Progression of degenerative changes of the biceps tendon after successful rotator cuff repair

Background This study investigated the morphologic changes in the biceps tendon using ultrasonography before and after successful arthroscopic posterosuperior rotator cuff repair. Methods Forty-four patients (44 shoulders) underwent arthroscopic posterosuperior rotator cuff repair with 1-year postop...

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Bibliographic Details
Published in:Journal of shoulder and elbow surgery 2017-03, Vol.26 (3), p.424-429
Main Authors: Takahashi, Norimasa, MD, Sugaya, Hiroyuki, MD, Matsumoto, Momoko, RT, Miyauchi, Hikaru, RT, Matsuki, Keisuke, MD, Tokai, Morihito, MD, Kawai, Nobuaki, MD, Onishi, Kazutomo, Ueda, Yusuke, MD, Hoshika, Shota, MD
Format: Article
Language:English
Subjects:
anterior shoulder pain
arthroscopic rotator cuff repair
Arthroscopy
biceps hypertrophy
Disease Progression
Female
Follow-Up Studies
Humans
Long head of the biceps
Male
Middle Aged
Orthopedics
Pain Measurement
power Doppler sonography
Prognosis
Rotator Cuff Injuries - surgery
Shoulder - diagnostic imaging
Shoulder Pain - etiology
Tendons - blood supply
Tendons - diagnostic imaging
Tendons - surgery
Ultrasonography, Doppler
ultrasound
Wound Healing
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Summary:Background This study investigated the morphologic changes in the biceps tendon using ultrasonography before and after successful arthroscopic posterosuperior rotator cuff repair. Methods Forty-four patients (44 shoulders) underwent arthroscopic posterosuperior rotator cuff repair with 1-year postoperative magnetic resonance imaging (MRI) follow-up. The patients comprised 22 men and 22 women with an average age of 61 years. The cross-sectional area (CSA) of the biceps tendon in the bicipital groove was measured, and the vascularity in the bicipital groove was graded as 0 to 3, based on the signal density of the anterior circumflex artery, using power Doppler ultrasonography. The preoperative and postoperative CSA and vascularity grades were compared. The pain score on the University of California, Los Angeles Shoulder Rating Scale was used to analyze the correlation between vascularity and postoperative pain. Results The average preoperative and postoperative CSA of the biceps tendon was 15.4 ± 6.5 and 17.9 ± 7.5 mm2 , respectively. The postoperative CSA was significantly larger than the preoperative CSA ( P  
ISSN:1058-2746
1532-6500
DOI:10.1016/j.jse.2016.09.052