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Incidence of rotator cuff tears in the setting of calcific tendinopathy on MRI: a case controlled comparison.
Beckmann, Nicholas M; Tran, Michael Q; Cai, Chunyan.
Afiliação
  • Beckmann NM; Department of Diagnostic and Interventional Imaging, UTHealth-McGovern School of Medicine, 6431 Fannin Street, 2.130B, Houston, TX, 77030, USA. Nicholas.M.Beckmann@uth.tmc.edu.
  • Tran MQ; Department of Diagnostic and Interventional Imaging, UTHealth-McGovern School of Medicine, 6431 Fannin Street, 2.130B, Houston, TX, 77030, USA.
  • Cai C; Department of Internal Medicine, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, TX, USA.
Skeletal Radiol ; 48(2): 245-250, 2019 Feb.
Article em En | MEDLINE | ID: mdl-29982853
OBJECTIVE: To compare the incidence of rotator cuff tears on shoulder MRI in patients who have rotator cuff calcific tendinopathy with that in patients without calcific tendinopathy in a frequency-matched case-control study. MATERIALS AND METHODS: Retrospective review shoulder MRIs of 86 patients with rotator cuff calcific tendinopathy and an 86-patient age-, gender-, and laterality-matched control group using frequency matching. RESULTS: No statistically significant difference (odds ratio: 0.72, 95% confidence interval: 0.38-1.38, p = 0.32) was found in the incidence of rotator cuff tear in the calcific tendinopathy (27.9%) and control groups (34.9%). A significant (p < 0.001) difference in the size of rotator cuff tear was seen between the two groups, with 12.5% of tears being full-thickness in the calcific tendinopathy group and 63.3% of tears being full-thickness in the control group. Only 3 of the 24 (12.5%) rotator cuff tears present in the calcific tendinopathy group occurred at the site of tendon calcification. CONCLUSION: Patients presenting with indeterminate shoulder pain and rotator cuff calcific tendinopathy are not at increased risk for having a rotator cuff tear compared with similar demographic patients without calcific tendinopathy presenting with shoulder pain. Calcific tendinopathy and rotator cuff tears likely arise from different pathological processes.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Calcinose / Imageamento por Ressonância Magnética / Tendinopatia / Lesões do Manguito Rotador Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Aged / Humans / Male / Middle aged Idioma: En Ano de publicação: 2019 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Calcinose / Imageamento por Ressonância Magnética / Tendinopatia / Lesões do Manguito Rotador Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Aged / Humans / Male / Middle aged Idioma: En Ano de publicação: 2019 Tipo de documento: Article