Evaluation of the relationship between subacromial space volume and rotator cuff injury by Magnetic Resonance Imaging with SPACE technique

Safiye Sanem Dereli Bulut 1 * , Zakir Sakci 1
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1 Department of Radiology, Umraniye Research and Training Hospital, TC.Health Sciences University, Istanbul, Turkey
* Corresponding Author
J CLIN MED KAZ, Volume 18, Issue 3, pp. 35-39. https://doi.org/10.23950/jcmk/10923
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ABSTRACT

Aim: To investigate the relationship between the degree of tearing in the rotator cuff tendons and the subacromial region volume using the proton-density weighted Sampling Perfection with Application optimized Contrasts using different flip angle Evolution technique and the contribution of this technique to shoulder magnetic resonance
imaging.
Material and methods: A total of 125 patients who underwent shoulder magnetic resonance imaging for shoulder pain between January 2016 and December 2016 were included in this single-center, retrospective study. Rotator cuff tendon injury grading was performed using coronal plane 2D short tau inversion recovery T2-weighted
sequences (grades 1–4). Subacromial region volume was calculated from PD-weighted 3D SPACE sequence images in sagittal oblique plane. The relationship between rotator cuff tears and subacromial region volumes was evaluated using Pearson’s correlation analysis. The measurements were made at different times by two independent radiologists.
Results: There was a strong negative correlation between the grade of RC tendon tear and subacromial volume (p<0.05; r: -0.83).
Conclusion: Shoulder magnetic resonance imaging with high-contrast resolution can be obtained by the Sampling Perfection with Application optimized Contrasts using different flip angle Evolution technique. The degree of rotator cuff tendon tear, which is a cause of shoulder pain, is associated with the subacromial region volume. Using the Sampling Perfection with Application optimized Contrasts using different flip angle Evolution technique can also easily reveal the cause of the damage.

CITATION

Dereli Bulut SS, Sakci Z. Evaluation of the relationship between subacromial space volume and rotator cuff injury by Magnetic Resonance Imaging with SPACE technique. J CLIN MED KAZ. 2021;18(3):35-9. https://doi.org/10.23950/jcmk/10923

REFERENCES

  • Kanatli U, Ayanog, T, Aktas E, Özer, M, Çetinkaya, M. Grade of coracoacromial ligament degeneration as a predictive factor for impingement syndrome and type of partial rotator cuff tear. J Shoulder Elbow Surg. 2016;25(11):1824-1828.
  • Daghir AA, Sookur PA, Shah S, Watson M. Dynamic ultrasound of the subacromial–subdeltoid bursa in patients with shoulder impingement: a comparison with normal volunteers. Skeletal Radiol. 2012;41(9):1047-53..
  • Moosikasuwan JB, Miller TT, Burke BJ. Rotator Cuff Tears: Clinical, Radiographic, and US Findings. RadioGraphics 2005; 25:1591–1607.
  • Neer, C.S.I., 1983. Impingement Lesions. Clinical Orthopaedics & Related Research March 1983 70–77.
  • Seitz, A.L., McClure, P.W., Finucane, S., Boardman III, N.D., Michener, L.A., 2011. Mechanisms of rotator cuff tendinopathy: Intrinsic, extrinsic, or both? Clinical Biomechanics 26, 1–12.
  • Girish G, Lobo LG, Jacobson JA, Morag Y, Miller B, Jamadar DA. Ultrasound of the Shoulder: Asymptomatic Findings in Men. AJR 2011; 197:W713–W719
  • Bigliani, L.U., Codd, T.P., Connor, P.M., Levine, W.N., Littlefield, M.A., Hershon, S.J., 1997. Shoulder Motion and Laxity in the Professional Baseball Player. Am J Sports Med 25, 609–613
  • Craik JD, Mallina R, Ramasamy V, Little, NJ. Human evolution and tears of the rotator cuff. Int Orthop. 2014; 38(3): 547–552.
  • Durmaz MS, Karahan Y. Omuz Ultrasonografi İncelemesi Manyetik Rezonans Görüntüleme’ nin Yerini Alabilir Mi? [in Turkish]. Dicle Med J 2020;47:929-939.
  • Teefey SA, Middleton WD, Payne WT, Yamaguchi K. Detection and Measurement of Rotator Cuff Tears with Sonography: Analysis of Diagnostic Errors. AJR 2005;184:1768–1773
  • M. J. Tuite MJ, Small KM. Imaging Evaluation of Nonacute Shoulder Pain. AJR 2017; 209:525–533.
  • Pepe M, Kocadal O, Gunes Z, Calisal E. Subacromial space volume in patients with rotator cuff tear: The effect of surgical repair. Acta Orthop. Traumatol. Turc. 2018;52(6):419-422.
  • Nyffeler RW, Meyer DC. Acromion and glenoid shape: Why are they important predictive factors for the future of our shoulders? EFORT Open Rev. 2017; 2(5): 141–150.
  • Titreault P, Krueger A, Zurakowski D, Gerber C. Glenoid version and rotator cuff tears. J Orthop Res. 2004 Jan;22(1):202-207.
  • Lee SB, Itoi, E., O’Driscoll, S.W., An, K.-N., 2001. Contact geometry at the undersurface of the acromion with and without a rotator cuff tear. Arthroscopy: The Journal of Arthroscopic &Related Surgery 17, 365–372.
  • Budoff, J.E., Rodin, D., Ochiai, D., Nirschl, R.P., 2005. Arthroscopic Rotator Cuff Debridement Without Decompression for the Treatment of Tendinosis. Arthroscopy: The Journal of Arthroscopic & Related Surgery 21, 1081–1089.
  • Henkus, H.E., Witte, P.B. de, Nelissen, R.G.H.H., Brand, R., Arkel, E.R.A. van, 2009. Bursectomy compared with acromioplasty in the management of subacromial impingement syndrome a prospectıve randomısed study. J Bone Joint Surg Br 91-B, 504-510.
  • Karsten J, et al. Comparison of 3D turbo spin-echo SPACE sequences with conventional 2D MRI sequences to assess the shoulder joint. Eur. J. Radiol. 2014;83(1):1843-1849.
  • Henninger B, Raithel E, Kranewitter C, Steurer M, Jaschke W, Kremser C. Evaluation of an accelerated 3D SPACE sequence with compressed sensing and free-stop scan mode for imaging of the knee. Eur. J. Radiol. 2018;102:74-82.