ESSR 2019 / P-0124
Winner
Postoperative Shoulder: widening one’s knowledge in the MRI era
Congress: ESSR 2019
Poster No.: P-0124
Type: Scientific Poster
Keywords: Musculoskeletal system, MR, Complications, Outcomes
Authors: A. Tereso1, G. S. Andrade2, S. F. A. F. Duarte3, V. Mascarenhas4; 1Amadora/PT, 2Amadira/PT, 3Setubal/PT, 4Lisbon/PT
DOI:10.26044/essr2019/P-0124

Results

 

For this case series review, we selected patients that presented with persistent shoulder pain, functional impairment and/or persistent shoulder instability after shoulder surgery. From the forty-four patients enrolled in this study, there were twenty-eight men and sixteen women.

 

The pathology seen before the surgery are divided between rotator cuff tear, Bankart lesion, calcified tendinitis and acromion-clavicular fracture (table 1). In some patients the rotator cuff lesions were accompanied with glenohumeral instability, usually labrum tears.

 

Table 1

Lesion prior to Shoulder Surgery

Number

Rotator Cuff Tear

37

Glenohumeral instability

9

Acromioclavicular fracture

1

Calcified Tendinopathy

1

Table 1. Distribution of the shoulder pathology before shoulder surgery.

 

 

Thirty-six patients, that underwent surgery and had persistent symptons after surgery, had post-surgical complications, diagnosed on the post-surgical MRI scan (table 2).

 

 

Table 2

Postoperative Complications

Number

Retear or new tear of the supraspinatus

16

Retear of the infraspinatus

9

Labrum lesion

8

Tear of the subscapular

5

Superior elevation of the humeral head

4

Articular free bodies

2

Dislodged suture anchors

2

Glenohumeral osteoarthritis

1

Glenohumeral arthrosis

1

Humeral head fracture

1

Table 2. Distribution of the postoperative shoulder complications.

 

The most common complication was tear or retear of the rotator cuff tendons (supraspinatus, infraspinatus and subscapular), followed by labrum lesions and superior displacement of the humeral head. We found one humeral head fracture, one glenohumeral arthrosis and one glenohumeral osteoarthritis (Figures 8 – 17).

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