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KMID : 1103720080590060429
Journal of the Korean Society of Radiology
2008 Volume.59 No. 6 p.429 ~ p.434
Cystic Lesions in the Greater Tuberosity of the Humerus: The Relation to Rotator Cuff Tears and Age
Kim Kang-Deuk

Oh Jung-Teak
Abstract
Purpose: This study was designed to investigate the location of cystic lesions in the greater tuberosity of the humerus and the relationship to rotator cuff tears and age.

Materials and Methods: A total of 78 patients (age range, 19-82 years; mean age, 51 years) who underwent arthroscopy or open surgery after MR arthrography (MRA) for a painful shoulder were enrolled in the study. The location of the cystic lesions were classified as ¡¯A¡¯ for a supraspinatus insertion site, as ¡¯C¡¯ for an infraspinatus insertion site, as ¡¯B¡¯ for both a supraspinatus and infraspinatus insertion site, as ¡¯BG¡¯ for a site posterior to the bicipital groove and as ¡¯P¡¯ for a site at the bare area of the humeral head. The location of cystic lesions and supraspinatus and infraspinatus tears were evaluated on MRA. Statistical analyses used the chi-squared test and logistic regression.

Results: ¡¯BG¡¯ and ¡¯A¡¯ cystic lesions were related to the presence of a supraspinatus tear, ¡¯C¡¯ cystic lesions were related to the presence of an infraspinatus tear and ¡¯B¡¯ cystic lesions were related to the presence of both supraspinatus and infraspinatus tears (p < 0.05). ¡¯P¡¯ cystic lesions were not related to the presence of rotator cuff tears. The incidence of cystic lesions increased with age, but with no statistical correlation.

Conclusion: Cystic lesions at the supraspinatus and infraspinatus insertion sites are useful to predict the presence of a rotator cuff tear, but cystic lesions were not age related.
KEYWORD
Shoulder joint, Magnetic resonance (MR), Arthrography, Cysts, Rotator cuff, Age factor
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