The association between acromial anatomy and articular-sided partial thickness of rotator cuff tears

BMC Musculoskeletal Disorders

Cen Tao Liu¹  Hua Wang¹  Xian Hui Wang¹  Jia Qing Miao¹  Heng an Ge²  Biao Cheng² 

[1] Department of Orthopedics, Putuo People’s Hospital, Tongji University, No. 1291 Jiangning Road, Putuo District, 200060, Shanghai, China;Department of Orthopedics, Shanghai Tenth People’s Hospital, Tongji University School of Medicine, No. 301 Yanchang Middle Road, Jing’an District, 200072, Shanghai, China;

关键词: Articular-sided partial thickness of rotator cuff tears;    Acromial anatomy;    Acromion index;    Critical shoulder angle;   

DOI  :  10.1186/s12891-021-04639-1

来源: Springer

【 摘 要 】

BackgroundAcromial anatomy has been found to be correlated with degenerative full-thickness rotator cuff tears in current studies. However, research on the relationship between acromial anatomy and articular-sided partial thickness of rotator cuff tears (PTRCTs) is still lacking. The purpose of this study was to evaluate whether these imaging graphic parameters exhibit any association between acromial anatomy and degenerative articular-sided PTRCTs.MethodsBetween January 2016 and December 2018, a total of 91 patients without a history of trauma underwent arthroscopy as an articular-sided PTRCT group. In the control group, with age- and sex-matched patients, we selected 91 consecutive outpatient patients who underwent shoulder magnetic resonance imaging (MRI) because of shoulder pain and an MRI diagnosis of only synovial hyperplasia and effusion. MRI was used to measure the acromial type, acromiohumeral distance (AHD), lateral acromial angle (LAA), acromion index (AI), and critical shoulder angle (CSA) by 2 independent observers.ResultsThe acromion type, AHD and LAA showed no difference between degenerative articular-sided PTRCTs and controls (P = 0.532, 0.277, and 0.108, respectively). AI and CSA were significantly higher in degenerative articular-sided PTRCTs (P = 0.002 and 0.003, respectively). A good correlation was found between AI and CSA to measurement(Pearson correlation coefficient = 0.631).ConclusionsOur study revealed that higher AI and CSA were found in degenerative articular-sided PTRCTs. Acromial anatomy with a large acromial extension was associated with the occurrence of degenerative articular-sided PTRCTs.

【 授权许可】

CC BY