Document Detail


Subscapularis tendon tear: primary and associated signs on MRI.
MedLine Citation:
PMID:  11351193     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: The purpose of this work was to investigate signs of subscapularis tendon tear on MRI. METHOD: Preoperative written interpretations of high field (n = 9) and low field (n = 7) MRI of 16 patients with tears confirmed at surgery or arthroscopy were reviewed, followed by retrospective review of these studies. RESULTS: A preoperative diagnosis of subscapularis tear was made in five (31%) cases. On retrospective review, primary signs of tear were present in 15 (94%) cases and in two-thirds were limited to the cranial third of the tendon. Supraspinatus tears were present in 69% of cases. Associated findings included medial dislocation (n = 4) or subluxation (n = 3) of biceps tendon, biceps tendinopathy (n = 2), superior labral tear (n = 5), and effusions of superior subscapularis recess (n = 6), subcoracoid bursa (n = 2), or both (n = 5). One or more associated signs were present in 94% of cases. CONCLUSION: Subscapularis tear is frequently missed on MRI. Recognizing that primary signs of tear may be limited to the cranial third of the subscapularis tendon and identifying associated signs should facilitate diagnosis.
Authors:
G A Tung; D C Yoo; S M Levine; J M Brody; A Green
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of computer assisted tomography     Volume:  25     ISSN:  0363-8715     ISO Abbreviation:  J Comput Assist Tomogr     Publication Date:    2001 May-Jun
Date Detail:
Created Date:  2001-05-14     Completed Date:  2001-06-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7703942     Medline TA:  J Comput Assist Tomogr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  417-24     Citation Subset:  IM    
Affiliation:
Department of Diagnostic Imaging, Brown University School of Medicine and Rhode Island Hospital, Providence, RI 02903, USA. gtung@lifespan.org
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Chi-Square Distribution
Female
Humans
Magnetic Resonance Imaging*
Male
Middle Aged
Retrospective Studies
Rotator Cuff / injuries*,  pathology
Tendon Injuries / diagnosis*,  pathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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