Dataset Information

Magnetic Resonance Imaging Findings After Superior Capsule Reconstruction.

ABSTRACT:

Purpose

To evaluate graft properties on magnetic resonance imaging (MRI) after superior capsular reconstruction (SCR) to help improve our understanding of postoperative imaging.

Methods

We identified consecutive patients who underwent SCR by a single surgeon and who had postoperative MRIs available. MRIs were analyzed to look for common postoperative findings on imaging.

Results

Ten consecutive patients with an average age of 58 years who underwent SCR by a single surgeon had postoperative MRIs on average 404 days from surgery. Eight patients had completely intact grafts on follow-up MRI. All intact grafts were similar with homogenous appearance on all coronal images. All patients displayed some trace fluid with mild heterogenous signal at the level of the glenoid, which could represent failure of the graft to completely incorporate at the level of the glenoid or could be normal in the postoperative setting since all eight intact grafts displayed this finding. None of the patients with intact grafts had bony edema noted on either the glenoid or humeral side. Four of 8 patients were noted to have trace bony edema at the level of the lateral acromion. One patient had complete disruption on the glenoid side. One patient had partially intact graft that revealed heterogenous appearance of graft.

Conclusions

An intact graft displays a more homogenous signal on consecutive postoperative MRI coronal images than disrupted grafts or partially intact grafts. This suggests that intact grafts have better clinical outcomes than a partially disrupted or completely disrupted graft. However, the finding of heterogenous signal/fluid at the glenoid graft interface in all intact grafts could not be explained in this study.

Level of evidence

Level IV, therapeutic case series.

SUBMITTER: Reed DN

PROVIDER: S-EPMC7879164 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature

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Publications

Magnetic Resonance Imaging Findings After Superior Capsule Reconstruction.

Reed Dale Nicholas DN Frix James Tyler JT Frix James Mitchell JM

Arthroscopy, sports medicine, and rehabilitation 20210130 1

<h4>Purpose</h4>To evaluate graft properties on magnetic resonance imaging (MRI) after superior capsular reconstruction (SCR) to help improve our understanding of postoperative imaging.<h4>Methods</h4>We identified consecutive patients who underwent SCR by a single surgeon and who had postoperative MRIs available. MRIs were analyzed to look for common postoperative findings on imaging.<h4>Results</h4>Ten consecutive patients with an average age of 58 years who underwent SCR by a single surgeon h ...[more]

PMID: 33615263

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Dataset Information

Magnetic Resonance Imaging Findings After Superior Capsule Reconstruction.

Purpose

Methods

Results

Conclusions

Level of evidence

Publications

Magnetic Resonance Imaging Findings After Superior Capsule Reconstruction.

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