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 Metal markers for radiographic visualization of rotator cuff margins: A new technique for radiographic assessment of cuff repair integrity

Deepak N Bhatia1, Joe F De Beer2
1 Department of Orthopaedic Surgery, Seth GS Medical College, and King Edward VII Memorial Hospital, Parel, Mumbai, India
2 Cape Shoulder Institute, Suite no. 4, Medgroup Anlin House, 43 Bloulelie Crescent, Plattekloof, PO box 15741, Panorama 7506, Cape Town, South Africa

Correspondence Address:
Deepak N Bhatia
Department of Orthopaedic Surgery, Seth GS Medical College, and King Edward VII Memorial Hospital, Parel, Mumbai - 400 012
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0973-6042.109898

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Year : 2013  |  Volume : 7  |  Issue : 1  |  Page : 37-39

 
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Surgically repaired rotator cuff repairs may re-tear in the post-operative follow-up phase, and periodic imaging is useful for early detection. The authors describe a simple surgical technique that provides a visible clue to the tendon edge on an anteroposterior radiograph of the shoulder. The technique involves arthroscopic or mini-open radio-opaque tagging of the tendon edge using a metal marker, and followed by a double-row rotator cuff repair using suture anchors. Serial post-operative radiographs may then be used to monitor the position of the marker. Progressive or marked displacement of the marker suggests a failure of cuff repair integrity and should be evaluated further.






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© 2006 - International Journal of Shoulder Surgery
| Published by Wolters Kluwer - Medknow Online since 1st September '06

 

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Deepak N Bhatia1, Joe F De Beer2
1 Department of Orthopaedic Surgery, Seth GS Medical College, and King Edward VII Memorial Hospital, Parel, Mumbai, India
2 Cape Shoulder Institute, Suite no. 4, Medgroup Anlin House, 43 Bloulelie Crescent, Plattekloof, PO box 15741, Panorama 7506, Cape Town, South Africa

Correspondence Address:
Deepak N Bhatia
Department of Orthopaedic Surgery, Seth GS Medical College, and King Edward VII Memorial Hospital, Parel, Mumbai - 400 012
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0973-6042.109898

Get Permissions

Surgically repaired rotator cuff repairs may re-tear in the post-operative follow-up phase, and periodic imaging is useful for early detection. The authors describe a simple surgical technique that provides a visible clue to the tendon edge on an anteroposterior radiograph of the shoulder. The technique involves arthroscopic or mini-open radio-opaque tagging of the tendon edge using a metal marker, and followed by a double-row rotator cuff repair using suture anchors. Serial post-operative radiographs may then be used to monitor the position of the marker. Progressive or marked displacement of the marker suggests a failure of cuff repair integrity and should be evaluated further.






[FULL TEXT] [PDF]*


        
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Sitemap | What's New | Copyright and Disclaimer
© 2006 - International Journal of Shoulder Surgery
| Published by Wolters Kluwer - Medknow Online since 1st September '06