Graft use in the Treatment of Large and Massive Rotator Cuff Tears: An overview of techniques and modes of failure with MRI correlation

July 5th, 2018 , Skeletal Radiology

Graft use in the Treatment of Large and Massive Rotator Cuff Tears: An overview of techniques and modes of failure with MRI correlation (Abstract)

Authors: Duchman KR, Mickelson DT, Little BA, Hash TW 2nd, Lemmex DB, Toth AP, Garrigues GE

Summary:

Despite technical advances, repair of large or massive rotator cuff tears continues to demonstrate a relatively high rate of failure. Rotator cuffrepair 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 MRIappearance of these increasingly utilized procedures.

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