Are scapular morphologic characteristics or rotator cuff tear patterns associated with acetabularization of the coracoacromial arch?

© 2022 The Author(s).

Bibliographische Detailangaben
Veröffentlicht in:JSES international. - 2020. - 6(2022), 3 vom: 10. Mai, Seite 479-487
1. Verfasser: Chen, Chang'an (VerfasserIn)
Weitere Verfasser: Wu, Chenliang, Xu, Junjie, Chen, Jiebo, Li, Yufeng, Wang, Liren, Jiang, Jia, Xu, Caiqi, Zhao, Jinzhong
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2022
Zugriff auf das übergeordnete Werk:JSES international
Schlagworte:Journal Article Acromion Active range of motion Coracoacromial arch Kinematics Rotator cuff tears Scapular morphology Shoulder
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245 1 0 |a Are scapular morphologic characteristics or rotator cuff tear patterns associated with acetabularization of the coracoacromial arch? 
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520 |a © 2022 The Author(s). 
520 |a Purpose: To determine whether rotator cuff tear (RCT) patterns and scapular morphologic characteristics are associated with acetabularization of the coracoacromial arch when the remaining rotator cuff cannot stabilize the humeral head centered on the glenoid 
520 |a Methods: Thirty-two consecutive patients incapable of stabilizing the humeral head within the native glenoid were included and divided into 2 groups: unstable glenohumeral fulcrum kinematics (GHFK) group (n = 16; absence of acetabularization of the coracoacromial arch) and captured GHFK group (n = 16; the presence of acetabularization of the coracoacromial arch). Magnetic resonance imaging (MRI) analysis included tear locations, tear extensions (anterior, posterior, and global), and fatty infiltration of the rotator cuff muscles. Plain radiographic and computed tomography image measurements included acromiohumeral distance, critical shoulder angle, lateral acromial angle, acromial index, acromial tilt, acromial slope angle, anterior and posterior acromial coverage, and coracoacromial ligament coverage 
520 |a Results: Patient demographic characteristics did not differ significantly (P > .05). No differences in tear patterns were found between patients with unstable GHFK and those with captured GHFK on MRI (P > .05). Scapular morphologic parameter measurements showed significant differences between the unstable and captured GHFK groups: anterior acromial coverage (-5.8 ± 13.8° vs. 13.8 ± 11.3°, P < .001), acromial tilt (34.9 ± 8.9° vs. 26.7 ± 6.2°; P = .005), and acromial slope angle (24.5 ± 8.1° vs. 33.5 ± 7.9°, P = .003) 
520 |a Conclusion: Scapular morphologic characteristics, rather than RCT patterns, were associated with the development of acetabularization of the coracoacromial arch when the remaining rotator cuff could not stabilize the humeral head. Patients with captured GHFK exhibited larger anterior acromial coverage, smaller acromial tilt, and a more curved acromion than those with unstable GHFK 
650 4 |a Journal Article 
650 4 |a Acromion 
650 4 |a Active range of motion 
650 4 |a Coracoacromial arch 
650 4 |a Kinematics 
650 4 |a Rotator cuff tears 
650 4 |a Scapular morphology 
650 4 |a Shoulder 
700 1 |a Wu, Chenliang  |e verfasserin  |4 aut 
700 1 |a Xu, Junjie  |e verfasserin  |4 aut 
700 1 |a Chen, Jiebo  |e verfasserin  |4 aut 
700 1 |a Li, Yufeng  |e verfasserin  |4 aut 
700 1 |a Wang, Liren  |e verfasserin  |4 aut 
700 1 |a Jiang, Jia  |e verfasserin  |4 aut 
700 1 |a Xu, Caiqi  |e verfasserin  |4 aut 
700 1 |a Zhao, Jinzhong  |e verfasserin  |4 aut 
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