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  • MRI findings predict...

MRI findings predict shoulder stiffness for rotator cuff tears

Dr. Kamal Kant KohliBy Dr. Kamal Kant KohliPublished On 2020-02-21T16:48:07+05:30  |  Updated On 21 Feb 2020 11:18 AM GMT
MRI findings predict shoulder stiffness for rotator cuff tears

Leesburg - Researchers conducted a study to evaluate the relationship between stiff shoulder in patients with a full-thickness rotator cuff tear and MRI findings and found that two MRI findings--joint capsule oedema and thickness at the axillary recess, specifically--proved useful in predicting stiff shoulder in patients with rotator cuff tears, according to an article in the American Journal...

Leesburg - Researchers conducted a study to evaluate the relationship between stiff shoulder in patients with a full-thickness rotator cuff tear and MRI findings and found that two MRI findings--joint capsule oedema and thickness at the axillary recess, specifically--proved useful in predicting stiff shoulder in patients with rotator cuff tears, according to an article in the American Journal of Roentgenology (AJR).

Studying 106 patients with small to large (< 5 cm) full-thickness rotator cuff tears, in addition to joint capsule oedema and thickness in the axillary recess, Yoon Yi Kim of Korea's Veterans Health Service Medical Center assessed obliteration of the subcoracoid fat triangle, fatty degeneration of the torn rotator cuff muscle, and degree of retraction.

Tear size and location were determined by MRI findings and operative report, while associations between MRI findings and preoperative passive range of motion (ROM) were evaluated with simple and multiple linear regression analyses and proportional odds logistic regression analysis.

As Kim and colleagues wrote: "There was a significant, negative linear correlation between limited ROM at forward elevation and thickness of the joint capsule in the glenoid portion of the axillary recess (p = 0.018), external rotation and joint capsule oedema in the humeral portion of the axillary recess (p = 0.011), and internal rotation and joint capsule oedema in the glenoid portion of the axillary recess (p = 0.007)."

Fatty degeneration (p = 0.003) was an independent predictor of limited ROM on internal rotation. Meanwhile, male sex (p = 0.041) and posterosuperior rotator cuff tear (p = 0.030) were independent predictors of shoulder ROM on external rotation.

"This study is important," Kim et al. noted, "because it is the first to highlight joint capsule abnormality on MRI as a factor associated with stiff shoulder in patients with full-thickness rotator cuff tears."

for further references log on to:

http://dx.doi.org/10.2214/AJR.19.21973

American Journal of Roentgenology MRI Magnetic resonance imaging rotator cuff tear 
Source : American Journal of Roentgenology
Dr. Kamal Kant Kohli
Dr. Kamal Kant Kohli

    Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as an Editor-in-Chief for the Speciality Medical Dialogues section. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Before Joining Medical Dialogues, he has served at important positions in the medical industry in India including as the Hony. Secretary of the Delhi Medical Association as well as the chairman of Anti-Quackery Committee in Delhi and worked with other Medical Councils in India. Email: editorial@medicaldialogues.in. Contact no. 011-43720751

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