Rotator cuff tear morphologic parameters at magnetic resonance imaging: Relationship with muscle atrophy and fatty infiltration and patient-reported function and health-related quality of life

Type de document

Études primaires

Année de publication

2018

Langue

Anglais

Titre de la revue

Journal of Computer Assisted Tomography

Première page

784

Dernière page

791

Résumé

Objective: The aim of this study was to determine the relationship between rotator cuff tear (RCT) morphologic parameters and muscle atrophy and fatty infiltration, and patient-reported outcome measures, in patients with symptomatic full-thickness RCT.

Methods: Rotator cuff tear location, length, width, thickness, and musculotendinous junction position were assessed in 57 magnetic resonance imaging scans and correlated to the outcome measures using multivariate regression analysis.

Results: Supraspinatus tendon tear length (odds ratio [OR], 2.218; 95% confidence interval [CI], 1.460-3.370), supraspinatus musculotendinous junction position (OR, 2.037; 95% CI, 1.322-3.137), and infraspinatus tendon tear width (OR, 2.371; 95% CI, 1.218-4.615) were identified as the strongest determinants of supraspinatus muscle atrophy, supraspinatus muscle fatty infiltration, and infraspinatus muscle fatty infiltration, respectively.

Conclusions: The extent of supraspinatus tendon and musculotendinous junction retraction influences the development of supraspinatus muscle atrophy and fatty infiltration, whereas the extent of infraspinatus tendon tear width influences the development of infraspinatus muscle fatty infiltration. Morphologic parameters defining RCT at magnetic resonance imaging did not correlate with clinical shoulder function scores. © Wolters Kluwer Health, Inc. All rights reserved.

Mots-clés

Ténopathie, Tendon disease, Imagerie par résonance magnétique, Magnetic resonance imaging, Atrophie musculaire, Muscular atrophy

Numéro de projet IRSST

0099-8250

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