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A systematic review on sonoelastography for rotator-cuff post-repair assessment
Ting-Yu Lin1, Ke-Vin Chang2, Wei-Ting Wu3
1Department of Physical Medicine and Rehabilitation, Lo-Hsu Medical Foundation, Inc., Lotung Poh-Ai Hospital, Yilan, Taiwan.
Asian Journal of Surgery
|February 21, 2024
Summary
Sonoelastography may help detect rotator cuff re-tears by assessing muscle stiffness changes after surgery. Further research is needed to correlate these findings with other imaging methods.
Area of Science:
- Orthopedics
- Biomedical Engineering
- Radiology
Background:
- Rotator cuff tears are common, with significant re-tear risks after surgical repair.
- Assessing post-repair integrity and identifying re-tears remains a clinical challenge.
Approach:
- This systematic review analyzed 11 studies (355 patients) on perioperative sonoelastography for repaired rotator cuffs.
- Searched PubMed, Embase, and Cochrane databases for studies up to June 19, 2023.
- Evaluated study quality using the Newcastle-Ottawa scale and extracted key sonoelastographic findings.
Key Points:
- Postoperative (1-6 months) supraspinatus muscle stiffness increased, while ipsilateral deltoid stiffness decreased.
- Reduced supraspinatus muscle elasticity may indicate potential tendon re-tear, requiring correlation with other imaging.
- Sonoelastography findings on supraspinatus tendon stiffness post-repair were conflicting.
Conclusions:
- Perioperative sonoelastography shows potential for monitoring rotator cuff repair healing and detecting re-tears.
- Establishing correlations with other imaging modalities is crucial for validating sonoelastography findings.
- Preoperative tendon stiffness did not predict postoperative integrity or function.
