The postoperative shoulder is a complicated area depending on the patient, the patient's age, the type of technique and equipment that was used, and imaging of the shoulder using MRI. This article has discussed the surgical and radio-logic considerations faced in trying to assess patients who have had surgery to explain the rationale of the operation and then try to understand if there is an abnormality that can explain the post-operative pain. MR arthrography has been shown to be a safe and effective technique for evaluating the postoperative shoulder.


[1] Zanetti M, HodlerJ. MR imaging of the shoulder after surgery. Magn Reson Imaging Clin N Am 2004;12:169-83.

[2] Sugimoto H, Suzuki K, Mihara K, et al. MR arthrography of shoulders after suture-anchor bankart repair. Radiology 2002;224:105-11.

[3] Mohana-Borges AV, Chung CB, Resnick D. MR imaging and MR arthrography of the postoperative shoulder: spectrum of normal and abnormal findings. Radiographics 2004;24: 69-85.

[4] White LM, Buckwalter KA. Technical considerations: CTand MR imaging in the postoperative orthopedic patient. Semin Musculoskelet Radiol 2002;6(1):5-17.

[5] Rand T, Trattnig S, Breitenseher M, et al. The postoperative shoulder. Top Mag Res Imag 1999;10(4):203-13.

[6] Zlatkin MB. MRI of the postoperative shoulder. Skel Radiol 2002;31:63-80.

[7] Wagner SC, Schweitzer ME, Morrison WB, et al. Shoulder instability: accuracy of MR imaging performed after surgery in depicting recurrent injury—initial findings. Radiology 2002;222:196-203.

[8] Gusmer PB, Potter HG, Donovan WD, et al. MR imaging of the shoulder after rotator cuff repair. AJR 1997;168:559-63.

[9] Owen RS, lannotti JP, Kneeland JB, et al. Shoulder after surgery: MR imaging with surgical validation. Radiology 1993;186:443-7.

[10] Gaenslen ES, Satterlee CC, Hinson GW. Magnetic resonance imaging for evaluation of failed repairs of the rotator cuff. J Bone Joint Surg Am 1996;78:1391-6.

[11] Magee TH, Gaenslen ES, Seitz R, et al. MR imaging of the shoulder after surgery. AJR 1997;168:925-8.

[12] VahlensieckM, Lang P, Wagner U, etal. Shoulder MRI after surgical treatment of instability. Eur J Radiol 1999;30:2-4.

[13] Spielmann AL, Forster BB, Kokan P, etal. Shoulder after rotator cuff repair: MR imaging findings in asymptomatic individuals—initial experience. Radiology 1999;213:705-8.

[14] Zanetti M, Jost B, HodlerJ, et al. MR imaging after rotator cuff repair: full thickness defects and bursitis-like subacromial abnormalities in asymptomatic subjects. Skel Radiol 2000;29: 314-9.

[15] Rand T, Freilinger W, BreitenseherM, etal. Magnetic resonance arthrography (MRA) in the postoperative shoulder. Mag Res Imag 1999;17(6):843-50.

[16] NeerCS2nd. Impingement lesions. Clin Orthop Relat Res 1983;173:70-7.

[17] Neer CS 2nd. Anterior acromioplasty for the chronic impingement syndrome in the shoulder: a preliminary report. J Bone Joint Surg Am 1972;54(1):41-50.

[18] Burkhart SS. Reconciling the paradox of rotator cuff repair versus debridement: a unified bio-mechanical rationale for the treatment of rotator cuff tears. Arthroscopy 1994;10(1):4-19.

[19] Weber SC. Arthroscopic debridement and acromioplasty versus mini-open repair in the treatment of significant partial-thickness rotator cuff tears. Arthroscopy 1999;15(2): 126-31.

[20] Cordasco FA, Backer M, Craig EV, et al. The partial-thickness rotator cuff tear: is acromio-plasty without repair sufficient? Am J Sports Med 2002;30(2):257-60.

[21] Lo IK, Burkhart SS. Transtendon arthroscopic repair of partial-thickness, articular surface tears of the rotator cuff. Arthroscopy 2004;20(2):214-20.

[22] Gartsman GM, editor. Shoulder arthroscopy. 1st edition. Philadelphia: Saunders; 2003.

[23] Craig EV, editor. Master technique in orthopaedic surgery: the shoulder. 2nd edition. Philadelphia: Lippincott Williams & Wilkins; 2004.

[24] Deutsch A, Altchek DW, Veltri DM, et al. Traumatic tears of the subscapularis tendon. Clinical diagnosis, magnetic resonance imaging findings, and operative treatment. Am J Sports Med 1997;25(1):13-22.

[25] Gerber C, Hersche O, Farron A. Isolated rupture of the subscapularis tendon. J Bone Joint Surg Am 1996;78(7):1015-23.

[26] Goutallier D, Postel JM, Bernageau J, et al. Fatty muscle degeneration in cuff ruptures: pre-and postoperative evaluation by CT scan. Clin Orthop Relat Res 1994;304:78-83.

[27] Wirth MA, Rockwood CA Jr. Operative treatment of irreparable rupture of the subscapularis. J Bone Joint Surg Am 1997;79(5):722-31.

[28] Resch H, Povacz P, Ritter E, etal. Transfer of the pectoralis major muscle for the treatment of irreparable rupture of the subscapularis tendon. J Bone Joint Surg Am 2000;82(3):372-82.

[29] Jost B, Puskas GJ, Lustenberger A, et al. Outcome of pectoralis major transfer for the treatment of irreparable subscapularis tears. J Bone Joint Surg Am 2003;85-A(10):1944-51.

[30] Neault MA, Guanche CA. Arthroscopic rotator cuff repair. Oper Tech Sports Med 2002;10(2):93-8.

[31] Brislin K, Rubenstein D, Wetzler M, etal. Operative repair of anterior instability and rotator cuff tears in athletes. Oper Tech Sports Med 2002;10(2):64-8.

[32] Conway JE. The management of partial thickness rotator cuff tears in throwers. Oper Tech Sports Med 2002;10(2):75-85.

[33] Grimes DW, Garner RW. The degeneration of the acromioclavicular joint. Treatment by resection of the distal clavicle. Orthop Rev 1980;9(9):41-4.

[34] Snyder SJ, Banas MP, Karzel RP. The arthroscopic Mumford procedure: an analysis of results. Arthroscopy 1995;11(2):157-64.

[35] Levine WN, Barron OA, Yamaguchi K, et al. Arthroscopic distal clavicle resection from a bursal approach. Arthroscopy 1998;14(1):52-6.

[36] Snyder SJ, Karzel RP, Del Pizzo W, et al. SLAP lesions of the shoulder. Arthroscopy 1990;6(4):274-9.

[37] Maffet MW, Gartsman GM, Moseley B. Superior labrum-biceps tendon complex lesions of the shoulder. Am J Sports Med 1995;23(1):93-8.

[38] Morgan CD, Burkhart SS, Palmeri M, et al. Type II SLAP lesions: three subtypes and their relationships to superior instability and rotator cuff tears. Arthroscopy 1998;14(6):553-65.

[39] Williams MM, Snyder SJ, Buford D Jr. The Buford complex—the "cord-like" middle gleno-humeral ligament and absent anterosuperior labrum complex: a normal anatomic capsulo-labral variant. Arthroscopy 1994;10(3):241.

[40] Williams MM, Snyder SJ. A sublabral foramen must not be confused with a Bankart lesion. Arthroscopy 1994;10(5):586.

[41] Burkhart SS, Morgan CD, Kibler WB. Shoulder injuries in overhead athletes. The "dead arm'' revisited. Clin Sports Med 2000;19(1):125-58.

[42] Resch H, Gosler K, Thoeni H, et al. Arthroscopic repair of superior glenoid labral detachment (the SLAP lesion). J Shoulder Elbow Surg 1993;1993(2):147-55.

[43] Snyder SJ, Banas MP, Karzel RP. An analysis of 140 injuries to the superior glenoid labrum. J Shoulder Elbow Surg 1995;4(4):243-8.

[44] Field LD, Savoie FH 3rd. Arthroscopic suture repair of superior labral detachment lesions of the shoulder. Am J Sports Med 1993;21(6):783-90.

[45] Burkhead WZ Jr, Rockwood CA Jr. Treatment of instability of the shoulder with an exercise program. J Bone Joint Surg Am 1992;74(6):890-6.

[46] Fredriksson AS, Tegner Y. Results of the Putti-Platt operation for recurrent anterior dislocation of the shoulder. IntOrthop 1991;15(3):185-8.

[47] NeerCS2nd, Foster CR. Inferior capsular shift for involuntary inferior and multidirectional instability of the shoulder: a preliminary report. J Bone Joint Surg Am 1980;62(6): 897-908.

[48] Paavolainen P, Bjorkenheim JM, AhovuoJ, etal. Recurrent anterior dislocation of the shoulder. Results of Eden-Hybbinette and Putti-Platt operations. Acta Orthop Scand 1984;55(5): 556-60.

[49] Karas SG, Noonan TJ, Horan M. Outcomes of shoulder instability treated with radiofre-quency thermal capsulorraphy. Presented at the 19th Annual Meeting of the Arthroscopy Association of North America. Miami Beach, FL, April 16, 2001.

[50] Major NM, Banks MC. MR imaging of complications of loose surgical tacks in the shoulder. AJR 2003;180:377-80.

[51] Favorito PJ, Langenderfer MA, Colosimo AJ, etal. Arthroscopic laser-assisted capsular shift in the treatment of patients with multidirectional shoulder instability. Am J Sports Med 2002;30(3):322-8.

[52] Savoie FH 3rd, Field LD. Thermal versus suture treatment of symptomatic capsular laxity. Clin Sports Med 2000;19(1):63-75.

[53] Tirmin PF, Stauffer AE, Crues JV. Saline magnetic resonance arthrography in the evaluation of glenohumeral instability. Arthroscopy 1993;9:550-9.

Clin Sports Med 25 (2006) 465-487

Was this article helpful?

0 0
Cure Tennis Elbow Without Surgery

Cure Tennis Elbow Without Surgery

Everything you wanted to know about. How To Cure Tennis Elbow. Are you an athlete who suffers from tennis elbow? Contrary to popular opinion, most people who suffer from tennis elbow do not even play tennis. They get this condition, which is a torn tendon in the elbow, from the strain of using the same motions with the arm, repeatedly. If you have tennis elbow, you understand how the pain can disrupt your day.

Get My Free Ebook

Post a comment