Journal of Shoulder and Elbow Surgery
Volume 19, Issue 1 , Pages 73-80 , January 2010

Vascularity of the supraspinatus tendon three months after repair: Characterization using contrast-enhanced ultrasound

  • Seth C. Gamradt, MD

      Affiliations

    • Department of Orthopaedic Surgery, David Geffen School of Medicine at UCLA, Los Angeles, CA
    • Corresponding Author InformationReprint requests: Seth Gamradt, MD, Orthopaedic Surgery and Sports Medicine, David Geffen School of Medicine at UCLA, 10833 Leconte Ave, CHS 76-139, Los Angeles, CA 90095.
    • ,
  • Robert A. Gallo, MD

      Affiliations

    • Shoulder and Sports Medicine Service, Hospital for Special Surgery, New York, NY
    • ,
  • Ronald S. Adler, MD, PhD

      Affiliations

    • Department of Radiology and Imaging, Hospital for Special Surgery, New York, NY
    • ,
  • Alex Maderazo, MD

      Affiliations

    • Department of Radiology and Imaging, Hospital for Special Surgery, New York, NY
    • ,
  • David W. Altchek, MD

      Affiliations

    • Shoulder and Sports Medicine Service, Hospital for Special Surgery, New York, NY
    • ,
  • Russell F. Warren, MD

      Affiliations

    • Shoulder and Sports Medicine Service, Hospital for Special Surgery, New York, NY
    • ,
  • Stephen Fealy, MD

      Affiliations

    • Shoulder and Sports Medicine Service, Hospital for Special Surgery, New York, NY

References 

  1. Accousti KJ, Gladstone J, Parsons B, Klug R, Flatow EL. In-vivo measurement of rotator cuff perfusion using laser doppler flowmetry. San Francisco: Arthroscopy Association of North America, Annual Meeting; 2007;
  2. Adler RS, Fealy S, Rudzki J, Kadrmas W, Verma N, Pearle A, et al. Contrast enhanced ultrasound imaging of the rotator cuff in asymptomatic volunteers: depiection of intra and peritendinous vascularity. Radiology. 2008;248:954–961
  3. Averkious M, Powers J, Skyba D, Bruce M, Jenson S. Ultrasound contrast imaging in research. Ultrasound Quarterly. 2003;19:27–37
  4. Biberthaler P, Wiedemann E, Nerlich A, Kettler M, Mussack T, Deckelmann S, et al. Microcirculation associated with degenerative rotator cuff lesions. In vivo assessment with orthogonal polarization spectral imaging during arthroscopy of the shoulder. J Bone Joint Surg Am. 2003;85-A:475–480
  5. Boileau P, Brassart N, Watkinson DJ, Carles M, Hatzidakis AM, Krishnan SG. Arthroscopic repair of full-thickness tears of the supraspinatus: does the tendon really heal?. J Bone Joint Surg Am. 2005;87:1229–1240
  6. Brooks CH, Revell WJ, Heatley FW. A quantitative histological study of the vascularity of the rotator cuff tendon. J Bone Joint Surg Br. 1992;74:151–153
  7. Determe D, Rongieres M, Kany J, Glasson JM, Bellumore Y, Mansat M, et al. Anatomic study of the tendinous rotator cuff of the shoulder. Surg Radiol Anat. 1996;18:195–200
  8. Fealy S, Adler RS, Drakos MC, Kelly AM, Allen AA, Cordasco FA, et al. Patterns of vascular and anatomical response after rotator cuff repair. Am J Sports Med. 2006;34:120–127
  9. Galatz LM, Ball CM, Teefey SA, Middleton WD, Yamaguchi K. The outcome and repair integrity of completely arthroscopically repaired large and massive rotator cuff tears. J Bone Joint Surg Am. 2004;86-A:219–224
  10. Gazielly DF, Gleyze P, Montagnon C. Functional and anatomical results after rotator cuff repair. Clin Orthop Relat Res. 1994;304:43–53
  11. Harryman DT, Mack LA, Wang KY, Jackins SE, Richardson ML, Matsen FA. Repairs of the rotator cuff. Correlation of functional results with integrity of the cuff. J Bone Joint Surg Am. 1991;73:982–989
  12. Jost B, Zumstein M, Pfirrmann CW, Gerber C. Long-term outcome after structural failure of rotator cuff repairs. J Bone Joint Surg Am. 2006;88:472–479
  13. Lohr JF, Uhthoff HK. The microvascular pattern of the supraspinatus tendon. Clin Orthop Relat Res. 1990;254:35–38
  14. Rathbun JB, Macnab I. The microvascular pattern of the rotator cuff. J Bone Joint Surg Br. 1970;52:540–553
  15. Rudzki JR, Adler RS, Kadrmas WR, Verma NN, Pearle AA, Lyman S, et al. Contrast-enhanced ultrasound characterization of the vascularity of the rotator cuff tendon: Age and activity related changes in the intact asymptomatic rotator cuff. J Shoulder Elbow Surg. 2007;17(1S):96S–100S
  16. Voloshin I, Gelinas J, Maloney MD, O'Keefe RJ, Bigliani LU, Blaine TA. Proinflammatory cytokines and metalloproteases are expressed in the subacromial bursa in patients with rotator cuff disease. Arthroscopy. 2005;21:1076
  17. Weissman NJ, Cohen MC, Hack TC, Gillam LD, Cohen JL, Kitzman DW. Infusion versus bolus contrast echocardiography: a multicenter, open-label, crossover trial. Am Heart J. 2000;139:399–404

PII: S1058-2746(09)00200-6

doi: 10.1016/j.jse.2009.04.004

Journal of Shoulder and Elbow Surgery
Volume 19, Issue 1 , Pages 73-80 , January 2010

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