Barile A, Bruno F, Mariani S, Arrigoni F, Reginelli A, De Filippo M, Zappia M, Splendiani A, Di Cesare E, Masciocchi C
Department of Biotechnologies and Applied Clinical Sciences, University of L'Aquila, S. Salvatore Hospital Coppito, Via L. Natali, 67100, L'Aquila, Italy.
Department of Internal Clinical and Experimental Medicine and Surgery, Second University of Naples, Naples, Italy.
Musculoskelet Surg. 2017 Mar;101(Suppl 1):3-14. doi: 10.1007/s12306-017-0455-2. Epub 2017 Feb 13.
Diagnostic imaging plays an important role in the postoperative evaluation of the rotator cuff, as pain and disability may occur or persist after treatment. Postoperative imaging is therefore of paramount importance for clinicians before planning additional treatments. Multimodality imaging of the postoperative shoulder includes radiography, magnetic resonance (MR) imaging, MR arthrography, computed tomography (CT), CT arthrography, and ultrasound. Correct interpretation of imaging findings of the postoperative shoulder necessitates that the radiologist be familiar with the various treatment strategies, their possible complications and sources of failure, knowledge of normal and abnormal postoperative findings, and awareness of the advantages and weaknesses of the different imaging techniques. Imaging findings, however, should always be correlated with the clinical presentation because postoperative imaging abnormalities do not necessarily correlate with symptoms. This manuscript is a review of some of the most common treatment strategies for rotator cuff pathology, with a focus on expected postoperative imaging findings and postoperative complications.
诊断成像在肩袖术后评估中起着重要作用,因为治疗后可能会出现疼痛和功能障碍或持续存在。因此,术后成像对于临床医生在计划进一步治疗之前至关重要。术后肩部的多模态成像包括X线摄影、磁共振(MR)成像、MR关节造影、计算机断层扫描(CT)、CT关节造影和超声。要正确解读术后肩部的成像结果,放射科医生必须熟悉各种治疗策略、其可能的并发症和失败原因,了解术后正常和异常表现,以及不同成像技术的优缺点。然而,成像结果应始终与临床表现相关联,因为术后成像异常不一定与症状相关。本文是对肩袖病变一些最常见治疗策略的综述,重点关注预期的术后成像结果和术后并发症。