Sonography of the postoperative shoulder
Fifty-three patients with 60 symptomatic shoulders underwent shoulder sonography for recurrent postoperative symptoms after either acromioplasty (10 shoulders) or repair of a full-thickness rotator cuff tear in addition to acromioplasty (50 shoulders). Because surgery distorts landmarks, an understa...
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| Veröffentlicht in: | American journal of roentgenology (1976) 1988-05, Vol.150 (5), p.1089-1093 |
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| container_end_page | 1093 |
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| container_issue | 5 |
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| container_title | American journal of roentgenology (1976) |
| container_volume | 150 |
| creator | Mack, LA Nyberg, DA Matsen, FR, 3rd Kilcoyne, RF Harvey, D |
| description | Fifty-three patients with 60 symptomatic shoulders underwent shoulder sonography for recurrent postoperative symptoms after either acromioplasty (10 shoulders) or repair of a full-thickness rotator cuff tear in addition to acromioplasty (50 shoulders). Because surgery distorts landmarks, an understanding of the surgical procedures and their characteristic sonographic appearances is essential. After acromioplasty, the characteristic sharp margination or the acromion was replaced by a less distinct, irregular surface. After repair of a cuff tear, characteristic sonographic appearances included visualization of a reimplantation trough and loss of the echogenic subdeltoid bursa. When the cuff was intact after surgery, echogenicity was abnormal in all cases (17 shoulders). Sonography accurately diagnosed recurrent cuff tears in all 26 shoulders in which surgical proof was available and confirmed an intact cuff in 10 of 11 cases. In one shoulder, a cuff hematoma was incorrectly interpreted as a full-thickness tear. These findings suggest that sonography is an effective procedure for evaluating a postoperative patient with recurrent shoulder symptoms. |
| doi_str_mv | 10.2214/ajr.150.5.1089 |
| format | Article |
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Because surgery distorts landmarks, an understanding of the surgical procedures and their characteristic sonographic appearances is essential. After acromioplasty, the characteristic sharp margination or the acromion was replaced by a less distinct, irregular surface. After repair of a cuff tear, characteristic sonographic appearances included visualization of a reimplantation trough and loss of the echogenic subdeltoid bursa. When the cuff was intact after surgery, echogenicity was abnormal in all cases (17 shoulders). Sonography accurately diagnosed recurrent cuff tears in all 26 shoulders in which surgical proof was available and confirmed an intact cuff in 10 of 11 cases. In one shoulder, a cuff hematoma was incorrectly interpreted as a full-thickness tear. These findings suggest that sonography is an effective procedure for evaluating a postoperative patient with recurrent shoulder symptoms.</description><identifier>ISSN: 0361-803X</identifier><identifier>EISSN: 1546-3141</identifier><identifier>DOI: 10.2214/ajr.150.5.1089</identifier><identifier>PMID: 3282405</identifier><identifier>CODEN: AAJRDX</identifier><language>eng</language><publisher>Leesburg, VA: Am Roentgen Ray Soc</publisher><subject>Acromion - surgery ; Biological and medical sciences ; Diseases of the osteoarticular system ; Humans ; Inflammatory joint diseases ; Medical sciences ; Pain ; Postoperative Complications - diagnosis ; Recurrence ; Shoulder Joint - pathology ; Shoulder Joint - surgery ; Tendons - surgery ; Ultrasonography</subject><ispartof>American journal of roentgenology (1976), 1988-05, Vol.150 (5), p.1089-1093</ispartof><rights>1988 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c391t-e19919be5f6e2053eff24db21be51fa25c667b91d017a2f9d5e07d2853cef96b3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,4120,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=7684240$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/3282405$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mack, LA</creatorcontrib><creatorcontrib>Nyberg, DA</creatorcontrib><creatorcontrib>Matsen, FR, 3rd</creatorcontrib><creatorcontrib>Kilcoyne, RF</creatorcontrib><creatorcontrib>Harvey, D</creatorcontrib><title>Sonography of the postoperative shoulder</title><title>American journal of roentgenology (1976)</title><addtitle>AJR Am J Roentgenol</addtitle><description>Fifty-three patients with 60 symptomatic shoulders underwent shoulder sonography for recurrent postoperative symptoms after either acromioplasty (10 shoulders) or repair of a full-thickness rotator cuff tear in addition to acromioplasty (50 shoulders). Because surgery distorts landmarks, an understanding of the surgical procedures and their characteristic sonographic appearances is essential. After acromioplasty, the characteristic sharp margination or the acromion was replaced by a less distinct, irregular surface. After repair of a cuff tear, characteristic sonographic appearances included visualization of a reimplantation trough and loss of the echogenic subdeltoid bursa. When the cuff was intact after surgery, echogenicity was abnormal in all cases (17 shoulders). Sonography accurately diagnosed recurrent cuff tears in all 26 shoulders in which surgical proof was available and confirmed an intact cuff in 10 of 11 cases. In one shoulder, a cuff hematoma was incorrectly interpreted as a full-thickness tear. These findings suggest that sonography is an effective procedure for evaluating a postoperative patient with recurrent shoulder symptoms.</description><subject>Acromion - surgery</subject><subject>Biological and medical sciences</subject><subject>Diseases of the osteoarticular system</subject><subject>Humans</subject><subject>Inflammatory joint diseases</subject><subject>Medical sciences</subject><subject>Pain</subject><subject>Postoperative Complications - diagnosis</subject><subject>Recurrence</subject><subject>Shoulder Joint - pathology</subject><subject>Shoulder Joint - surgery</subject><subject>Tendons - surgery</subject><subject>Ultrasonography</subject><issn>0361-803X</issn><issn>1546-3141</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1988</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpNkE1Lw0AQhhdRaq1evQk9iHpJ3Nlkk-xRil9Q8KCCt2WTzDYpaTfuJob-e7c0iKeBeZ95Bx5CLoGGjEF8r9Y2BE5DHgLNxBGZAo-TIIIYjsmURgkEGY2-TsmZc2tKaZqJdEImEctYTPmU3L2brVlZ1Va7udHzrsJ5a1xnWrSqq39w7irTNyXac3KiVePwYpwz8vn0-LF4CZZvz6-Lh2VQRAK6AEEIEDlynSCjPEKtWVzmDPwKtGK8SJI0F1BSSBXTouRI05JlPCpQiySPZuTm0Nta892j6-SmdgU2jdqi6Z1MM0i5oMyD4QEsrHHOopatrTfK7iRQuVcjvRrp1Ugu92r8wdXY3OcbLP_w0YXPr8dcuUI12qptUbs_LE2y2HMeuz1gVb2qhtqidBvVNL4U5DAM_x7-AnKQePg</recordid><startdate>19880501</startdate><enddate>19880501</enddate><creator>Mack, LA</creator><creator>Nyberg, DA</creator><creator>Matsen, FR, 3rd</creator><creator>Kilcoyne, RF</creator><creator>Harvey, D</creator><general>Am Roentgen Ray Soc</general><general>American Roentgen Ray Society</general><scope>IQODW</scope><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>7X8</scope></search><sort><creationdate>19880501</creationdate><title>Sonography of the postoperative shoulder</title><author>Mack, LA ; Nyberg, DA ; Matsen, FR, 3rd ; Kilcoyne, RF ; Harvey, D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c391t-e19919be5f6e2053eff24db21be51fa25c667b91d017a2f9d5e07d2853cef96b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1988</creationdate><topic>Acromion - surgery</topic><topic>Biological and medical sciences</topic><topic>Diseases of the osteoarticular system</topic><topic>Humans</topic><topic>Inflammatory joint diseases</topic><topic>Medical sciences</topic><topic>Pain</topic><topic>Postoperative Complications - diagnosis</topic><topic>Recurrence</topic><topic>Shoulder Joint - pathology</topic><topic>Shoulder Joint - surgery</topic><topic>Tendons - surgery</topic><topic>Ultrasonography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mack, LA</creatorcontrib><creatorcontrib>Nyberg, DA</creatorcontrib><creatorcontrib>Matsen, FR, 3rd</creatorcontrib><creatorcontrib>Kilcoyne, RF</creatorcontrib><creatorcontrib>Harvey, D</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of roentgenology (1976)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mack, LA</au><au>Nyberg, DA</au><au>Matsen, FR, 3rd</au><au>Kilcoyne, RF</au><au>Harvey, D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sonography of the postoperative shoulder</atitle><jtitle>American journal of roentgenology (1976)</jtitle><addtitle>AJR Am J Roentgenol</addtitle><date>1988-05-01</date><risdate>1988</risdate><volume>150</volume><issue>5</issue><spage>1089</spage><epage>1093</epage><pages>1089-1093</pages><issn>0361-803X</issn><eissn>1546-3141</eissn><coden>AAJRDX</coden><abstract>Fifty-three patients with 60 symptomatic shoulders underwent shoulder sonography for recurrent postoperative symptoms after either acromioplasty (10 shoulders) or repair of a full-thickness rotator cuff tear in addition to acromioplasty (50 shoulders). Because surgery distorts landmarks, an understanding of the surgical procedures and their characteristic sonographic appearances is essential. After acromioplasty, the characteristic sharp margination or the acromion was replaced by a less distinct, irregular surface. After repair of a cuff tear, characteristic sonographic appearances included visualization of a reimplantation trough and loss of the echogenic subdeltoid bursa. When the cuff was intact after surgery, echogenicity was abnormal in all cases (17 shoulders). Sonography accurately diagnosed recurrent cuff tears in all 26 shoulders in which surgical proof was available and confirmed an intact cuff in 10 of 11 cases. In one shoulder, a cuff hematoma was incorrectly interpreted as a full-thickness tear. These findings suggest that sonography is an effective procedure for evaluating a postoperative patient with recurrent shoulder symptoms.</abstract><cop>Leesburg, VA</cop><pub>Am Roentgen Ray Soc</pub><pmid>3282405</pmid><doi>10.2214/ajr.150.5.1089</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0361-803X |
| ispartof | American journal of roentgenology (1976), 1988-05, Vol.150 (5), p.1089-1093 |
| issn | 0361-803X 1546-3141 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_78175902 |
| source | American Roentgen Ray Society; MEDLINE; Alma/SFX Local Collection |
| subjects | Acromion - surgery Biological and medical sciences Diseases of the osteoarticular system Humans Inflammatory joint diseases Medical sciences Pain Postoperative Complications - diagnosis Recurrence Shoulder Joint - pathology Shoulder Joint - surgery Tendons - surgery Ultrasonography |
| title | Sonography of the postoperative shoulder |
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