Tangent Sign: Difference between revisions
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<div class="editorbox"> '''Original Editor '''- [[User:User Name|Essam Ahmed]] '''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}}</div> | <div class="editorbox"> '''Original Editor '''- [[User:User Name|Essam Ahmed]] '''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}}</div> | ||
The tangent sign, is simple, reproducible, and easily implemented during a busy clinic day | == Introduction == | ||
[[File:Impingement-syndrome-with-supraspinatus-tendinopathy-and-atrophy.jpeg|thumb|Positive tangent sign]] | |||
[[File:Full-thickness-rotator-cuff-tear-1.png|thumb|Negative tangent sign[https://radiopaedia.org/articles/tangent-sign?lang=us]|alt=]]The tangent sign is a practical way to quantify [[supraspinatus]] muscle belly fatty atrophy - a positive sign implicated in a worse outcomes after [[Supraspinatus Tear|supraspinatus tendon tear]] repair.<ref>Radiopedia Tangent Sign Available: https://radiopaedia.org/articles/tangent-sign (accessed 1.8.2022)</ref> The tangent sign, is simple, reproducible, and easily implemented during a busy clinic day. | |||
== Method == | |||
To evaluate for a positive tangent sign the sagittal T2-weighted [[MRI Scans|MRI]] images are used. The most lateral image in which the scapular spine and coracoid process are in contact with the body of the [[scapula]] is used. The tangent line is made by drawing a line from the superior border of the scapular spine to the superior margin of the coracoid process. | |||
When the muscle atrophies, the supraspinatus falls below the tangent line and is a positive tangent sign. | == Interpretation == | ||
Findings: | |||
# In a normal supraspinatus muscle, the [[Muscle Cells (Myocyte)|muscle]] content should cross superior to the tangent line and is a negative tangent sign. | |||
# When the muscle atrophies, the supraspinatus falls below the tangent line and is a positive tangent sign. | |||
Past studies have suggested strong correlation between occupation ratio, tangent sign, and improved strength and mobility.<ref>Rulewicz GJ, Beaty S, Hawkins RJ, Kissenberth MJ. [https://www.sciencedirect.com/science/article/abs/pii/S1058274612005241 Supraspinatus atrophy as a predictor of rotator cuff tear size: an MRI study utilizing the tangent sign]. J Shoulder Elbow Surg [Internet]. 2013;22(6):e6-10. </ref> | Past studies have suggested strong correlation between occupation ratio, tangent sign, and improved strength and mobility.<ref>Rulewicz GJ, Beaty S, Hawkins RJ, Kissenberth MJ. [https://www.sciencedirect.com/science/article/abs/pii/S1058274612005241 Supraspinatus atrophy as a predictor of rotator cuff tear size: an MRI study utilizing the tangent sign]. J Shoulder Elbow Surg [Internet]. 2013;22(6):e6-10. </ref> | ||
== References == | |||
<references /> | <references /> | ||
[[Category:Imaging]] | [[Category:Imaging]] | ||
[[Category:Shoulder - Assessment and Examination]] | [[Category:Shoulder - Assessment and Examination]] | ||
[[Category:Shoulder]] | [[Category:Shoulder]] | ||
Latest revision as of 02:41, 1 August 2022
Introduction[edit | edit source]
Negative tangent sign[1]
The tangent sign is a practical way to quantify supraspinatus muscle belly fatty atrophy - a positive sign implicated in a worse outcomes after supraspinatus tendon tear repair.[1] The tangent sign, is simple, reproducible, and easily implemented during a busy clinic day.
Method[edit | edit source]
To evaluate for a positive tangent sign the sagittal T2-weighted MRI images are used. The most lateral image in which the scapular spine and coracoid process are in contact with the body of the scapula is used. The tangent line is made by drawing a line from the superior border of the scapular spine to the superior margin of the coracoid process.
Interpretation[edit | edit source]
Findings:
- In a normal supraspinatus muscle, the muscle content should cross superior to the tangent line and is a negative tangent sign.
- When the muscle atrophies, the supraspinatus falls below the tangent line and is a positive tangent sign.
Past studies have suggested strong correlation between occupation ratio, tangent sign, and improved strength and mobility.[2]
References[edit | edit source]
- ↑ Radiopedia Tangent Sign Available: https://radiopaedia.org/articles/tangent-sign (accessed 1.8.2022)
- ↑ Rulewicz GJ, Beaty S, Hawkins RJ, Kissenberth MJ. Supraspinatus atrophy as a predictor of rotator cuff tear size: an MRI study utilizing the tangent sign. J Shoulder Elbow Surg [Internet]. 2013;22(6):e6-10.
