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Magnetic Resonance Imaging in Quantitative Analysis of Rotator Cuff Muscle Volume
Abstract
Tears of the rotator cuff are accompanied by muscle atrophy, which has direct implications on patient outcome after rotator cuff surgery. However, no reliable method exists to determine muscle volumes in situ. The current authors evaluated the reliability of magnetic resonance imaging in assessing rotator cuff muscle volumes. Muscle volumes were determined in 10 shoulders from cadavers using two methods: (1). oblique sagittal shoulder scans were obtained, the contours of the supraspinatus, infraspinatus and teres minor, and subscapularis muscles were traced, and muscle volumes were calculated using image analysis software; and (2). rotator cuff muscles were dissected and muscle volumes were measured by water displacement. The average magnetic resonance imaging volume of the supraspinatus, infraspinatus and teres minor, and subscapularis muscles were 36 +/- 12, 96 +/- 41, and 99 +/- 33 mL, respectively. There was a significant correlation between magnetic resonance imaging and water displacement measurements. The intraobserver and interobserver variabilities were less than 4%. The results indicate the magnetic resonance imaging is a reliable method to determine rotator cuff muscle volumes with good intraobserver and interobserver variability. This method may prove valuable preoperative assessment of rotator cuff muscles and prediction of outcome after rotator cuff repair.
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Pooling the spectrum of methods for knee extensor mass/size and strength was done due to their high validity and reliability minimizing selection bias.
“We pooled the aforementioned spectrum of methods due to their high validity and reliability minimizing the selection bias (63–66).”
From Nonuniform loss of muscle strength and atrophy during bed rest: a systematic review (2021) · cites this paper as [65]
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Metadata
- Authors
- Tingart, M. J., Apreleva, M., Lehtinen, J. T., Capell, B., Palmer, W. E., & Warner, J. J. P.
- Affiliations
- Beth Israel Deaconess Medical Center (US)
- Corresponding author
- Tingart, Markus J.
- Apreleva, Maria
- Lehtinen, Janne T.
- Warner, Jon J.P.
- Venue
- Clinical Orthopaedics and Related Research
- Published
- 2003-10
- Volume
- 415
- Issue
- 415
- Pages
- 104-110
- ISSN
- 0009-921X (ISSN-L)
- OpenAlex
- W2021464428
- Cited by
- 112
- References
- 11
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 3 · 2023: 2 · 2022: 8 · 2021: 5 · 2020: 8 · 2019: 10 · 2018: 6 · 2017: 6 · 2016: 4 · 2015: 6 · 2014: 4 · 2013: 6 · 2012: 5
- FWCI
- 1.92
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Orthopaedics and Related Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Shoulder Injury and Treatment
- Health Sciences › Medicine › Surgery › Orthopedic Surgery and Rehabilitation
- Health Sciences › Medicine › Surgery › Hip disorders and treatments
- Keywords
- rotator cuff, muscle volume, magnetic resonance imaging, rotator cuff tear, muscle atrophy, supraspinatus, infraspinatus, teres minor, subscapularis, water displacement, cadaveric shoulder, measurement reliability, rotator cuff repair, preoperative assessment
- MeSH terms
- Rotator Cuff Injuries, Aged, Aged, 80 and over, Anthropometry, Cadaver, Dissection, Fat Necrosis, Female, Humans, Image Processing, Computer-Assisted, Magnetic Resonance Imaging, Male, Muscular Atrophy, Predictive Value of Tests, Preoperative Care, Observer Variation, Range of Motion, Articular
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