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Journal of Ultrasound in Medicine, Vol 19, Issue 6 377-378, Copyright © 2000 by American Institute of Ultrasound in Medicine

JOURNAL ARTICLE

Sonographic differences in the appearance of acute and chronic full-thickness rotator cuff tears

S. A. Teefey, W. D. Middleton, G. S. Bauer, C. F. Hildebolt and K. Yamaguchi
Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, Missouri 63110, USA.

This study was undertaken to identify differences in the sonographic appearance of acute and chronic full-thickness rotator cuff tears. The ultrasonograms of 24 patients with an acute rotator cuff tear and 20 with a chronic tear were reviewed for tear size (width), location, and the presence and distribution of fluid. Among these 24 patients, 75% with a midsubstance tear location had an acute tear; 64% of patients with joint or bursal fluid had an acute tear; 80% of patients with a nonvisualized rotator cuff due to a massive tear had a chronic tear; and 73% of patients with no sonographic evidence of bursal or joint fluid had a chronic tear. In conclusion, a midsubstance location and the presence of joint or bursal fluid were more commonly associated with an acute tear. A nonvisualized cuff and the absence of joint and bursal fluid were more commonly observed with a chronic tear.


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