| dc.creator |
BİÇEN, Ahmet Çağdaş; IZMIR UNIVERSITY OF ECONOMICS |
|
| dc.creator |
UNAL, Meric; Süleyman Demirel University |
|
| dc.creator |
EKİN, Ahmet; IZMIR UNIVERSITY OF ECONOMICS |
|
| dc.creator |
OZKAN, Mustafa; DOKUZ EYLUL UNIVERSITY |
|
| dc.date |
2022-03-01T00:00:00Z |
|
| dc.date.accessioned |
2022-05-10T10:58:52Z |
|
| dc.date.available |
2022-05-10T10:58:52Z |
|
| dc.identifier |
https://dergipark.org.tr/tr/pub/sdutfd/issue/68474/998025 |
|
| dc.identifier |
10.17343/sdutfd.998025 |
|
| dc.identifier.uri |
http://acikerisim.sdu.edu.tr/xmlui/handle/123456789/96203 |
|
| dc.description |
ObjectiveThe aim of this study is to evaluate the accuracyof magnetic resonance imaging (MRI) in detectingbiceps lesions in patients with rotator cuff tears.Material and MethodsA total of 168 patients operated on between January2012 and February 2020 were included in the study.All the patients underwent arthroscopic surgerywith the diagnosis of rotator cuff tears. All patientswere operated on under general anesthesia andin the beach chair position. Demographic data andpreoperative MRI findings were recorded. Arthroscopicfindings were accepted as the standard reference andcorrelated with preoperative MRI records.ResultsIn preoperative images, full-thickness rotator cufftears were identified in 118 (70.2%) cases and partialthicknesstears in 50 (29.8%) cases. Labrum/SLAPlesions were detected in 18 (10.7%) cases. Bicepsdisorders were reported in 51 (30.4%) cases. Duringthe surgeries, we observed additional pathologies in41 (24.4%) cases besides the preoperatively detectedlesions. Rotator cuff and labrum/SLAP repairs wereperformed in the same surgical sessions. The majorityof newly detected lesions were biceps lesions, beingidentified in 26 (15.5%) cases. In 41 (24.2%) casestenodesis, tenolysis, or tenotomy were performedfor biceps lesions. LHBT surgery was performed in26 cases with negative MRI. Biceps lesions wereconfirmed in 77 (45.8%) cases intraoperatively;therefore, the accuracy of MRI in detecting theselesions was 66.2%.ConclusionBiceps lesions are among the common pathologiesof the shoulder. Preoperative MRI is important inevaluation of the shoulder, but the efficacy of MRI maybe limited in detecting biceps disorders. Arthroscopicsurgery is crucial in diagnosis and treatment of LHBTlesions. |
|
| dc.description |
AmaçBu çalışmanın amacı rotator manşet yırtığı olan hastalardabiseps lezyonlarını saptamada manyetik rezonansgörüntülemenin (MRG) doğruluğunu değerlendirmektir.Gereç ve YöntemOcak 2012 ile Şubat 2020 arasında opere edilen toplam168 hasta çalışmaya dahil edildi. Tüm hastalararotator manşet yırtığı tanısı ile artroskopik cerrahi uygulandı.Tüm hastalar genel anestezi altında ve plajsandalyesi pozisyonunda ameliyat edildi. Demografikveriler ve ameliyat öncesi MRG bulguları kaydedildi.Artroskopik bulgular standart referans olarak kabuledildi ve preoperatif MRG kayıtları ile korele edildi.BulgularAmeliyat öncesi görüntülerde 118 (%70.2) olguda tamkat, 50 (%29.8) olguda parsiyel yırtık saptandı. Labrum/SLAP lezyonları 18 (%10,7) olguda tespit edildi.51 (%30.4) olguda biseps patolojisi bildirilmişti. Ameliyatlarsırasında 41 (%24,4) olguda ameliyat öncesitespit edilen lezyonların yanı sıra ek patolojiler gözlemledik.Rotator manşet ve labrum/SLAP onarımlarıaynı cerrahi seanslarda yapıldı. Yeni tespit edilen lezyonlarınçoğunluğu 26 (%15,5) vakada tespit edilenbiseps lezyonlarıydı. 41 (%24.2) olguda biseps lezyonlarıiçin tenodez, tenoliz veya tenotomi uygulandı.MRG negatif olan 26 olguda LHBT cerrahisi uygulandı.Biseps lezyonları 77 (%45.8) olguda intraoperatifolarak doğrulandı; MRG'nin bu lezyonları saptamadakidoğruluğu %66,2 idi.SonuçBiseps lezyonları omuzun sık görülen patolojileri arasındadır.Ameliyat öncesi MRG omuzun değerlendirilmesindeönemlidir, ancak MRG'nin biseps bozukluklarınıtespit etmedeki etkinliği sınırlı olabilir. LHBTlezyonlarının tanı ve tedavisinde artroskopik cerrahiönemli bir rol oynar. |
|
| dc.format |
application/pdf |
|
| dc.language |
en |
|
| dc.publisher |
Süleyman Demirel Üniversitesi |
|
| dc.publisher |
Süleyman Demirel University |
|
| dc.relation |
https://dergipark.org.tr/tr/download/article-file/1984648 |
|
| dc.source |
Volume: 29, Issue: 1
85-91 |
en-US |
| dc.source |
1300-7416 |
|
| dc.source |
2602-2109 |
|
| dc.source |
SDÜ Tıp Fakültesi Dergisi |
|
| dc.subject |
Biceps,long head of the biceps tendon,shoulder arthroscopy,rotator cuff tear. |
|
| dc.subject |
Biceps,biseps tendonunun uzun başı,omuz artroskopisi,rotator manşet yırtığı |
|
| dc.title |
EFFICACY OF PREOPERATIVE MRI IN DETECTING BICEPS TENDON PATHOLOGIES IN ROTATOR CUFF TEARS: CORRELATION OF MRI AND INTRAOPERATIVE FINDINGS |
en-US |
| dc.title |
ROTATOR MANŞET YIRTIKLARINDA BİSEPS TENDON PATOLOJİLERİNİN SAPTANMASINDA PREOPERATİF MR’IN ETKİNLİĞİ: MR VE İNTRAOPERATİF BULGULARIN KORELASYONU |
tr-TR |
| dc.type |
info:eu-repo/semantics/article |
|
| dc.citation |
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. |
|
| dc.citation |
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. |
|
| dc.citation |
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. |
|
| dc.citation |
4. Virk MS, Cole BJ. Proximal Biceps Tendon and Rotator Cuff Tears. Clin Sports Med. 2016; 35:153-161. |
|
| dc.citation |
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. |
|
| dc.citation |
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. |
|
| dc.citation |
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. |
|
| dc.citation |
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. |
|
| dc.citation |
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. |
|
| dc.citation |
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. |
|
| dc.citation |
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. |
|
| dc.citation |
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. |
|
| dc.citation |
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. |
|
| dc.citation |
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. |
|
| dc.citation |
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. |
|
| dc.citation |
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. |
|
| dc.citation |
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. |
|
| dc.citation |
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. |
|
| dc.citation |
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. |
|
| dc.citation |
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. |
|
| dc.citation |
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. |
|
| dc.citation |
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. |
|
| dc.citation |
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. |
|