Can subcoracoid effusion be a more specific finding for subscapularis tear among rotator cuff pathologies on magnetic resonance imaging?

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dc.authoridBahadır, Batuhan/0000-0002-4651-1063
dc.authoridOklaz, Ethem Burak/0000-0001-6241-8523
dc.authoridKaya, İbrahim/0000-0001-8205-6515
dc.contributor.authorBahadir, Batuhan
dc.contributor.authorSarikaya, Baran
dc.contributor.authorKaya, İbrahim
dc.contributor.authorOklaz, Burak
dc.contributor.authorSarikaya, Pelin Zeynep Bekin
dc.contributor.authorKanatli, Ulunay
dc.date.accessioned2025-01-21T16:36:19Z
dc.date.available2025-01-21T16:36:19Z
dc.date.issued2023
dc.departmentKırıkkale Üniversitesi
dc.description.abstractHypothesis and Background: Magnetic resonance imaging (MRI) is a well-known, noninvasive diagnostic method for rotator cuff tendon pathologies that are not very sensitive for subscapularis tendon tears. Subcoracoid effusion (SE) is an easily recognizable radiologic sign on MRI. In this study, we aimed to examine the relationship of SE with rotator cuff tear and to investigate whether SE could be a supportive finding in the diagnosis of subscapularis tear in preoperative MRI. Our hypothesis was that SE was a more specific finding of subscapularis tear than other rotator cuff tears. Methods: The data of patients who underwent shoulder arthroscopy in our clinic between 2017 and 2021 were analyzed retrospectively. Four groups were included in the study: patients with a rotator cuff tear accompanied by a subscapularis tear (group 1, n = 273), patients with isolated subscapularis tear (group 2, n = 57), patients with rotator cuff tear with intact subscapularis tendon (group 3, n = 190), and patients without any rotator cuff pathology (group 4, n = 263). Arthroscopic video records and MRIs of all patients were evaluated retrospectively. Subscapularis tendon tears were classified according to the Lafosse classification. Results: There was a statistically significant difference between the groups in terms of the presence of SE on MRI (P = .001). The presence of SE in group 1 and group 2 was statistically significantly higher than that in both group 3 and group 4 (P = .001), and there was no significant difference between group 3 and group 4 (P > .05). A significant relationship was found between Lafosse classification and SE (P = .001). When the diagnostic powers of the detection of SSC tear and the presence of SE on MRI for SSC tear were compared, Kappa values were 0.615 (P = .001) and 0.701 (P = .001), and overall diagnostic accuracy rates were 80.3% and 85.5%, respectively. Conclusion: We conclude that SE is a more specific finding for subscapularis tears than other rotator cuff pathologies. We suggest that SE on MRI should also be considered in patients with a rotator cuff tear in whom a subscapularis tear was not detected in preoperative MRI and that the subscapularis tendon should be carefully evaluated during surgery in cases where the effusion is positive. (c) 2022 Journal of Shoulder and Elbow Surgery Board of Trustees. All rights reserved.
dc.identifier.doi10.1016/j.jse.2022.06.009
dc.identifier.endpage23
dc.identifier.issn1058-2746
dc.identifier.issn1532-6500
dc.identifier.issue1
dc.identifier.pmid35926832
dc.identifier.scopus2-s2.0-85139219181
dc.identifier.scopusqualityQ1
dc.identifier.startpage17
dc.identifier.urihttps://doi.org/10.1016/j.jse.2022.06.009
dc.identifier.urihttps://hdl.handle.net/20.500.12587/24295
dc.identifier.volume32
dc.identifier.wosWOS:000914901400005
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherMosby-Elsevier
dc.relation.ispartofJournal of Shoulder and Elbow Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_20241229
dc.subjectSubcoracoid; effusion; subscapularis; rotator; cuff; tear; MRI; diagnosis
dc.titleCan subcoracoid effusion be a more specific finding for subscapularis tear among rotator cuff pathologies on magnetic resonance imaging?
dc.typeArticle

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