SUPRASPINATUS TENDİNİTİ VE SCAPULA MORFOMETRİK PARAMETRELERİ ARASINDAKİ İLİŞKİ

Öz

Amaç: Tendinit en sık görülen omuz lezyonlarından biridir. Bu çalışmanın amacı, kritik omuz açısı (OKA), glenoid eğimi (GI) ve akromiyon indeksi (AI) dahil olmak üzere radyolojik parametrelerin supraspinatus tendinit ile korelasyonunu değerlendirmektir.

Gereç ve Yöntem: Çalışmaya 72 hasta (47 erkek, 27 kadın, yaş ortalaması 29 ± 5.2 (18-40)) dahil edildi. Omuz manyetik rezonans görüntüleri ;supraspinatus tendonundaki sinyal artışına göre normal olan Grup I (n = 33) ve yüksek olan Grup II (n = 41) olmak üzere iki gruba ayrıldı.Nötr pozisyonda elde edilen omuz radyografilerinde kritik omuz açısı, glenoid eğim ve akromiyon indeksiparametreleri ölçüldü. Radyolojik parametreler ile supraspinatus tendinit varlığı arasındaki ilişki değerlendirildi.

Bulgular: Grup I'de Ortalama OKA 37.9 °, ortalama GI 17.2 ° ve ortalama AI 0.8 idi. Grup II'de Ortalama OKA 38.3 °, ortalama GI 17.1 ° ve ortalama AI 0.8 idi. Gruplar arasında istatistiksel olarak anlamlı bir fark bulunmadı. Kadınların OKA değerleri erkeklerden istatistiksel olarak anlamlı derecede yüksekti (p = 0,04).

Sonuç: Yüksek OKA değerlerinin rotator manşet yırtığı ve düşük OKA değerlerinin osteoartrit ile ilişkili olduğu bulunmuştur. Çalışmamızda supraspinatus tendinit  ile  OKA, AI ve GI parametreleri arasında ilişki saptamadık.Supraspinatusun erken tanısında kullanılmak üzere yeni morfometrik parametrelere ihtiyaç vardır.

Anahtar Kelimeler

• Tendinit,Omuz Kritik Açısı,Glenoid eğimi,Akromıon açısı

THE RELATIONSHIP BETWEEN THE MORPHOMETRIC PARAMETERS OF SCAPULA AND SUPRASPINATUS TENDONITIS

Öz

OBJECTIVE: Tendonitis is one of the most frequent shoulder lesions. The aim of this study is to evaluate the correlation of the radiological parameters including critical shoulder angle (CSA), glenoid inclination (GI) and  acromion index  (AI) with supraspinatus tendonitis.

MATERIALS AND METHODS : Seventy-four  patients [47 men, 27 women, mean age 29±5.2 (range 18-40)] were included in the study. Two groups were formed as Group I (n=33) and Group II (n=41) according to supraspinatus tendon intensity revealed by shoulder magnetic resonance images. Critical shoulder angle, glenoid inclination and  acromion index parameters were measured on shoulder radiographs obtained in neutral position. The relationship of the radiologic parameters and the presence of supraspinatus tendonitis was evaluated. 

RESULTS: The mean CSA was  37.9°, the mean GI was 17.2°, and the mean AI was 0.8 in Group I. The mean CSA was 38.3°, the mean GI was 17.1°, and the mean AI was 0.8 in Group II. No statistically significant difference was found between the groups. The CSA values of the women were statistically significantly higher than that of the men (p=0.04).

CONCLUSIONS: Higher CSA values are found to be associated with the risk of rotator cuff tear and lower CSA values with osteoarthritis. Higher angles are associated with increased risk of supraspinatus tendonitis tear. Supraspinatus tendonitis is not associated with the morphometric parameters including CSA, AI and GI. New morphometric parameters should be identified and their relation with supraspinatus tendonitis should be investigated for early diagnosis. 

Anahtar Kelimeler

• Tendinitis; Critical shoulder angle; Glenoid inclination;,Acromion index

Kaynakça

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