Crass J R, Craig E V, Feinberg S B
AJR Am J Roentgenol. 1986 Mar;146(3):561-4. doi: 10.2214/ajr.146.3.561.
In experienced hands, high-resolution real-time sonography has been shown to be an accurate noninvasive method for diagnosis of rotator cuff tears. The sonographic appearance of the postoperative rotator cuff has not been previously reported. Forty postoperative patients were studied sonographically 1 week to 6 years after rotator cuff repair. The postoperative rotator cuff is abnormally echogenic and can be very similar in appearance to a small rotator cuff tear in a nonoperated patient. Soft-tissue planes about the tendon are distorted or absent. Criteria for diagnosis of retear must be different from those used in detecting new tears in a nonoperated cuff. Postoperative echogenicity is normal, but the finding of a defect or gap within the rotator cuff tendon is the only accurate sign of a recurrent rotator cuff tear.
在经验丰富的医生手中，高分辨率实时超声已被证明是诊断肩袖撕裂的一种准确的非侵入性方法。术后肩袖的超声表现此前尚未见报道。对40例术后患者进行了超声检查，时间为肩袖修复术后1周 至6年。术后肩袖回声异常，外观上与未手术患者的小肩袖撕裂非常相似。肌腱周围的软组织平面扭曲或消失。诊断再撕裂的标准必须与检测未手术肩袖新撕裂的标准不同。术后回声正常，但肩袖肌腱内出现缺损或间隙是肩袖复发性撕裂的唯一准确征象。
