Humeral head cysts: association with rotator cuff tears and age
The objective of this study was to retrospectively evaluate the prevalence of the cystic changes at rotator cuff footprint on proximal humeral tuberosities and investigate their relationship with rotator cuff tears and patient age. Magnetic resonance (MR) images of 657 patients who underwent shoulde...
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Veröffentlicht in: | European journal of orthopaedic surgery & traumatology 2014-07, Vol.24 (5), p.733-739 |
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creator | Suluova, Fatih Kanatli, Ulunay Ozturk, Burak Yagmur Esen, Erdinc Bolukbasi, Selcuk |
description | The objective of this study was to retrospectively evaluate the prevalence of the cystic changes at rotator cuff footprint on proximal humeral tuberosities and investigate their relationship with rotator cuff tears and patient age. Magnetic resonance (MR) images of 657 patients who underwent shoulder arthroscopy for treatment of rotator cuff disorders were reviewed to localize the cystic changes at anterior (supraspinatus insertion) and posterior (infraspinatus insertion) aspects of greater tuberosity (GT) and lesser tuberosity (subscapularis insertion). Preoperative MR reports as well as cyst size and locations on MR images were correlated with arthroscopic records of rotator cuff pathology (tear type, size, location and tendon involvement) and patient age. The prevalence of cystic changes was 9.1 % (60 patients) in the study population. Anterior GT cysts were found in 56 % of patients and were strongly associated with full-thickness (
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p
< .001) and articular-sided partial-thickness rotator cuff tears (
p
= .02). Posterior GT and lesser tuberosity cysts were found in 27 and 17 % of patients, respectively, and were not significantly related to rotator cuff tears, although there was an increased trend of posterior cysts in patients with infraspinatus tears (
p
= .09). A significant relation was found between patient age and the cyst size (
p
= .01), while none of the cyst localizations were statistically related to age. Anterior GT cysts were more common in this patient group and demonstrated a strong association with rotator cuff disorders regardless of age. Posterior GT and lesser tuberosity cysts were less common and showed no association with rotator cuff pathology or patient age.</description><identifier>ISSN: 1633-8065</identifier><identifier>EISSN: 1432-1068</identifier><identifier>DOI: 10.1007/s00590-013-1247-5</identifier><identifier>PMID: 23748696</identifier><language>eng</language><publisher>Paris: Springer Paris</publisher><subject>Adult ; Age ; Aged ; Arthroscopy ; Bone Cysts - etiology ; Bone Cysts - pathology ; Cysts ; Female ; Humans ; Humeral Head ; Magnetic Resonance Imaging ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Original Article ; Patients ; Retrospective Studies ; Rotator cuff ; Rotator Cuff - surgery ; Rotator Cuff Injuries ; Rupture - complications ; Rupture - surgery ; Surgical Orthopedics ; Tendon Injuries - complications ; Tendon Injuries - pathology ; Tendon Injuries - surgery ; Traumatic Surgery</subject><ispartof>European journal of orthopaedic surgery & traumatology, 2014-07, Vol.24 (5), p.733-739</ispartof><rights>Springer-Verlag France 2013</rights><rights>Springer-Verlag France 2013.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3205-6ce95119d83f0345f011a6f5b2714d56f2b9370bba4585e8a59247f55063d73d3</citedby><cites>FETCH-LOGICAL-c3205-6ce95119d83f0345f011a6f5b2714d56f2b9370bba4585e8a59247f55063d73d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00590-013-1247-5$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00590-013-1247-5$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23748696$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Suluova, Fatih</creatorcontrib><creatorcontrib>Kanatli, Ulunay</creatorcontrib><creatorcontrib>Ozturk, Burak Yagmur</creatorcontrib><creatorcontrib>Esen, Erdinc</creatorcontrib><creatorcontrib>Bolukbasi, Selcuk</creatorcontrib><title>Humeral head cysts: association with rotator cuff tears and age</title><title>European journal of orthopaedic surgery & traumatology</title><addtitle>Eur J Orthop Surg Traumatol</addtitle><addtitle>Eur J Orthop Surg Traumatol</addtitle><description>The objective of this study was to retrospectively evaluate the prevalence of the cystic changes at rotator cuff footprint on proximal humeral tuberosities and investigate their relationship with rotator cuff tears and patient age. Magnetic resonance (MR) images of 657 patients who underwent shoulder arthroscopy for treatment of rotator cuff disorders were reviewed to localize the cystic changes at anterior (supraspinatus insertion) and posterior (infraspinatus insertion) aspects of greater tuberosity (GT) and lesser tuberosity (subscapularis insertion). Preoperative MR reports as well as cyst size and locations on MR images were correlated with arthroscopic records of rotator cuff pathology (tear type, size, location and tendon involvement) and patient age. The prevalence of cystic changes was 9.1 % (60 patients) in the study population. Anterior GT cysts were found in 56 % of patients and were strongly associated with full-thickness (
p
< .001) and articular-sided partial-thickness rotator cuff tears (
p
= .02). Posterior GT and lesser tuberosity cysts were found in 27 and 17 % of patients, respectively, and were not significantly related to rotator cuff tears, although there was an increased trend of posterior cysts in patients with infraspinatus tears (
p
= .09). A significant relation was found between patient age and the cyst size (
p
= .01), while none of the cyst localizations were statistically related to age. Anterior GT cysts were more common in this patient group and demonstrated a strong association with rotator cuff disorders regardless of age. Posterior GT and lesser tuberosity cysts were less common and showed no association with rotator cuff pathology or patient age.</description><subject>Adult</subject><subject>Age</subject><subject>Aged</subject><subject>Arthroscopy</subject><subject>Bone Cysts - etiology</subject><subject>Bone Cysts - pathology</subject><subject>Cysts</subject><subject>Female</subject><subject>Humans</subject><subject>Humeral Head</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Original Article</subject><subject>Patients</subject><subject>Retrospective Studies</subject><subject>Rotator cuff</subject><subject>Rotator Cuff - surgery</subject><subject>Rotator Cuff Injuries</subject><subject>Rupture - complications</subject><subject>Rupture - surgery</subject><subject>Surgical Orthopedics</subject><subject>Tendon Injuries - complications</subject><subject>Tendon Injuries - pathology</subject><subject>Tendon Injuries - surgery</subject><subject>Traumatic Surgery</subject><issn>1633-8065</issn><issn>1432-1068</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kMtKxTAQhoMoHj36AG4k4MZNdSbppK0bEfEGghtdh7RNtIdeNGmR8_ZG6gUEVxOYb_6ZfIwdIJwgQHYaAKiABFAmKNIsoQ22g6kUCYLKN-NbSZnkoGjBdkNYASAVSNtsIWSW5qpQO-z8duqsNy1_sabm1TqM4YybEIaqMWMz9Py9GV-4H0YzDp5Xk3N8tMYHbvqam2e7x7acaYPd_6pL9nR99Xh5m9w_3NxdXtwnlRRAiapsQYhFnUsHMiUHiEY5KkWGaU3KibKQGZSlSSknmxsq4occEShZZ7KWS3Y857764W2yYdRdEyrbtqa3wxQ0kixSRShERI_-oKth8n28TotcZgKFjHXJcKYqP4TgrdOvvumMX2sE_WlXz3Z1tKs_7WqKM4dfyVPZ2fpn4ltnBMQMhNjqn63_Xf1_6gdZIIHG</recordid><startdate>201407</startdate><enddate>201407</enddate><creator>Suluova, Fatih</creator><creator>Kanatli, Ulunay</creator><creator>Ozturk, Burak Yagmur</creator><creator>Esen, Erdinc</creator><creator>Bolukbasi, Selcuk</creator><general>Springer Paris</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>201407</creationdate><title>Humeral head cysts: association with rotator cuff tears and age</title><author>Suluova, Fatih ; Kanatli, Ulunay ; Ozturk, Burak Yagmur ; Esen, Erdinc ; Bolukbasi, Selcuk</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3205-6ce95119d83f0345f011a6f5b2714d56f2b9370bba4585e8a59247f55063d73d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Age</topic><topic>Aged</topic><topic>Arthroscopy</topic><topic>Bone Cysts - etiology</topic><topic>Bone Cysts - pathology</topic><topic>Cysts</topic><topic>Female</topic><topic>Humans</topic><topic>Humeral Head</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Original Article</topic><topic>Patients</topic><topic>Retrospective Studies</topic><topic>Rotator cuff</topic><topic>Rotator Cuff - surgery</topic><topic>Rotator Cuff Injuries</topic><topic>Rupture - complications</topic><topic>Rupture - surgery</topic><topic>Surgical Orthopedics</topic><topic>Tendon Injuries - complications</topic><topic>Tendon Injuries - pathology</topic><topic>Tendon Injuries - surgery</topic><topic>Traumatic Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Suluova, Fatih</creatorcontrib><creatorcontrib>Kanatli, Ulunay</creatorcontrib><creatorcontrib>Ozturk, Burak Yagmur</creatorcontrib><creatorcontrib>Esen, Erdinc</creatorcontrib><creatorcontrib>Bolukbasi, Selcuk</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of orthopaedic surgery & traumatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Suluova, Fatih</au><au>Kanatli, Ulunay</au><au>Ozturk, Burak Yagmur</au><au>Esen, Erdinc</au><au>Bolukbasi, Selcuk</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Humeral head cysts: association with rotator cuff tears and age</atitle><jtitle>European journal of orthopaedic surgery & traumatology</jtitle><stitle>Eur J Orthop Surg Traumatol</stitle><addtitle>Eur J Orthop Surg Traumatol</addtitle><date>2014-07</date><risdate>2014</risdate><volume>24</volume><issue>5</issue><spage>733</spage><epage>739</epage><pages>733-739</pages><issn>1633-8065</issn><eissn>1432-1068</eissn><abstract>The objective of this study was to retrospectively evaluate the prevalence of the cystic changes at rotator cuff footprint on proximal humeral tuberosities and investigate their relationship with rotator cuff tears and patient age. Magnetic resonance (MR) images of 657 patients who underwent shoulder arthroscopy for treatment of rotator cuff disorders were reviewed to localize the cystic changes at anterior (supraspinatus insertion) and posterior (infraspinatus insertion) aspects of greater tuberosity (GT) and lesser tuberosity (subscapularis insertion). Preoperative MR reports as well as cyst size and locations on MR images were correlated with arthroscopic records of rotator cuff pathology (tear type, size, location and tendon involvement) and patient age. The prevalence of cystic changes was 9.1 % (60 patients) in the study population. Anterior GT cysts were found in 56 % of patients and were strongly associated with full-thickness (
p
< .001) and articular-sided partial-thickness rotator cuff tears (
p
= .02). Posterior GT and lesser tuberosity cysts were found in 27 and 17 % of patients, respectively, and were not significantly related to rotator cuff tears, although there was an increased trend of posterior cysts in patients with infraspinatus tears (
p
= .09). A significant relation was found between patient age and the cyst size (
p
= .01), while none of the cyst localizations were statistically related to age. Anterior GT cysts were more common in this patient group and demonstrated a strong association with rotator cuff disorders regardless of age. Posterior GT and lesser tuberosity cysts were less common and showed no association with rotator cuff pathology or patient age.</abstract><cop>Paris</cop><pub>Springer Paris</pub><pmid>23748696</pmid><doi>10.1007/s00590-013-1247-5</doi><tpages>7</tpages></addata></record> |
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subjects | Adult Age Aged Arthroscopy Bone Cysts - etiology Bone Cysts - pathology Cysts Female Humans Humeral Head Magnetic Resonance Imaging Male Medicine Medicine & Public Health Middle Aged Original Article Patients Retrospective Studies Rotator cuff Rotator Cuff - surgery Rotator Cuff Injuries Rupture - complications Rupture - surgery Surgical Orthopedics Tendon Injuries - complications Tendon Injuries - pathology Tendon Injuries - surgery Traumatic Surgery |
title | Humeral head cysts: association with rotator cuff tears and age |
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