MRI of Superior Capsular Reconstruction
| Autor: | Jose R. Perez, Harry G. Greditzer, Julianne Muñoz, Harsh A. Shah, Priscila G. Sanchez, Jean Jose, Michael G. Baraga, Ane Ugarte Nuño, Jessica M. Bernstein, Christopher P. Emerson |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Graft failure medicine.medical_treatment behavioral disciplines and activities Arthroplasty Rotator Cuff Injuries 030218 nuclear medicine & medical imaging Arthroscopy 03 medical and health sciences Postoperative Complications 0302 clinical medicine Arthropathy medicine Humans Radiology Nuclear Medicine and imaging Rotator cuff business.industry Patient Selection Treatment options Perioperative Plastic Surgery Procedures medicine.disease Magnetic Resonance Imaging Surgery medicine.anatomical_structure 030220 oncology & carcinogenesis Tears business Preoperative imaging |
| Zdroj: | RadioGraphics. 40:454-467 |
| ISSN: | 1527-1323 0271-5333 |
| DOI: | 10.1148/rg.2020190074 |
| Popis: | Massive irreparable rotator cuff tears can be a challenging problem for arthroscopists in the perioperative setting because the typical treatment, reverse total shoulder arthroplasty, may not be the best option for all patients. Superior capsular reconstruction (SCR) is an advancing treatment option for patients with rotator cuff tears that are neither amenable to primary repair nor ideal for arthroplasty. Patient selection, which is strongly dependent on preoperative imaging findings, is an important step in obtaining favorable surgical outcomes. The tissue quality and tear type are particularly important when considering SCR for a patient. When unsuccessful SCR is suspected, postoperative MRI of the shoulder offers the surgeon and radiologist a means of evaluating the integrity and fixation of the graft. Fluid-sensitive MRI sequences are best for examining the final SCR construct, with high-signal-intensity fluid interruptions within the graft and the presence or worsening of shoulder arthropathy indicating graft failure. The indications for SCR are discussed, and the normal postoperative MRI findings after SCR are described in this review. In addition, the common types of SCR graft failure and associated imaging findings are described and illustrated. ©RSNA, 2020. |
| Databáze: | OpenAIRE |
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