Sonographic evaluation of the post-operative rotator cuff: Does tendon thickness matterReportar como inadecuado




Sonographic evaluation of the post-operative rotator cuff: Does tendon thickness matter - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

The goal of this work is to determine whether sonographic measures of tendon thickness correlate with post-operative functional parameters or re-tear rates. 53 consecutive patients with supraspinatus tears on MRI were examined by an orthopedic surgeon to determine: pre-and post-operative patient pain via Constant-Murley scale, night time pain, maximum force production by the affected arm in pounds, and range of motion deficits. Post-operative ultrasound at 3 and 12 months following surgery was performed to evaluate for recurrent tear and to measure tendon thickness. Post-operative tendon thickness was inversely related to patient age r = -0.24; p < 0.05. Statistically significantly decreased thickness was observed with Snyder type C lesions 4.2 mm versus 5.1 mm for type A and B; p < 0.05. Tendon thickness decreased post-operatively from 3 to 12 months r = -0.31; p < 0.05. Only two recurrent tears occurred, preventing statistical assessment of the prognostic value of tendon thickness. Post-operative tendon thickness did not successfully predict post-operative functional outcomes or pain levels p > 0.05. Normal post-operative tendon thickness of the rotator cuff decreases from 3 to 12 months following surgery. Thickness is reduced in patients with more severe tears and in older patients but does not correlate with post-operative patient pain or functional outcomes.

KEYWORDS

Rotator Cuff; Sonography; Postoperative Imaging; Arthroscopy; Postoperative Evaluation

Cite this paper

Lasbleiz, J. , Benkalfate, T. , N. Morelli, J. and Jan, J. 2013 Sonographic evaluation of the post-operative rotator cuff: Does tendon thickness matter?. Open Journal of Clinical Diagnostics, 3, 78-84. doi: 10.4236-ojcd.2013.33015.





Autor: J. Lasbleiz, T. Benkalfate, J. N. Morelli, J. Jan

Fuente: http://www.scirp.org/



DESCARGAR PDF




Documentos relacionados