EFFICACY OF PREOPERATIVE MRI IN DETECTING BICEPS TENDON PATHOLOGIES IN ROTATOR CUFF TEARS: CORRELATION OF MRI AND INTRAOPERATIVE FINDINGS
Yıl: 2022 Cilt: 29 Sayı: 1 Sayfa Aralığı: 85 - 91 Metin Dili: İngilizce DOI: 10.17343/sdutfd.998025 İndeks Tarihi: 29-07-2022
EFFICACY OF PREOPERATIVE MRI IN DETECTING BICEPS TENDON PATHOLOGIES IN ROTATOR CUFF TEARS: CORRELATION OF MRI AND INTRAOPERATIVE FINDINGS
Öz: Objective The aim of this study is to evaluate the accuracy of magnetic resonance imaging (MRI) in detecting biceps lesions in patients with rotator cuff tears. Material and Methods A total of 168 patients operated on between January 2012 and February 2020 were included in the study. All the patients underwent arthroscopic surgery with the diagnosis of rotator cuff tears. All patients were operated on under general anesthesia and in the beach chair position. Demographic data and preoperative MRI findings were recorded. Arthroscopic findings were accepted as the standard reference and correlated with preoperative MRI records. Results In preoperative images, full-thickness rotator cuff tears were identified in 118 (70.2%) cases and partialthickness tears in 50 (29.8%) cases. Labrum/SLAP lesions were detected in 18 (10.7%) cases. Biceps disorders were reported in 51 (30.4%) cases. During the surgeries, we observed additional pathologies in 41 (24.4%) cases besides the preoperatively detected lesions. Rotator cuff and labrum/SLAP repairs were performed in the same surgical sessions. The majority of newly detected lesions were biceps lesions, being identified in 26 (15.5%) cases. In 41 (24.2%) cases tenodesis, tenolysis, or tenotomy were performed for biceps lesions. LHBT surgery was performed in 26 cases with negative MRI. Biceps lesions were confirmed in 77 (45.8%) cases intraoperatively; therefore, the accuracy of MRI in detecting these lesions was 66.2%. Conclusion Biceps lesions are among the common pathologies of the shoulder. Preoperative MRI is important in evaluation of the shoulder, but the efficacy of MRI may be limited in detecting biceps disorders. Arthroscopic surgery is crucial in diagnosis and treatment of LHBT lesions.
Anahtar Kelime: ROTATOR MANŞET YIRTIKLARINDA BİSEPS TENDON PATOLOJİLERİNİN SAPTANMASINDA PREOPERATİF MR’IN ETKİNLİĞİ: MR VE İNTRAOPERATİF BULGULARIN KORELASYONU
Öz: Amaç Bu çalışmanın amacı rotator manşet yırtığı olan hastalarda biseps lezyonlarını saptamada manyetik rezonans görüntülemenin (MRG) doğruluğunu değerlendirmektir. Gereç ve Yöntem Ocak 2012 ile Şubat 2020 arasında opere edilen toplam 168 hasta çalışmaya dahil edildi. Tüm hastalara rotator manşet yırtığı tanısı ile artroskopik cerrahi uygulandı. Tüm hastalar genel anestezi altında ve plaj sandalyesi pozisyonunda ameliyat edildi. Demografik veriler ve ameliyat öncesi MRG bulguları kaydedildi. Artroskopik bulgular standart referans olarak kabul edildi ve preoperatif MRG kayıtları ile korele edildi. Bulgular Ameliyat öncesi görüntülerde 118 (%70.2) olguda tam kat, 50 (%29.8) olguda parsiyel yırtık saptandı. Labrum/ SLAP lezyonları 18 (%10,7) olguda tespit edildi. 51 (%30.4) olguda biseps patolojisi bildirilmişti. Ameliyatlar sırasında 41 (%24,4) olguda ameliyat öncesi tespit edilen lezyonların yanı sıra ek patolojiler gözlemledik. Rotator manşet ve labrum/SLAP onarımları aynı cerrahi seanslarda yapıldı. Yeni tespit edilen lezyonların çoğunluğu 26 (%15,5) vakada tespit edilen biseps lezyonlarıydı. 41 (%24.2) olguda biseps lezyonları için tenodez, tenoliz veya tenotomi uygulandı. MRG negatif olan 26 olguda LHBT cerrahisi uygulandı. Biseps lezyonları 77 (%45.8) olguda intraoperatif olarak doğrulandı; MRG'nin bu lezyonları saptamadaki doğruluğu %66,2 idi. Sonuç Biseps lezyonları omuzun sık görülen patolojileri arasındadır. Ameliyat öncesi MRG omuzun değerlendirilmesinde önemlidir, ancak MRG'nin biseps bozukluklarını tespit etmedeki etkinliği sınırlı olabilir. LHBT lezyonlarının tanı ve tedavisinde artroskopik cerrahi önemli bir rol oynar.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
- 1-Morag Y, Bedi A, Jamadar DA. The rotator interval and long head biceps tendon: anatomy, function, pathology, and magnetic resonance imaging. Magn Reson Imaging Clin N Am. 2012; 20: 229-259.
- 2-Lee JC, Guy S, Connell D, Saifuddin A, Lambert S. MRI of the rotator interval of the shoulder. Clin Radiol. 2007; 62: 416-423.
- 3- Vangsness CT Jr, Jorgenson SS, Watson T, Johnson DL. The origin of the long head of the biceps from the scapula and glenoid labrum. An anatomical study of 100 shoulders. J Bone Joint Surg Br. 1994; 76: 951-954.
- 4. Virk MS, Cole BJ. Proximal Biceps Tendon and Rotator Cuff Tears. Clin Sports Med. 2016; 35:153-161.
- 5. Watson ST, Robbins CB, Bedi A, Carpenter JE, Gagnier JJ, Miller BS. Comparison of outcomes 1 year after rotator cuff repair with and without concomitant biceps surgery. Arthroscopy. 2017; 33: 1928–1936.
- 6.Takahashi N, Sugaya H, Matsuki K, Miyauchi H, Matsumoto M, Tokai M, Onishi K, Hoshika S, Ueda Y. Hypertrophy of the extra-articular tendon of the long head of biceps correlates with the location and size of a rotator cuff tear. Bone Joint J. 2017; 99: 806-811.
- 7. Singaraju VM, Kang RW, Yanke AB, McNickle AG, Lewis PB, Wang VM, Williams JM, Chubinskaya S, Romeo AA, Cole BJ. Biceps tendinitis in chronic rotator cuff tears: a histologic perspective. J Shoulder Elbow Surg. 2008; 17: 898-904.
- 8. Beall DP, Williamson EE, Ly JQ, Adkins MC, Emery RL, Jones TP, et al. Association of biceps tendon tears with rotator cuff abnormalities: degree of correlation with tears of the anterior and superior portions of the rotator cuff. AJR Am J Roentgenol. 2003; 180: 633–639.
- 9. Chen CH, Chen CH, Chang CH, Su CI, Wang KC, Wang IC, Liu HT, Yu CM, Hsu KY. Classification and analysis of pathology of the long head of the biceps tendon in complete rotator cuff tears. Chang Gung Med J. 2012; 35: 263-270.
- 10. Toshiaki A, Itoi E, Minagawa H, et al. Cross-sectional area of the tendon and the muscle of the biceps brachii in shoulders with rotator cuff tears: a study of 14 cadaveric shoulders. Acta Orthop. 2005; 76: 509–512.
- 11- Mohtadi NG, Vellet AD, Clark ML, Hollinshead RM, Sasyniuk TM, Fick GH, Burton PJ. A prospective, double-blind comparison of magnetic resonance imaging and arthroscopy in the evaluation of patients presenting with shoulder pain. J Shoulder Elbow Surg. 2004; 13: 258-265.
- 12-Lafosse L, Reiland Y, Baier GP, Toussaint B, Jost B. Anterior and posterior instability of the long head of the biceps tendon in rotator cuff tears: a new classification based on arthroscopic observations. Arthroscopy. 2007; 23: 73–80.
- 13. Popp D, Schöffl V. Superior labral anterior posterior lesions of the shoulder: Current diagnostic and therapeutic standards. World J Orthop. 2015; 6: 660-671.
- 14. Cervilla V, Schweitzer ME, Ho C, Motta A, Kerr R, Resnick D. Medial dislocation of the biceps brachii tendon: appearance at MR imaging. Radiology. 1991; 180: 523-526.
- 15.Baptista E, Malavolta EA, Gracitelli MEC, Alvarenga D, Bordalo-Rodrigues M, Ferreira Neto AA, de Barros N. Diagnostic accuracy of MRI for detection of tears and instability of proximal long head of biceps tendon: an evaluation of 100 shoulders compared with arthroscopy. Skeletal Radiol. 2019; 48: 1723-1733.
- 16. Walch G, Nove-Josserand L, Levigne C, Renaud E. Tears of the supraspinatus tendon associated with "hidden" lesions of the rotator interval. J Shoulder Elbow Surg. 1994; 3: 353-360.
- 17. Leroux T, Chahal J, Wasserstein D, et al. A systematic review and meta-analysis comparing clinical outcomes after concurrent rotator cuff repair and long head biceps tenodesis or tenotomy. Sports Health. 2015; 7: 303–307.
- 18. Desai SS, Mata HK. Long Head of Biceps Tendon Pathology and Results of Tenotomy in Full-Thickness Reparable Rotator Cuff Tear. Arthroscopy. 2017; 33: 1971-1976.
- 19. Lee RW, Choi SJ, Lee MH, Ahn JH, Shin DR, Kang CH, Lee KW. Diagnostic accuracy of 3T conventional shoulder MRI in the detection of the long head of the biceps tendon tears associated with rotator cuff tendon tears. Skeletal Radiol. 2016; 45: 1705-1715.
- 20. Houtz CG, Schwartzberg RS, Barry JA, Reuss BL, Papa L. Shoulder MRI accuracy in the community setting. J Shoulder Elbow Surg. 2011; 20:537-542.
- 21. Kang Y, Lee JW, Ahn JM, Lee E, Kang HS. Instability of the long head of the biceps tendon in patients with rotator cuff tear: evaluation on magnetic resonance arthrography of the shoulder with arthroscopic correlation. Skeletal Radiol. 2017; 46: 1335-1342.
- 22. Razmjou H, Fournier-Gosselin S, Christakis M, Pennings A, ElMaraghy A, Holtby R. Accuracy of magnetic resonance imaging in detecting biceps pathology in patients with rotator cuff disorders: comparison with arthroscopy. J Shoulder Elbow Surg. 2016; 25: 38-44.
- 23. Dubrow SA, Streit JJ, Shishani Y, Robbin MR, Gobezie R. Diagnostic accuracy in detecting tears in the proximal biceps tendon using standard nonenhancing shoulder MRI. Open Access J Sports Med. 2014; 5: 81-87.
| APA | BICEN A, Unal M, EKIN A, Özkan M (2022). EFFICACY OF PREOPERATIVE MRI IN DETECTING BICEPS TENDON PATHOLOGIES IN ROTATOR CUFF TEARS: CORRELATION OF MRI AND INTRAOPERATIVE FINDINGS. , 85 - 91. 10.17343/sdutfd.998025 |
| Chicago | BICEN AHMET CAGDAS,Unal Meric,EKIN AHMET,Özkan Mustafa Hulusi EFFICACY OF PREOPERATIVE MRI IN DETECTING BICEPS TENDON PATHOLOGIES IN ROTATOR CUFF TEARS: CORRELATION OF MRI AND INTRAOPERATIVE FINDINGS. (2022): 85 - 91. 10.17343/sdutfd.998025 |
| MLA | BICEN AHMET CAGDAS,Unal Meric,EKIN AHMET,Özkan Mustafa Hulusi EFFICACY OF PREOPERATIVE MRI IN DETECTING BICEPS TENDON PATHOLOGIES IN ROTATOR CUFF TEARS: CORRELATION OF MRI AND INTRAOPERATIVE FINDINGS. , 2022, ss.85 - 91. 10.17343/sdutfd.998025 |
| AMA | BICEN A,Unal M,EKIN A,Özkan M EFFICACY OF PREOPERATIVE MRI IN DETECTING BICEPS TENDON PATHOLOGIES IN ROTATOR CUFF TEARS: CORRELATION OF MRI AND INTRAOPERATIVE FINDINGS. . 2022; 85 - 91. 10.17343/sdutfd.998025 |
| Vancouver | BICEN A,Unal M,EKIN A,Özkan M EFFICACY OF PREOPERATIVE MRI IN DETECTING BICEPS TENDON PATHOLOGIES IN ROTATOR CUFF TEARS: CORRELATION OF MRI AND INTRAOPERATIVE FINDINGS. . 2022; 85 - 91. 10.17343/sdutfd.998025 |
| IEEE | BICEN A,Unal M,EKIN A,Özkan M "EFFICACY OF PREOPERATIVE MRI IN DETECTING BICEPS TENDON PATHOLOGIES IN ROTATOR CUFF TEARS: CORRELATION OF MRI AND INTRAOPERATIVE FINDINGS." , ss.85 - 91, 2022. 10.17343/sdutfd.998025 |
| ISNAD | BICEN, AHMET CAGDAS vd. "EFFICACY OF PREOPERATIVE MRI IN DETECTING BICEPS TENDON PATHOLOGIES IN ROTATOR CUFF TEARS: CORRELATION OF MRI AND INTRAOPERATIVE FINDINGS". (2022), 85-91. https://doi.org/10.17343/sdutfd.998025 |
| APA | BICEN A, Unal M, EKIN A, Özkan M (2022). EFFICACY OF PREOPERATIVE MRI IN DETECTING BICEPS TENDON PATHOLOGIES IN ROTATOR CUFF TEARS: CORRELATION OF MRI AND INTRAOPERATIVE FINDINGS. Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi, 29(1), 85 - 91. 10.17343/sdutfd.998025 |
| Chicago | BICEN AHMET CAGDAS,Unal Meric,EKIN AHMET,Özkan Mustafa Hulusi EFFICACY OF PREOPERATIVE MRI IN DETECTING BICEPS TENDON PATHOLOGIES IN ROTATOR CUFF TEARS: CORRELATION OF MRI AND INTRAOPERATIVE FINDINGS. Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi 29, no.1 (2022): 85 - 91. 10.17343/sdutfd.998025 |
| MLA | BICEN AHMET CAGDAS,Unal Meric,EKIN AHMET,Özkan Mustafa Hulusi EFFICACY OF PREOPERATIVE MRI IN DETECTING BICEPS TENDON PATHOLOGIES IN ROTATOR CUFF TEARS: CORRELATION OF MRI AND INTRAOPERATIVE FINDINGS. Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi, vol.29, no.1, 2022, ss.85 - 91. 10.17343/sdutfd.998025 |
| AMA | BICEN A,Unal M,EKIN A,Özkan M EFFICACY OF PREOPERATIVE MRI IN DETECTING BICEPS TENDON PATHOLOGIES IN ROTATOR CUFF TEARS: CORRELATION OF MRI AND INTRAOPERATIVE FINDINGS. Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi. 2022; 29(1): 85 - 91. 10.17343/sdutfd.998025 |
| Vancouver | BICEN A,Unal M,EKIN A,Özkan M EFFICACY OF PREOPERATIVE MRI IN DETECTING BICEPS TENDON PATHOLOGIES IN ROTATOR CUFF TEARS: CORRELATION OF MRI AND INTRAOPERATIVE FINDINGS. Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi. 2022; 29(1): 85 - 91. 10.17343/sdutfd.998025 |
| IEEE | BICEN A,Unal M,EKIN A,Özkan M "EFFICACY OF PREOPERATIVE MRI IN DETECTING BICEPS TENDON PATHOLOGIES IN ROTATOR CUFF TEARS: CORRELATION OF MRI AND INTRAOPERATIVE FINDINGS." Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi, 29, ss.85 - 91, 2022. 10.17343/sdutfd.998025 |
| ISNAD | BICEN, AHMET CAGDAS vd. "EFFICACY OF PREOPERATIVE MRI IN DETECTING BICEPS TENDON PATHOLOGIES IN ROTATOR CUFF TEARS: CORRELATION OF MRI AND INTRAOPERATIVE FINDINGS". Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi 29/1 (2022), 85-91. https://doi.org/10.17343/sdutfd.998025 |
