.1007/s00256-016-2501-9.
11. Liu F, Dong J, Shen WJ, Kang Q, Zhou D, Xiong F. Detecting rotator cuff tears: A network meta-analysis of 144 diagnostic studies. Orthop J Sports Med.2020;8(2):1-26. doi: 10.1177/2325967119900356.