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A new tear pattern of the rotator cuff and its treatment: Fosbury flop tears


1 Division of Orthopaedics and Trauma Surgery, La Tour Hospital, Meyrin; Faculty of Medicine, University of Geneva, Switzerland
2 Department of Orthopaedics and Rehabilitation, Oregon Health and Science University, Portland, USA
3 Rive Droite Radiology Center, Geneva, Switzerland

Correspondence Address:
Alexandre Lädermann
La Tour Hospital, Av. J.-D.-Maillard 3, 1217 Meyrin/Geneva
Switzerland
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0973-6042.150217

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Year : 2015  |  Volume : 9  |  Issue : 1  |  Page : 9-12

 

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Purpose: The purpose of this report is to describe a new full-thickness tear pattern of the posterosuperior rotator cuff with reversal healing. We describe the specific radiologic signs associated with this tear pattern and the arthroscopic rotator cuff repair technique. Materials and Methods: A prospective radiologic and clinical study collected all patients with a magnetic resonance imaging arthrogram that underwent an arthroscopic rotator cuff repair over a 1 year period. Results: Among 97 patients, five demonstrated a tear of the posterosuperior rotator cuff with reversal healing. Characteristic radiographic findings included a thicker tendon than normal, the presence of a stump and accumulation of liquid in the superior-medial part of the subacromial bursa, and adhesions between the supraspinatus tendon and the wall of the subacromial bursa. Conclusion: Avulsion of the posterosuperior rotator cuff with reversal healing on its bursal-side is a less common condition. This type of lesion and distinct radiographic signs that can be recognized to facilitate anatomic repair of the rotator cuff. Level of evidence: Level IV.






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1 Division of Orthopaedics and Trauma Surgery, La Tour Hospital, Meyrin; Faculty of Medicine, University of Geneva, Switzerland
2 Department of Orthopaedics and Rehabilitation, Oregon Health and Science University, Portland, USA
3 Rive Droite Radiology Center, Geneva, Switzerland

Correspondence Address:
Alexandre Lädermann
La Tour Hospital, Av. J.-D.-Maillard 3, 1217 Meyrin/Geneva
Switzerland
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0973-6042.150217

Rights and Permissions

Purpose: The purpose of this report is to describe a new full-thickness tear pattern of the posterosuperior rotator cuff with reversal healing. We describe the specific radiologic signs associated with this tear pattern and the arthroscopic rotator cuff repair technique. Materials and Methods: A prospective radiologic and clinical study collected all patients with a magnetic resonance imaging arthrogram that underwent an arthroscopic rotator cuff repair over a 1 year period. Results: Among 97 patients, five demonstrated a tear of the posterosuperior rotator cuff with reversal healing. Characteristic radiographic findings included a thicker tendon than normal, the presence of a stump and accumulation of liquid in the superior-medial part of the subacromial bursa, and adhesions between the supraspinatus tendon and the wall of the subacromial bursa. Conclusion: Avulsion of the posterosuperior rotator cuff with reversal healing on its bursal-side is a less common condition. This type of lesion and distinct radiographic signs that can be recognized to facilitate anatomic repair of the rotator cuff. Level of evidence: Level IV.






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