Assesment of Coracoid Inclination Angle and Coracoacromial Arch Angle on MRI in Rotator Cuff Tears

Yıl 2019, Cilt: 21 Sayı: 2, 167 - 172, 31.08.2019

Neşe Asal

https://doi.org/10.24938/kutfd.532981

Öz

Objective: The purpose of this study was to
investigate the role of the coracoid inclination angle and the coracoacromial
arch angle in the etiology of rotator cuff tears on magnetic resonance imaging.

Material and Methods: A total of 102 shoulder magnetic
resonance imaging taken in our clinic between January 2014 and January 2019
were retrospectively evaluated. Supraspinatus tendon was evaluated for partial
tear and full tear. The coracoid inclination angle and the coracoacromial arch
angle were measured in all cases. Independent t test was used for comparisons
between groups. Pearson correlation analysis was performed between the coracoid
inclination angle and the coracoacromial arch angle.

Results: There were 29 female and 24 male
patients in the rotator cuff tear group and the mean age was 49.5±11.3 years.
There were 21 female and 28 male patients in the control group and the mean age
was 45.08±11.7 years. In the rotator cuff tear group; the mean coracoid
inclination angle was 92.8±8º and the mean coracoacromial arch angle was
127.4±7.3º. In the control group; the mean coracoid inclination angle was
106.5±9.5º and the mean coracoacromial arch angle was 122.4±5º. A statistically
significant difference was found between the groups for both angle values (p
<0.05).

Conclusion: The coracoid inclination angle was
narrower and the coracoacromial arch angle was wider in rotator cuff tear
cases. Coracoid process morphology and related variable coracoid inclination
angle, coracoacromial arch angle may be the predisposing factors for rotator
cuff tears and may be used to help determine the etiology of rotator cuff
pathologies.

Anahtar Kelimeler

Coracoid, impingement syndrome, magnetic resonance imaging, rotator cuff

ROTATOR MANŞET YIRTIKLARINDA MRG İLE KORAKOİD İNKLİNASYON AÇISI VE KORAKOAKROMİAL ARK AÇISININ DEĞERLENDİRİLMESİ

Öz

Amaç: Bu çalışmada, rotator manşet
yırtıklarının etyolojisinde korakoid inklinasyon açısı ve korakoakromial ark
açısının rolünün manyetik rezonans görüntüleme ile araştırılması amaçlandı.

Gereç ve Yöntemler:
Çalışmada
Ocak 2014-Ocak 2019 tarihleri arası kliniğimizde çekilmiş total 102 omuz manyetik rezonans görüntüleme retrospektif olarak değerlendirildi.
Supraspinatus tendonu, parsiyel yırtık ve tam kat yırtık açısından
değerlendirildi. Tüm olgularda korakoid inklinasyon açısı ve korakoakromial ark
açısı ölçümü yapıldı. Gruplar arasındaki karşılaştırmalar için independent t
testi kullanıldı. Ayrıca korakoid inklinasyon açı ve korakoakromial ark açısı
arasında Pearson korelasyon analizi yapıldı.

Bulgular: Rotator manşet yırtık olan grupta 29
kadın, 24 erkek olup yaş ortalaması 49.5±11.3 yıl; kontrol grubunda 21 kadın,
28 erkek olup yaş ortalaması 45.08±11.7 yıldı. Rotator manşet yırtık olan
grupta; korakoid inklinasyon açı ortalaması 92.8±8º, korakoakromial ark açı
ortalaması 127.4±7.3º idi. Kontrol grubunda; korakoid inklinasyon açı
ortalaması 106.5±9.5º, korakoakromial ark açı ortalaması 122.4±5º idi. Gruplar
arasında her iki açı değeri için istatistiksel anlamlı farklılık tespit edildi
(p <0.05).

Sonuç: Rotator manşet
yırtık olgularında, korakoid inklinasyon açısı daha dar ve korako-akromial ark
açısı daha genişti. Korakoid proçes morfolojisi ve buna bağlı değişken korakoid
inklinasyon açısı, korakoakromial ark açısı rotator manşet yırtıkları için
predispozan faktörler olabilir, rotator manşet patolojilerinin etyolojisini
belirlemede yardımcı olarak kullanılabilir.

Anahtar Kelimeler

korakoid, impingement sendromu, manyetik rezonans görüntüleme, rotator manşet

Kaynakça

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