Publication:
Rotator cuff tear characteristics: how comparable are the pre-operative mri findings with intra-operative measurements following debridement during arthroscopic repair?

dc.contributor.coauthorAydıngöz, Üstün
dc.contributor.coauthorKoyuncu, Özgür
dc.contributor.departmentKUH (Koç University Hospital)
dc.contributor.departmentSchool of Medicine
dc.contributor.kuauthorAygün, Murat Serhat
dc.contributor.kuauthorDemirhan, Mehmet
dc.contributor.kuauthorEren, İlker
dc.contributor.kuauthorGünerbüyük, Caner
dc.contributor.kuauthorHatipoğlu, Edip
dc.contributor.kuauthorÖzben, Hakan
dc.contributor.schoolcollegeinstituteKUH (KOÇ UNIVERSITY HOSPITAL)
dc.contributor.schoolcollegeinstituteSCHOOL OF MEDICINE
dc.date.accessioned2024-11-09T23:20:39Z
dc.date.issued2019
dc.description.abstractPurpose Magnetic resonance (MRI) is a valuable imaging method which can detect pre-operative rotator cuff tear characteristics accurately. However, tendon degeneration almost always necessitates a certain amount of debridement during arthroscopic repair, which alters tear size and shape. The aim of this study is to question the accuracy of the pre-operative tear size and classification in MRI and its relation to the tear size and type of the debrided tendon during arthroscopic repair.MethodsA retrospective survey was performed to identify shoulders that underwent arthroscopic rotator cuff repair. Rotator cuff tears with an adequate history, a standard pre-operative MRI, and available surgical video records with appropriate measurements were included. Traumatic tears, calcifying tendonitis, isolated subscapularis tears, and revisions were excluded. In total, 60 shoulders' (30 males, 27 females; age 55.2 [35-73]) preoperative MRIs and intra-operative measurements were analyzed by orthopaedic surgeons and radiologists. Tear width and type were recorded. Interdisciplinary and intradisciplinary consistency of measurements and classifications were analyzed. Tear width measured on pre-operative MRI and after debridement were compared.ResultsAverage measured tear width was 95.3mm on MRI. Surgeons (9.98 +/- 4.6mm) measured tears significantly wider than radiologists (7.71 +/- 6.6mm). Radiologists (ICC, 0.930; CI, 0.883-0.959) showed superior consistency on MRI than surgeons (CI, 0.502; CI, 0.105-0.726). Average tear width measured after debridement (29.3 +/- 9.6mm) was significantly higher than tear width measured on pre-operative MRI (p<0.0001). None of the researchers assessing tear type on pre-operative MRI showed agreement with surgeons assessing intra-operative data.Conclusionsp id=ParThere were significant differences between the pre-operative tear characteristics on MRI and the debrided tendon characteristics during surgery, which were extensive enough to classify the tear in a different category.
dc.description.indexedbyWOS
dc.description.indexedbyScopus
dc.description.indexedbyPubMed
dc.description.issue5
dc.description.openaccessNO
dc.description.publisherscopeInternational
dc.description.sponsoredbyTubitakEuN/A
dc.description.volume43
dc.identifier.doi10.1007/s00264-018-4130-5
dc.identifier.eissn1432-5195
dc.identifier.issn0341-2695
dc.identifier.quartileQ2
dc.identifier.scopus2-s2.0-85053256432
dc.identifier.urihttps://doi.org/10.1007/s00264-018-4130-5
dc.identifier.urihttps://hdl.handle.net/20.500.14288/10759
dc.identifier.wos466730800017
dc.keywordsRotator cuff
dc.keywordsShoulder arthroscopy
dc.keywordsRotator cuff tear
dc.keywordsTendon debridement
dc.keywordsMagnetic resonance imaging
dc.keywordsTear measurement double-row
dc.keywordsClassification
dc.keywordsOutcomes
dc.keywordsPattern
dc.keywordsSize
dc.language.isoeng
dc.publisherSpringer
dc.relation.ispartofInternational Orthopaedics
dc.subjectOrthopedics
dc.titleRotator cuff tear characteristics: how comparable are the pre-operative mri findings with intra-operative measurements following debridement during arthroscopic repair?
dc.typeJournal Article
dspace.entity.typePublication
local.contributor.kuauthorEren, İlker
local.contributor.kuauthorÖzben, Hakan
local.contributor.kuauthorGünerbüyük, Caner
local.contributor.kuauthorAygün, Murat Serhat
local.contributor.kuauthorHatipoğlu, Edip
local.contributor.kuauthorDemirhan, Mehmet
local.publication.orgunit1SCHOOL OF MEDICINE
local.publication.orgunit1KUH (KOÇ UNIVERSITY HOSPITAL)
local.publication.orgunit2KUH (Koç University Hospital)
local.publication.orgunit2School of Medicine
relation.isOrgUnitOfPublicationf91d21f0-6b13-46ce-939a-db68e4c8d2ab
relation.isOrgUnitOfPublicationd02929e1-2a70-44f0-ae17-7819f587bedd
relation.isOrgUnitOfPublication.latestForDiscoveryf91d21f0-6b13-46ce-939a-db68e4c8d2ab
relation.isParentOrgUnitOfPublication055775c9-9efe-43ec-814f-f6d771fa6dee
relation.isParentOrgUnitOfPublication17f2dc8e-6e54-4fa8-b5e0-d6415123a93e
relation.isParentOrgUnitOfPublication.latestForDiscovery055775c9-9efe-43ec-814f-f6d771fa6dee

Files