Türk Popülasyonunda Os akromiale Prevalansı ve Manyetik Rezonans Görüntüleme ile Subakromiyal Mesafe ve Akromiyon Tipolojisinin Değerlendirilmesi
Öz
Amaç: Bir
Türk popülasyonunda akromiyon tipi, os acromiale prevalansını ve akromion
tipolojisinin subakromiyal mesafe ile ilişkisini belirlemek.
Gereç ve Yöntem: Dahil etme kriterlerini karşılayan toplam 528 hasta, os akromiale varlığı,
akromiyon tipi ve subakromial mesafe açısından iki radyolog tarafından
değerlendirildi. Akromion tipolojisi, os akromiale olmayan hastalarda
değerlendirildi. Os akromion, subakromial mesafedeki değişiklikler
istatistiksel olarak cinsiyet, etkilenen taraf (sağ / sol) varlığına bağlı
olarak değerlendirildi. Ayrıca, subakromial mesafe ile akromion türleri
arasındaki ilişki araştırıldı.
Bulgular: On iki
hastada (% 2.27) os akromiale vardı. Yüz on altı hastada tip I akromion (%
22.5) varken, 352 hastada tip II akromion (% 68.2), 10 hastada tip III akromion
(% 1.9) ve 38 hastada da tip IV akromion (% 7.4) vardı. Ortalama subakromial
mesafe 6.6 mm (% 95; 6.5-6.77 mm) olarak bulundu. Akromion tipine göre, subakromial
mesafe tip IV akromionda tip I ve II'ye göre anlamlı derecede yüksekti (p =
0.02). Subakromial mesafede cinsiyet ve taraf açısından anlamlı fark yoktu
(sırasıyla p = 0.309 ve 0.454).
Sonuç: Türk
popülasyonunda cinsiyete ve tarafa göre subakromial mesafede anlamlı bir fark
yoktu. Değerlendirilen Türk popülasyonunda en sık ve en yaygın akromion türü
sırasıyla tip II ve tip III idi. Subakromiyal mesafe tip 4 akromionda daha
büyüktü.
Anahtar Kelimeler
Subakromial Mesafe Manyetik Rezonans Görüntüleme Akromion Tipi
Destekleyen Kurum
yok
Proje Numarası
yok
Kaynakça
- 1. El-Din WAN, Ali MHM. A Morphometric Study of the Patterns and Variations of the Acromion and Glenoid Cavity of the Scapulae in Egyptian Population. J Clin Diagn Res. 2015;9(8):Ac8-Ac11.2. Neer CS, 2nd. Anterior acromioplasty for the chronic impingement syndrome in the shoulder: a preliminary report. J Bone Joint Surg Am. 1972;54(1):41-50.3. Balke M, Schmidt C, Dedy N, Banerjee M, Bouillon B, Liem D. Correlation of acromial morphology with impingement syndrome and rotator cuff tears. Acta Orthop. 2013;84(2):178-83.4. Gumina S, De Santis P, Salvatore M, Postacchini F. Relationship between os acromiale and acromioclavicular joint anatomic position. J Shoulder Elb Surg. 2003;12(1):6-8.5. 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(1):1-11.6. Bigliani BUME AE. The morphology of the acromion and its relationship to rotator cuff tears. Orthop Trans. 1986;10:216.7. Vanarthos WJ, Monu JU. Type 4 acromion: a new classification. Contemp Orthop. 1995;30(3):227-9.8. Aragao JA, Silva LP, Reis FP, Dos Santos Menezes CS. Analysis on the acromial curvature and its relationships with the subacromial space and types of acromion. Rev Bras Ortop. 2014;49(6):636-41.9. Spencer EE, Jr., Dunn WR, Wright RW, Wolf BR, Spindler KP, McCarty E, et al. Interobserver agreement in the classification of rotator cuff tears using magnetic resonance imaging. Am J Sports Med. 2008;36(1):99-103.10. Toivonen DA, Tuite MJ, Orwin JF. Acromial structure and tears of the rotator cuff. J Shoulder Elbow Surg. 1995;4(5):376-83.11. Natsis K, Tsikaras P, Totlis T, Gigis I, Skandalakis P, Appell HJ, et al. Correlation between the four types of acromion and the existence of enthesophytes: A study on 423 dried scapulas and review of the literature. Clin Anat. 2007;20(3):267-72.12. Kumar J, Park WH, Kim SH, Lee HI, Yoo JC. The prevalence of os acromiale in Korean patients visiting shoulder clinic. Clin Orthop Surg. 2013;5(3):202-8.13. Sammarco VJ. Os acromiale: frequency, anatomy, and clinical implications. J Bone Joint Surg Am. 2000;82(3):394-400.14. Coskun N, Karaali K, Cevikol C, Demirel BM, Sindel M. Anatomical basics and variations of the scapula in Turkish adults. Saudi Med J. 2006;27(9):1320-5.
Os Acromiale Prevalence and Evaluation of Subacromial Distance and Acromion Typology by Magnetic Resonance Imaging in a Turkish Population
Öz
Purpose: To determine the prevalence of acromion type, os
acromiale, and the relation of acromion typology with subacromial distance in a Turkish
population.
Materials and Methods: A total of 528 patients who met the inclusion criteria were evaluated in terms of presence of os acromiale, type of acromion, and
subacromial distance by two radiologists.
Acromion typology was
evaluated in patients without os acromiale. Variations of subacromial distance
depending on the presence of os acromion, sex, affected side (right / left)
were statistically assessed. In addition, an association between subacromial
distance and acromion types was sought.
Results:
Twelve patients (2.27%) had os acromiale. One-hundred and sixteen patients had
type I acromion (22.5%) whereas 352 had type II acromion (68.2%), 10 had type
III acromion (1.9%), and 38 had type IV acromion (7.4%). The median subacromial
distance was found to be 6.6 mm (95% CI for median; 6.5-6.77 mm). Regarding the
acromion type, subacromial distance was significantly higher in type IV
acromion than in types I and II (p= 0.02). There was no significant difference
in subacromial distance according to sex and side (p=0.309 and 0.454
respectively).
Conclusion: There was no significant difference in
subacromial distance according to sex and side in the Turkish population. The
most and least common types of acromion in the evaluated Turkish population
were type II and type III, respectively. The subacromial distance was greater
in type 4 acromion.
Anahtar Kelimeler
Subacromial Distance Magnetic Resonance Imaging Acromion Typology
Proje Numarası
yok
Kaynakça
- 1. El-Din WAN, Ali MHM. A Morphometric Study of the Patterns and Variations of the Acromion and Glenoid Cavity of the Scapulae in Egyptian Population. J Clin Diagn Res. 2015;9(8):Ac8-Ac11.2. Neer CS, 2nd. Anterior acromioplasty for the chronic impingement syndrome in the shoulder: a preliminary report. J Bone Joint Surg Am. 1972;54(1):41-50.3. Balke M, Schmidt C, Dedy N, Banerjee M, Bouillon B, Liem D. Correlation of acromial morphology with impingement syndrome and rotator cuff tears. Acta Orthop. 2013;84(2):178-83.4. Gumina S, De Santis P, Salvatore M, Postacchini F. Relationship between os acromiale and acromioclavicular joint anatomic position. J Shoulder Elb Surg. 2003;12(1):6-8.5. 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(1):1-11.6. Bigliani BUME AE. The morphology of the acromion and its relationship to rotator cuff tears. Orthop Trans. 1986;10:216.7. Vanarthos WJ, Monu JU. Type 4 acromion: a new classification. Contemp Orthop. 1995;30(3):227-9.8. Aragao JA, Silva LP, Reis FP, Dos Santos Menezes CS. Analysis on the acromial curvature and its relationships with the subacromial space and types of acromion. Rev Bras Ortop. 2014;49(6):636-41.9. Spencer EE, Jr., Dunn WR, Wright RW, Wolf BR, Spindler KP, McCarty E, et al. Interobserver agreement in the classification of rotator cuff tears using magnetic resonance imaging. Am J Sports Med. 2008;36(1):99-103.10. Toivonen DA, Tuite MJ, Orwin JF. Acromial structure and tears of the rotator cuff. J Shoulder Elbow Surg. 1995;4(5):376-83.11. Natsis K, Tsikaras P, Totlis T, Gigis I, Skandalakis P, Appell HJ, et al. Correlation between the four types of acromion and the existence of enthesophytes: A study on 423 dried scapulas and review of the literature. Clin Anat. 2007;20(3):267-72.12. Kumar J, Park WH, Kim SH, Lee HI, Yoo JC. The prevalence of os acromiale in Korean patients visiting shoulder clinic. Clin Orthop Surg. 2013;5(3):202-8.13. Sammarco VJ. Os acromiale: frequency, anatomy, and clinical implications. J Bone Joint Surg Am. 2000;82(3):394-400.14. Coskun N, Karaali K, Cevikol C, Demirel BM, Sindel M. Anatomical basics and variations of the scapula in Turkish adults. Saudi Med J. 2006;27(9):1320-5.