Graft use in the treatment of large and massive rotator cuff tears: an overview of techniques and modes of failure with MRI correlation.


Journal Article (Review)

Despite technical advances, repair of large or massive rotator cuff tears continues to demonstrate a relatively high rate of failure. Rotator cuff repair or superior capsular reconstruction (SCR) using a variety of commercially available grafts provides a promising option in patients with tears that may be at high risk for failure or otherwise considered irreparable. There are three major graft constructs that exist when utilizing graft in rotator cuff repair or reconstruction: augmentation at the rotator cuff footprint, bridging, and SCR. Each construct has a unique appearance when evaluated using postoperative magnetic resonance imaging (MRI), and each construct has unique sites that are predisposed to failure. Understanding the basic principles of these constructs can help the radiologist better evaluate the postoperative MRI appearance of these increasingly utilized procedures.

Full Text

Duke Authors

Cited Authors

  • Duchman, KR; Mickelson, DT; Little, BA; Hash, TW; Lemmex, DB; Toth, AP; Garrigues, GE

Published Date

  • January 2019

Published In

Volume / Issue

  • 48 / 1

Start / End Page

  • 47 - 55

PubMed ID

  • 29978243

Pubmed Central ID

  • 29978243

Electronic International Standard Serial Number (EISSN)

  • 1432-2161

Digital Object Identifier (DOI)

  • 10.1007/s00256-018-3015-4


  • eng

Conference Location

  • Germany