Teres minor denervation and pathologies resulting in shoulder joint instability and rotator cuff tears: A retrospective cross-sectional MRI study

• Published in: Medicine (Baltimore) Vol. 103; no. 8; p. e37232
• Main Authors: Lee, Joo Yeon, Yoo, Yon-Sik, Shon, Kilhwan
• Format: Journal Article
• Language: English
• Published: Hagerstown, MD Lippincott Williams & Wilkins 23.02.2024
• Subjects: Cross-Sectional Studies; Denervation; Humans; Joint Instability - diagnostic imaging; Joint Instability - etiology; Joint Instability - pathology; Magnetic Resonance Imaging - methods; Observational Study; Retrospective Studies; Rotator Cuff - diagnostic imaging; Rotator Cuff - pathology; Rotator Cuff Injuries - diagnostic imaging; Rotator Cuff Injuries - pathology; Rotator Cuff Injuries - surgery; Shoulder; Shoulder Joint - diagnostic imaging; quadrilateral space syndrome; rotator cuff pathologies; magnetic resonance imaging; shoulder instability; teres minor
• ISSN: 0025-7974; 1536-5964; 1536-5964
• DOI: 10.1097/MD.0000000000037232

Teres minor denervation (TMD) has gained increasing attention in recent years, particularly with the advent of magnetic resonance imaging (MRI). The potential association between TMD and shoulder instability or rotator cuff tear remains a subject of interest in the orthopedic community. In this retrospective and cross-sectional study, authors aim to investigate the potential association between TMD and shoulder instability or rotator cuff tears. Authors retrospectively analyzed MRI findings from 105 patients with TMD, focusing on rotator cuff pathologies, posterior labrocapsular complex (PLCC) tears, and posteroinferior glenohumeral joint capsule alterations. Authors assessed the association between TMD and rotator cuff and PLCC tears. For the multivariate analysis, partial proportional odds models were constructed for subscapularis (SSC) and SSP tears. Rotator cuff tears were present in 82.9% of subjects, with subscapularis (SSC) tears being the most frequent (77.1%). A significant association was observed between TMD and rotator cuff pathology (P = .002). PLCC tears were found in 82.3% of patients, and humeral position relative to the osseous glenoid was noted in 60% of patients with TMD. A significant association was identified between TMD and shoulder instability or labral/capsular abnormalities (P < .001). More than half of the cases exhibited a long tethering appearance toward the axillary neurovascular bundle on T1-weighted sagittal images. Our findings suggest that TMD is significantly associated with rotator cuff tears and shoulder instability. This study highlights the importance of identifying and treating PLCC tears in patients with TMD to address shoulder instability. Further research is needed to elucidate the role of TMD in the pathogenesis of shoulder instability and rotator cuff pathology.