Graft use in the treatment of large and massive rotator cuff tears: an overview of techniques and modes of failure with MRI correlation

Despite technical advances, repair of large or massive rotator cuff tears continues to demonstrate a relatively high rate of failure. Rotator cuff repair or superior capsular reconstruction (SCR) using a variety of commercially available grafts provides a promising option in patients with tears that...

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Bibliographic Details
Published in:Skeletal radiology 2019, Vol.48 (1), p.47-55
Main Authors: Duchman, Kyle R., Mickelson, Dayne T., Little, Barrett A., Hash, Thomas W., Lemmex, Devin B., Toth, Alison P., Garrigues, Grant E.
Format: Article
Language:English
Subjects:
Construction sites
Failure modes
Grafting
Grafts
Imaging
Injuries
Magnetic resonance imaging
Medicine
Medicine & Public Health
Methods
NMR
Nuclear magnetic resonance
Nuclear Medicine
Orthopedic surgery
Orthopedics
Pathology
Radiology
Reconstruction
Repair
Review Article
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Summary:Despite technical advances, repair of large or massive rotator cuff tears continues to demonstrate a relatively high rate of failure. Rotator cuff repair or superior capsular reconstruction (SCR) using a variety of commercially available grafts provides a promising option in patients with tears that may be at high risk for failure or otherwise considered irreparable. There are three major graft constructs that exist when utilizing graft in rotator cuff repair or reconstruction: augmentation at the rotator cuff footprint, bridging, and SCR. Each construct has a unique appearance when evaluated using postoperative magnetic resonance imaging (MRI), and each construct has unique sites that are predisposed to failure. Understanding the basic principles of these constructs can help the radiologist better evaluate the postoperative MRI appearance of these increasingly utilized procedures.
ISSN:0364-2348
1432-2161
DOI:10.1007/s00256-018-3015-4