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Two Cases of Biodegradable Suture Anchor Displacement Diagnosed with Ultrasonography following Arthroscopic Rotator Cuff Repair

  • Oh, Joo Han (Department of Orthopaedic Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine) ;
  • Song, Byung Wook (Department of Orthopaedic Surgery, Nalgae Hospital) ;
  • Rhie, Tae-Yon (Department of Orthopaedic Surgery, Nalgae Hospital)
  • Received : 2015.03.23
  • Accepted : 2015.05.31
  • Published : 2015.12.31

Abstract

With the advancement of shoulder arthroscopy, use of biodegradable suture anchors in the surgical repair of rotator cuff tears has increased. Because of the radiolucency of these anchors, radiography is not appropriate for early detection of anchor failure. Ultrasonography is an advantageous modality in visualizing biodegradable, radiolucent anchors on a real-time basis without risk of radiation exposure. We report on two cases of displacement of a biodegradable suture anchor diagnosed on ultrasonography during the postoperative follow- up, which has not been previously reported. Because this displacement could be missed in the postoperative follow up ultrasonography, we describe the ultrasonographic features of the displaced biodegradable anchors. Surgeons and radiologists should pay special attention to the possibility of displacement of the suture anchor in patients who underwent rotator cuff repairs using suture anchors.

Keywords

References

  1. Kaar TK, Schenck RC Jr, Wirth MA, Rockwood CA Jr. Complications of metallic suture anchors in shoulder surgery: a report of 8 cases. Arthroscopy. 2001;17(1):31-7. https://doi.org/10.1053/jars.2001.18246
  2. Dhawan A, Ghodadra N, Karas V, Salata MJ, Cole BJ. Complications of bioabsorbable suture anchors in the shoulder. Am J Sports Med. 2012;40(6):1424-30. https://doi.org/10.1177/0363546511417573
  3. Sugaya H, Maeda K, Matsuki K, Moriishi J. Repair integrity and functional outcome after arthroscopic double-row rotator cuff repair. A prospective outcome study. J Bone Joint Surg Am. 2007;89(5):953-60. https://doi.org/10.2106/JBJS.F.00512
  4. Goutallier D, Postel JM, Bernageau J, Lavau L, Voisin MC. Fatty muscle degeneration in cuff ruptures. Pre- and postoperative evaluation by CT scan. Clin Orthop Relat Res. 1994;(304):78-83.
  5. Antonogiannakis E, Yiannakopoulos CK, Karabalis C, Hiotis I. Intraoperative arthroscopic suture anchor reloading. Arthroscopy. 2005;21(7):898.
  6. Ozbaydar M, Elhassan B, Warner JJ. The use of anchors in shoulder surgery: a shift from metallic to bioabsorbable anchors. Arthroscopy. 2007;23(10):1124-6. https://doi.org/10.1016/j.arthro.2007.05.011
  7. Glueck D, Wilson TC, Johnson DL. Extensive osteolysis after rotator cuff repair with a bioabsorbable suture anchor: a case report. Am J Sports Med. 2005;33(5):742-4. https://doi.org/10.1177/0363546504269254
  8. Pilge H, Spang J, Rose T, Wolter H, Woertler K, Imhoff AB. Osteolysis after rotator cuff repair with bioabsorbable anchors. Arch Orthop Trauma Surg. 2012;132(3):305-10. https://doi.org/10.1007/s00402-011-1369-3
  9. Meyer DC, Nyffeler RW, Fucentese SF, Gerber C. Failure of suture material at suture anchor eyelets. Arthroscopy. 2002; 18(9):1013-9. https://doi.org/10.1053/jars.2002.36115
  10. Park MJ, Hsu JE, Harper C, Sennett BJ, Huffman GR. Poly-L/Dlactic acid anchors are associated with reoperation and failure of SLAP repairs. Arthroscopy. 2011;27(10):1335-40. https://doi.org/10.1016/j.arthro.2011.06.021

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