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Related Experiment Video

Updated: Jan 13, 2026

Arthroscopic Management of Massive Irreparable Rotator Cuff Tears: Whole Rotator Cable Reconstruction Using Proximal Biceps Tendon Autograft
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Is elastography feasible in torn rotator cuffs before surgery?

Mina Shenouda1, Nick Bouletos1, James Bilbrough1

  • 1Orthopaedic Research Institute, St George Hospital Campus, University of New South Wales, Sydney, Australia.

JSES International
|January 9, 2026
PubMed
Summary
This summary is machine-generated.

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Shear wave elastography (SWE) is feasible for assessing torn supraspinatus tendons before surgery if tears are less than 30 mm. Younger patients with smaller tears showed higher stiffness on SWE.

Area of Science:

  • Orthopedics
  • Medical Imaging
  • Biophysics

Background:

  • Shear wave elastography (SWE) quantifies tissue elasticity using ultrasound.
  • Preliminary data suggest SWE can predict retear risk after supraspinatus tendon repair.
  • Feasibility of preoperative SWE for torn supraspinatus tendons is uncertain due to visualization challenges.

Purpose of the Study:

  • To assess the feasibility of preoperative Shear Wave Elastography (SWE) for torn supraspinatus tendons.
  • To determine the relationship between elastographic stiffness and tear characteristics.

Main Methods:

  • Prospective cohort study of 60 patients with supraspinatus tears.
  • SWE imaging was used to measure the elastographic stiffness of torn supraspinatus tendons.
Keywords:
ElasticityRetearRotator cuffShear wave elastographyUltrasoundVelocity

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Last Updated: Jan 13, 2026

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Main Results:

  • Successful SWE measurements were obtained in 98% of cases (59/60).
  • Measurement failure occurred in one case with tears > 28 mm.
  • Tendon stiffness inversely correlated with tear length and patient age (p < .05).

Conclusions:

  • Preoperative SWE is feasible for supraspinatus tears < 30 mm.
  • Younger patients with smaller tears exhibited greater elastographic stiffness.