Evaluation of anatomical variations with morphological measurements and their relationship with rotator cuff tear and acromion types

Year 2022, Volume: 5 Issue: 3, 815 - 821, 30.05.2022

Süleyman Öncü , Fatma Zeynep Arslan , Muslu Kazım Körez

https://doi.org/10.32322/jhsm.1090241

Abstract

Introduction: There many more anatomical measurements such as the acromiohumeral distance and lateral acromion angle and acromial configuration was reported as might be associated with rotator cuff tear. In our study, we aimed to reveal the effect of acromion index, acromiohumeral distance, lateral acromion angle, critical shoulder angle values and the acromion type in the development of rotator cuff tear.
Material and Method: In our retrospective study, 58 patients and 29 asymptomatic volunteers who underwent shoulder magnetic resonance imaging examinations were examined. acromion index, acromion humaral distance, lateral acromion angle and critical shoulder angle were measured and their relationship with rotator cuff tear and acromion types were evaluated.
Results: Type III (hooked) of acromial shapes, higher acromion index and critical shoulder angle values, lower acromiohumeral distance and lateral acromion angle values are more frequently seen in rotator cuff tear patients, in our study.
Conclusion: Thus, we revealed anatomical malformations that predispose to rotator cuff tear concerning the shoulder joint.

Keywords

Shoulder joint, acromion types, rotator cuff tears

Project Number

yoktur

References

• Mohamed RE, Abo-Sheısha DM. Assessment of acromial morphology in association with rotator cuff tear using magnetic resonance imaging. Egypt J Radiol Nuclear Med 2014: 45; 169-80.
• Tempelhof S, Rupp S, Seil R. Age-related prevalence of rotator cuff tears in asymptomatic shoulders. J Shoulder Elbow Surg 1999; 8: 296-9.
• McCrum E. MR Imaging of the rotator cuff. Magn Reson Imaging Clin N Am 2020; 28: 165-79.
• Goutallier D, Le Guilloux P, Postel JM et al. Acromio humeral distance less than six millimeter: its meaning in full-thickness rotator cuff tear. Orthop Traumatol Surg Res 2011; 97: 246-51.
• MacLean IS, Gowd AK, Waterman BR et al. The effect of acromioplasty on the critical shoulder angle and acromial index. Arthrosc Sports Med Rehabil 2020; 2: 623-8.
• RW Nyffeler, CM Werner, A Sukthankar et al. Association of a large lateral extension of the acromion with rotator cuff tears J Bone Joint Surg Am 2006; 80: 800-5.
• Getz J, Recht M, Piraino D et al. Acromial morphology: relation to sex, age, symmetry, and subacromial enthesophytes. Radiology 1996; 199: 737-42.
• İncesoy MA, Yıldız KI, Türk ÖI, et al. The critical shoulder angle, the acromial index, the glenoid version angle and the acromial angulation are associated with rotator cuff tears. Knee Surg Sports Traumatol Arthrosc 2021; 29: 2257-63.
• Hufeland M, Brusis C, Kubo H, et al. The acromiohumeral distance in the MRI should not be used as a decision criterion to assess subacromial space width in shoulders with an intact rotator cuff. Knee Surg Sports Traumatol Arthrosc 2021; 29: 2085-9.
• Li H, Chen Y, Chen J, et al. Large Critical Shoulder Angle Has Higher Risk of Tendon Retear After Arthroscopic Rotator Cuff Repair. Am J Sports Med 2018; 46: 1892-00.
• Hamid N, Omid R, Yamaguchi K, et al. Relationship of radiographic acromial characteristics and rotator cuff disease: a prospective investigation of clinical, radiographic, and sonographic findings. J Shoulder Elbow Surg 2012; 21: 1289-98.
• Fujisawa Y, Mihata T, Murase T, et al. Three-dimensional analysis of acromial morphologic characteristics in patients with and without rotator cuff tears using a reconstructed computed tomography model. Am J Sports Med 2014; 42: 2621-6.
• Hirano M, Ide J, Takagi K. Acromial shapes and extension of rotator cuff tears: magnetic resonance imaging evaluation. J Shoulder Elbow Surg 2002; 11: 576-8.
• MacGillivray JD, Fealy S, Potter HG, O’Brien SJ. Multiplanar analysis of acromion morphology. Am J Sport Med 1998; 26: 836-40.
• Nicholson GP, Goodman DA, Flatow EL, Bigliani LU. The acromion: morphologic condition and age-related changes. A study of 420 scapulas. J Shoulder Elbow Surg 1996; 5: 11.
• Almokhtar AA, Qanat AS, Mulla A, Alqurashi Z, Aljeraisi A, Hegaze AH. Relationship between acromial anatomy and rotator cuff tears in Saudi Arabian Population. Cureus 2020; 12: 8304.
• Kum DH, Kim JH, Park KM, Lee ES, Park YB, Yoo JC. Acromion index in korean population and its relationship with rotator cuff tears. Clin Orthop Surg 2017; 9: 218-22.
• Kim JR, Ryu KJ, Hong IT, Kim BK, Kim JH. Can a high acromion index predict rotator cuff tears? Int Orthop 2012; 36: 1019-24.
• Razmjou H, Palinkas V, Christakis M, Robarts S, Kennedy D. Reduced acromiohumeral distance and increased critical shoulder angle: implications for primary care clinicians. Phys Sportsmed 2020; 48: 312-19.
• Gerber C, Snedeker JG, Baumgartner D, Viehofer AF. Supraspinatus tendon load during abduction is dependent on the size of the critical shoulder angle: A biomechanical analysis. J Orthop Res 2014; 32: 952-7.
• Jeon YD, Yoon JY, Jeong HJ et al. Significance of the acromiohumeral distance on stress radiography for predicting healing and function after arthroscopic repair of massive rotator cuff tears. J Shoulder Elbow Surg 2021; 30: 471-81.
• Saupe N, Pfirrmann CW, Schmid MR, Jost B, Werner CM, Zanetti M. Association between rotator cuff abnormalities and reduced acromiohumeral distance. AJR Am J Roentgenol 2006; 187: 376-82.
• Mirzayan R, Donohoe S, Batech M, Suh BD, Acevedo DC, Singh A. Is there a difference in the acromiohumeral distances measured on radiographic and magnetic resonance images of the same shoulder with a massive rotator cuff tear? J Shoulder Elbow Surg 2020; 29: 1145-51.
• Vellingiri K, Ethiraj P, Shanthappa AH. Critical shoulder angle and its clinical correlation in shoulder pain. Cureus 2020 17; 12: 9810.
• Li X, Olszewski N, Abdul-Rassoul H, Curry EJ, Galvin JW, Eichinger JK. Relationship between the critical shoulder angle and shoulder disease. JBJS Rev 2018; 6: 1.
• Guishan G, Ming Y. Imaging features and clinical significance of the acromion morphological variations. J Nov Physiother 2013; 2: 003.