대한영상의학회지 (Journal of the Korean Society of Radiology)

  • 제82권6호
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  • Pages.1366-1387
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  • 2021
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  • 1738-2637(pISSN)
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  • 2288-2928(eISSN)
대한영상의학회 (The Korean Society of Radiology)
권호 표지
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극상건과 극하건 부분 파열의 재고찰: MR 소견을 바탕으로

Partial-Thickness Tear of Supraspinatus and Infraspinatus Tendon Revisited: Based on MR Findings

  • 송신혜 (가톨릭대학교 의과대학 성빈센트병원 영상의학과 ) ;
  • 이슬기 (가톨릭대학교 의과대학 성빈센트병원 영상의학과 ) ;
  • 김지영 (가톨릭대학교 의과대학 성빈센트병원 영상의학과 )
  • Sinhye Song (Department of Radiology, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Seul Ki Lee (Department of Radiology, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Jee-Young Kim (Department of Radiology, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea)
  • 투고 : 2021.06.30
  • 심사 : 2021.10.18
  • 발행 : 2021.11.01
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초록

회전근개 부분 파열의 자기공명영상 해석은 종종 애매한 경우가 있다. 이 종설에서는 회전근개 중 극상건과 극하건에 초점을 맞춰, 회전근개 부분 파열의 진단을 위한 해부학적 고려 사항을 설명하고, 회전근개 부분 파열의 분류를 요약하며, 박리(delamination)가 포함된 회전근개 부분 파열의 최신 개념을 개략적으로 설명하였다.

The interpretation of MRI of partial-thickness rotator cuff tears can be challenging. This review describes the anatomic considerations for diagnosing partial-thickness tears, especially supraspinatus and infraspinatus tendon and summarizes the classification of partial-thickness rotator cuff tears, as well as provides an overview on partial-thickness tears with delamination.

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참고문헌

  1. Chang EY, Chung CB. Current concepts on imaging diagnosis of rotator cuff disease. Semin Musculoskelet Radiol 2014;18:412-424  https://doi.org/10.1055/s-0034-1384830
  2. Yamaguchi K, Ditsios K, Middleton WD, Hildebolt CF, Galatz LM, Teefey SA. The demographic and morphological features of rotator cuff disease. A comparison of asymptomatic and symptomatic shoulders. J Bone Joint Surg Am 2006;88:1699-1704  https://doi.org/10.2106/JBJS.E.00835
  3. Brockmeyer M, Schmitt C, Haupert A, Kohn D, Lorbach O. Limited diagnostic accuracy of magnetic resonance imaging and clinical tests for detecting partial-thickness tears of the rotator cuff. Arch Orthop Trauma Surg 2017;137:1719-1724  https://doi.org/10.1007/s00402-017-2799-3
  4. de Jesus JO, Parker L, Frangos AJ, Nazarian LN. Accuracy of MRI, MR arthrography, and ultrasound in the diagnosis of rotator cuff tears: a meta-analysis. AJR Am J Roentgenol 2009;192:1701-1707  https://doi.org/10.2214/AJR.08.1241
  5. Roy JS, Braen C, Leblond J, Desmeules F, Dionne CE, MacDermid JC, et al. Diagnostic accuracy of ultrasonography, MRI and MR arthrography in the characterisation of rotator cuff disorders: a systematic review and meta-analysis. Br J Sports Med 2015;49:1316-1328  https://doi.org/10.1136/bjsports-2014-094148
  6. Balich SM, Sheley RC, Brown TR, Sauser DD, Quinn SF. MR imaging of the rotator cuff tendon: interobserver agreement and analysis of interpretive errors. Radiology 1997;204:191-194  https://doi.org/10.1148/radiology.204.1.9205245
  7. Vlychou M, Dailiana Z, Fotiadou A, Papanagiotou M, Fezoulidis IV, Malizos K. Symptomatic partial rotator cuff tears: diagnostic performance of ultrasound and magnetic resonance imaging with surgical correlation. Acta Radiol 2009;50:101-105  https://doi.org/10.1080/02841850802600764
  8. Buck FM, Grehn H, Hilbe M, Pfirrmann CW, Manzanell S, Hodler J. Magnetic resonance histologic correlation in rotator cuff tendons. J Magn Reson Imaging 2010;32:165-172  https://doi.org/10.1002/jmri.22222
  9. Erickson SJ, Cox IH, Hyde JS, Carrera GF, Strandt JA, Estkowski LD. Effect of tendon orientation on MR imaging signal intensity: a manifestation of the "magic angle" phenomenon. Radiology 1991;181:389-392  https://doi.org/10.1148/radiology.181.2.1924777
  10. Kassarjian A, Bencardino JT, Palmer WE. MR imaging of the rotator cuff. Magn Reson Imaging Clin N Am 2004;12:39-60, vi  https://doi.org/10.1016/j.mric.2004.01.006
  11. Batista A, Bagulho C. Magnetuc resonance imaging (MRI) spectrum of rotator cuff tears, with arthroscopic-MRI contextualizations. Acta Radiologica Portuguesa 2016;28:19-24 
  12. Hong WS, Jee WH, Lee SY, Chun CW, Jung JY, Kim YS. Diagnosis of rotator cuff tears with non-arthrographic MR imaging: 3D fat-suppressed isotropic intermediate-weighted turbo spin-echo sequence versus conventional 2D sequences at 3T. Investig Magn Reson Imaging 2018;22:229-239  https://doi.org/10.13104/imri.2018.22.4.229
  13. Clark JM, Harryman DT 2nd. Tendons, ligaments, and capsule of the rotator cuff. Gross and microscopic anatomy. J Bone Joint Surg Am 1992;74:713-725  https://doi.org/10.2106/00004623-199274050-00010
  14. Tuite MJ. Magnetic resonance imaging of rotator cuff disease and external impingement. Magn Reson Imaging Clin N Am 2012;20:187-200, ix  https://doi.org/10.1016/j.mric.2012.01.011
  15. Huang BK, Resnick D. Novel anatomic concepts in magnetic resonance imaging of the rotator cuff tendons and the footprint. Magn Reson Imaging Clin N Am 2012;20:163-172, ix  https://doi.org/10.1016/j.mric.2012.01.006
  16. Soslowsky LJ, Carpenter JE, Bucchieri JS, Flatow EL. Biomechanics of the rotator cuff. Orthop Clin North Am 1997;28:17-30  https://doi.org/10.1016/S0030-5898(05)70261-3
  17. Choo HJ, Lee SJ, Kim DW, Park YM, Kim JH. Assessment of the rotator cable in various rotator cuff conditions using indirect MR arthrography. Acta Radiol 2014;55:1104-1111  https://doi.org/10.1177/0284185113512483
  18. Gyftopoulos S, Bencardino J, Nevsky G, Hall G, Soofi Y, Desai P, et al. Rotator cable: MRI study of its appearance in the intact rotator cuff with anatomic and histologic correlation. AJR Am J Roentgenol 2013;200:1101-1105  https://doi.org/10.2214/AJR.12.9312
  19. Opsha O, Malik A, Baltazar R, Primakov D, Beltran S, Miller TT, et al. MRI of the rotator cuff and internal derangement. Eur J Radiol 2008;68:36-56  https://doi.org/10.1016/j.ejrad.2008.02.018
  20. Burkhart SS, Esch JC, Jolson RS. The rotator crescent and rotator cable: an anatomic description of the shoulder's "suspension bridge". Arthroscopy 1993;9:611-616  https://doi.org/10.1016/S0749-8063(05)80496-7
  21. Gyftopoulos S, Bencardino JT, Immerman I, Zuckerman JD. The rotator cable: magnetic resonance evaluation and clinical correlation. Magn Reson Imaging Clin N Am 2012;20:173-185, ix  https://doi.org/10.1016/j.mric.2012.01.007
  22. Morag Y, Jamadar DA, Boon TA, Bedi A, Caoili EM, Jacobson JA. Ultrasound of the rotator cable: prevalence and morphology in asymptomatic shoulders. AJR Am J Roentgenol 2012;198:W27-W30  https://doi.org/10.2214/AJR.10.5796
  23. Orlandi D, Sconfienza LM, Fabbro E, Ferrero G, Martini C, Lacelli F, et al. Preliminary ultrasound evaluation of the rotator cable in asymptomatic volunteers*. J Ultrasound 2012;15:16-19  https://doi.org/10.1016/j.jus.2012.01.003
  24. Sheah K, Bredella MA, Warner JJ, Halpern EF, Palmer WE. Transverse thickening along the articular surface of the rotator cuff consistent with the rotator cable: identification with MR arthrography and relevance in rotator cuff evaluation. AJR Am J Roentgenol 2009;193:679-686  https://doi.org/10.2214/AJR.08.2285
  25. Macarini L, Muscarella S, Lelario M, Stoppino L, Scalzo G, Scelzi A, et al. Rotator cable at MR imaging: considerations on morphological aspects and biomechanical role. Radiol Med 2011;116:102-113  https://doi.org/10.1007/s11547-010-0571-7
  26. Morag Y, Jamadar DA, Miller B, Brandon C, Gandikota G, Jacobson JA. Morphology of large rotator cuff tears and of the rotator cable and long-term shoulder disability in conservatively treated elderly patients. J Comput Assist Tomogr 2013;37:631-638  https://doi.org/10.1097/RCT.0b013e318290fd82
  27. Nimura A, Kato A, Yamaguchi K, Mochizuki T, Okawa A, Sugaya H, et al. The superior capsule of the shoulder joint complements the insertion of the rotator cuff. J Shoulder Elbow Surg 2012;21:867-872  https://doi.org/10.1016/j.jse.2011.04.034
  28. Kim HM, Dahiya N, Teefey SA, Middleton WD, Stobbs G, Steger-May K, et al. Location and initiation of degenerative rotator cuff tears: an analysis of three hundred and sixty shoulders. J Bone Joint Surg Am 2010;92:1088-1096  https://doi.org/10.2106/JBJS.I.00686
  29. Mihata T, Bui CNH, Akeda M, Cavagnaro MA, Kuenzler M, Peterson AB, et al. A biomechanical cadaveric study comparing superior capsule reconstruction using fascia lata allograft with human dermal allograft for irreparable rotator cuff tear. J Shoulder Elbow Surg 2017;26:2158-2166  https://doi.org/10.1016/j.jse.2017.07.019
  30. Mihata T, Lee TQ, Fukunishi K, Itami Y, Fujisawa Y, Kawakami T, et al. Return to sports and physical work after arthroscopic superior capsule reconstruction among patients with irreparable rotator cuff tears. Am J Sports Med 2018;46:1077-1083  https://doi.org/10.1177/0363546517753387
  31. Mihata T, Lee TQ, Hasegawa A, Fukunishi K, Kawakami T, Fujisawa Y, et al. Superior capsule reconstruction for reinforcement of arthroscopic rotator cuff repair improves cuff integrity. Am J Sports Med 2019;47:379-388  https://doi.org/10.1177/0363546518816689
  32. Ellman H. Diagnosis and treatment of incomplete rotator cuff tears. Clin Orthop Relat Res 1990:64-74 
  33. Kassarjian A, Bencardino JT, Palmer WE. MR imaging of the rotator cuff. Radiol Clin North Am 2006;44:503-523, vii-viii  https://doi.org/10.1016/j.rcl.2006.04.005
  34. Lee SY, Lee JK. Horizontal component of partial-thickness tears of rotator cuff: imaging characteristics and comparison of ABER view with oblique coronal view at MR arthrography initial results. Radiology 2002;224:470-476  https://doi.org/10.1148/radiol.2241011261
  35. Mazzocca AD, Rincon LM, O'Connor RW, Obopilwe E, Andersen M, Geaney L, et al. Intra-articular partial-thickness rotator cuff tears: analysis of injured and repaired strain behavior. Am J Sports Med 2008;36:110-116  https://doi.org/10.1177/0363546507307502
  36. Strauss EJ, Salata MJ, Kercher J, Barker JU, McGill K, Bach BR Jr, et al. Multimedia article. The arthroscopic management of partial-thickness rotator cuff tears: a systematic review of the literature. Arthroscopy 2011;27:568-580  https://doi.org/10.1016/j.arthro.2010.09.019
  37. Morag Y, Jacobson JA, Lucas D, Miller B, Brigido MK, Jamadar DA. US appearance of the rotator cable with histologic correlation: preliminary results. Radiology 2006;241:485-491  https://doi.org/10.1148/radiol.2412050800
  38. Rathbun JB, Macnab I. The microvascular pattern of the rotator cuff. J Bone Joint Surg Br 1970;52:540-553  https://doi.org/10.1302/0301-620X.52B3.540
  39. Jeong S, Choi JY, Kang YS, Yoo HJ, Kim SH, Hong SH, et al. Disproportionate fluid sign as an aid in diagnosing high-grade bursal-sided supraspinatus tendon tear. Acta Radiol 2018;59:1102-1109  https://doi.org/10.1177/0284185117744589
  40. Ozaki J, Fujimoto S, Nakagawa Y, Masuhara K, Tamai S. Tears of the rotator cuff of the shoulder associated with pathological changes in the acromion. A study in cadavera. J Bone Joint Surg Am 1988;70:1224-1230  https://doi.org/10.2106/00004623-198870080-00015
  41. Fukuda H. Partial-thickness rotator cuff tears: a modern view on Codman's classic. J Shoulder Elbow Surg 2000;9:163-168  https://doi.org/10.1067/mse.2000.101959
  42. Chun KA, Kim MS, Kim YJ. Comparisons of the various partial-thickness rotator cuff tears on MR arthrography and arthroscopic correlation. Korean J Radiol 2010;11:528-535  https://doi.org/10.3348/kjr.2010.11.5.528
  43. Seibold CJ, Mallisee TA, Erickson SJ, Boynton MD, Raasch WG, Timins ME. Rotator cuff: evaluation with US and MR imaging. Radiographics 1999;19:685-705  https://doi.org/10.1148/radiographics.19.3.g99ma03685
  44. Tucker TJ, Snyder SJ. The keeled acromion: an aggressive acromial variant--a series of 20 patients with associated rotator cuff tears. Arthroscopy 2004;20:744-753  https://doi.org/10.1016/S0749-8063(04)00603-6
  45. Dini AA, Snyder SJ. Rotator cuff repair-The SCOI row method. Medicina Fluminensis 2015;51:114-126 
  46. Matava MJ, Purcell DB, Rudzki JR. Partial-thickness rotator cuff tears. Am J Sports Med 2005;33:1405-1417  https://doi.org/10.1177/0363546505280213
  47. Park SE, Panchal K, Jeong JJ, Kim YY, Kim JH, Lee JY, et al. Intratendinous rotator cuff tears: prevalence and clinical and radiological outcomes of arthroscopically confirmed intratendinous tears at midterm followup. Am J Sports Med 2015;43:415-422  https://doi.org/10.1177/0363546514556741
  48. Uchiyama Y, Hamada K, Khruekarnchana P, Handa A, Nakajima T, Shimpuku E, et al. Surgical treatment of confirmed intratendinous rotator cuff tears: retrospective analysis after an average of eight years of followup. J Shoulder Elbow Surg 2010;19:837-846  https://doi.org/10.1016/j.jse.2010.01.013
  49. Kim HJ, Park JS, Kim JY, Kee YM, Rhee YG. Interstitial tears of the rotator cuff: difficulty in preoperative diagnosis. J Shoulder Elbow Surg 2018;27:487-492  https://doi.org/10.1016/j.jse.2017.09.005
  50. McConville OR, Iannotti JP. Partial-thickness tears of the rotator cuff: evaluation and management. J Am Acad Orthop Surg 1999;7:32-43  https://doi.org/10.5435/00124635-199901000-00004
  51. Cheon SJ, Lee HY, Jeon WK. Arthroscopic treatment for intratendinous rotator cuff tear results in satisfactory clinical outcomes and structural integrity. Knee Surg Sports Traumatol Arthrosc 2018;26:3797-3803  https://doi.org/10.1007/s00167-018-4931-5
  52. Lo IK, Gonzalez DM, Burkhart SS. The bubble sign: an arthroscopic indicator of an intratendinous rotator cuff tear. Arthroscopy 2002;18:1029-1033  https://doi.org/10.1053/jars.2002.36486
  53. Kassarjian A, Torriani M, Ouellette H, Palmer WE. Intramuscular rotator cuff cysts: association with tendon tears on MRI and arthroscopy. AJR Am J Roentgenol 2005;185:160-165  https://doi.org/10.2214/ajr.185.1.01850160
  54. Codman EA. The shoulder: rupture of the supraspinatus tendon and other lesions in or about the subacromial bursa. Boston: Thomas Todd Copany 1934 
  55. Vinson EN, Helms CA, Higgins LD. Rim-rent tear of the rotator cuff: a common and easily overlooked partial tear. AJR Am J Roentgenol 2007;189:943-946  https://doi.org/10.2214/AJR.07.2242
  56. Schaeffeler C, Mueller D, Kirchhoff C, Wolf P, Rummeny EJ, Woertler K. Tears at the rotator cuff footprint: prevalence and imaging characteristics in 305 MR arthrograms of the shoulder. Eur Radiol 2011;21:1477-1484  https://doi.org/10.1007/s00330-011-2066-x
  57. Tuite MJ, Turnbull JR, Orwin JF. Anterior versus posterior, and rim-rent rotator cuff tears: prevalence and MR sensitivity. Skeletal Radiol 1998;27:237-243  https://doi.org/10.1007/s002560050374
  58. Arend CF. Top ten pitfalls to avoid when performing musculoskeletal sonography: what you should know before entering the examination room. Eur J Radiol 2013;82:1933-1939  https://doi.org/10.1016/j.ejrad.2013.01.022
  59. Budoff JE, Nirschl RP, Guidi EJ. Debridement of partial-thickness tears of the rotator cuff without acromioplasty. Long-term follow-up and review of the literature. J Bone Joint Surg Am 1998;80:733-748  https://doi.org/10.2106/00004623-199805000-00016
  60. Schreinemachers SA, van der Hulst VP, Willems WJ, Bipat S, van der Woude HJ. Detection of partial-thickness supraspinatus tendon tears: is a single direct MR arthrography series in ABER position as accurate as conventional MR arthrography? Skeletal Radiol 2009;38:967-975  https://doi.org/10.1007/s00256-009-0680-3
  61. Choo HJ, Lee SJ, Kim JH, Kim DW, Park YM, Kim OH, et al. Delaminated tears of the rotator cuff: prevalence, characteristics, and diagnostic accuracy using indirect MR arthrography. AJR Am J Roentgenol 2015;204:360-366  https://doi.org/10.2214/AJR.14.12555
  62. Walz DM, Miller TT, Chen S, Hofman J. MR imaging of delamination tears of the rotator cuff tendons. Skeletal Radiol 2007;36:411-416  https://doi.org/10.1007/s00256-006-0265-3
  63. Nakajima T, Rokuuma N, Hamada K, Tomatsu T, Fukuda H. Histologic and biomechanical characteristics of the supraspinatus tendon: reference to rotator cuff tearing. J Shoulder Elbow Surg 1994;3:79-87  https://doi.org/10.1016/S1058-2746(09)80114-6
  64. Brockmeier SF, Dodson CC, Gamradt SC, Coleman SH, Altchek DW. Arthroscopic intratendinous repair of the delaminated partial-thickness rotator cuff tear in overhead athletes. Arthroscopy 2008;24:961-965 https://doi.org/10.1016/j.arthro.2007.08.016