Original Articles
MRI Characteristics Of Rotator Cuff Pathologies | |
Dr. Kapil Aggarwal, Dr. Neha Dubey, Dr. Garima Bansal, Dr. Shekhar Karnawat | |
Background: Rotator cuff tears may be partial or full thickness. Partial-thickness tears are depicted as focal defects that are either intratendinous or limited to one surface without disrupting the entire thickness of the tendon. The present study was conducted to describe the MRI Characteristics Of Rotator Cuff Pathologies. Material & Methods: The present retrospective descriptive study was performed at the Dept of Radio diagnosis, Pacific Medical College and Hospital, Bhilo ka Bedla. Udaipur to describe magnetic resonance imaging features of rotator cuff pathologies. 50 Patients having rotator cuff pathologies in the MRI examination were studied. All the MRI scans in this study were performed using T MRI scanner (Siemens magnetom essenza 1.5T). The data was compiled and analysed. Results: The most frequently affected tendon being supraspinatus and the least affected being teres minor. Partial tear and tendinopathy were the most commonly encountered abnormalities in the Supraspinatus tendons in this study population accounting for 40% and 30% respectively. There were 15 patients with partial tear of Supraspinatus, of these the common type was articular surface tear in 10(66.6%), followed by bursal surface tear 4(26.6%) and the least common was the intrasubstance tear in 1 (6.6%). Tendinosis or tendinopathy is the frequently encountered pathology in the subscapularis tendons. Associated abnormalities in bicipital tendons were noted in 19(44.1%) patients. The common abnormal finding seen in relation to the biceps tendon in a rotator cuff disease was tenosynovitis followed by fluid around the tendon. Of the 50 patients examined in this study, type I Acromion was seen in 11(22%) while type II Acromion was seen in 25(50%) and type III in 14(28%) patients. In our study joint effusion was found in 18(36%) and bursal fluid noted in 19(38%). Acromio- clavicular joint degeneration/ hypertrophy has been noted in 27 (54%) patients. In our study only 2(4%) showed normal supraspinatus tendon in patients with less than 10mm AHD. Twenty eight patients (56%) had coracohumeral distance more than 10mm. Conclusion: The study concluded that the most frequently affected tendon being supraspinatus and the least affected being teres minor. Partial tear and tendinopathy were the most commonly encountered abnormalities. Tendinosis or tendinopathy is the frequently encountered pathology in the subscapularis tendons. The common abnormal finding seen in relation to the biceps tendon in a rotator cuff disease was tenosynovitis Acromio- clavicular joint degeneration/ hypertrophy has been noted in 54% patients. Only 4% showed normal supraspinatus tendon in patients with less than 10mmAHD and 56% had coracohumeral distance more than 10mm. |
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