دورية أكاديمية
أعرض في EDS

The robustness of glenohumeral centering measurements in dependence of shoulder rotation and their predictive value in shoulders with rotator cuff tears.

التفاصيل البيبلوغرافية
العنوان: The robustness of glenohumeral centering measurements in dependence of shoulder rotation and their predictive value in shoulders with rotator cuff tears.
المؤلفون: Egli RJ; Radiology, Balgrist University Hospital, University of Zurich, Zurich, Switzerland. rainer.egli@insel.ch.; Department for Diagnostic, Interventional, and Paediatric Radiology, Bern University Hospital, University of Bern, Freiburgstrasse 15, 3010, Bern, Switzerland. rainer.egli@insel.ch., Widmer ECJ; Radiology, Balgrist University Hospital, University of Zurich, Zurich, Switzerland., Waltenspül M; Department of Orthopedics, Balgrist University Hospital, University of Zurich, Zurich, Switzerland., Bouaicha S; Department of Orthopedics, Balgrist University Hospital, University of Zurich, Zurich, Switzerland., Sutter R; Radiology, Balgrist University Hospital, University of Zurich, Zurich, Switzerland.
المصدر: Skeletal radiology [Skeletal Radiol] 2023 Feb; Vol. 52 (2), pp. 183-191. Date of Electronic Publication: 2022 Aug 25.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Springer Verlag Country of Publication: Germany NLM ID: 7701953 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1432-2161 (Electronic) Linking ISSN: 03642348 NLM ISO Abbreviation: Skeletal Radiol Subsets: MEDLINE
أسماء مطبوعة: Publication: Berlin : Springer Verlag
Original Publication: Berlin, New York, Springer International.
مواضيع طبية MeSH: Rotator Cuff Injuries*/diagnostic imaging , Shoulder Joint*/diagnostic imaging, Humans ; Shoulder ; Retrospective Studies ; Range of Motion, Articular ; Rotator Cuff/diagnostic imaging ; Rupture
مستخلص: Objective: De-centering of the shoulder joint on radiographs is used as indicator for severity of rotator cuff tears and as predictor for clinical outcome after surgery. The objective of the study was to assess the effect of malrotation on glenohumeral centering on radiographs and to identify the most reliable parameter for its quantification.
Subjects and Methods: In this retrospective study (2014-2018), 249 shoulders were included: 92 with imaging-confirmed supra- and infraspinatus tears (rupture; 65.2 ± 9.9 years) and 157 without tears (control; 41.1 ± 13.0 years). On radiographs in neutral position and external rotation, we assessed three radiographic parameters to quantify glenohumeral centering: acromiohumeral distance (ACHD), craniocaudal distance of the humeral head and glenoid center (Deutsch), and scapulohumeral arch congruity (Moloney). Non-parametric statistics was performed.
Results: In both positions, only the distance parameters ACHD (< 0.5 mm) and Deutsch (< 1 mm) were comparable in the two study groups rupture and control. Comparing the parameters between the study groups revealed only ACHD to be significantly different with a reduction of more than 2 mm in the rupture group. Among the parameters, ACHD ≤ 6 mm was the only cut-off discriminating rupture (12-21% of the shoulders with ACHD ≤ 6 mm) and control (none of the shoulders with ACHD ≤ 6 mm). Ninety percent of shoulders with ACHD ≤ 6 mm presented with a massive rotator cuff tear (defined as ≥ 67% of the greater tuberosity exposed).
Conclusion: Glenohumeral centering assessed by ACHD and Deutsch is not affected by rotation in shoulders with and without rotator cuff tear. An ACHD ≤ 6 mm has a positive predictive value of 90% for a massive rotator cuff tear.
(© 2022. The Author(s).)
References: J Shoulder Elbow Surg. 2014 Dec;23(12):1913-1921. (PMID: 25441568)
J Med Assoc Thai. 2015 Apr;98 Suppl 3:S61-5. (PMID: 26387390)
Invest Radiol. 1998 Mar;33(3):163-70. (PMID: 9525755)
Clin Orthop Relat Res. 1990 May;(254):92-6. (PMID: 2323152)
J Shoulder Elbow Surg. 2020 Apr;29(4):674-680. (PMID: 32197762)
Instr Course Lect. 2012;61:121-30. (PMID: 22301227)
J Chiropr Med. 2016 Jun;15(2):155-63. (PMID: 27330520)
Clin Sports Med. 2012 Oct;31(4):589-604. (PMID: 23040548)
Arthroscopy. 2021 Feb;37(2):460-467. (PMID: 32998042)
Orthop J Sports Med. 2021 Jun 10;9(6):23259671211009846. (PMID: 34179206)
J Shoulder Elbow Surg. 2013 Oct;22(10):1423-32. (PMID: 23510747)
Clin Orthop Surg. 2020 Sep;12(3):353-363. (PMID: 32904088)
Orthop Traumatol Surg Res. 2011 May;97(3):246-51. (PMID: 21459063)
Arthroscopy. 2013 Feb;29(2):366-76. (PMID: 23290186)
Joint Bone Spine. 2007 Dec;74(6):551-7. (PMID: 17993287)
J Shoulder Elbow Surg. 2020 Jun;29(6):1145-1151. (PMID: 32035821)
Clin Orthop Relat Res. 1994 Jul;(304):78-83. (PMID: 8020238)
Am J Phys Med Rehabil. 2012 Mar;91(3):193-9. (PMID: 22173082)
Sci Rep. 2022 Jun 7;12(1):9404. (PMID: 35672458)
Arthroscopy. 2011 Oct;27(10):1341-50. (PMID: 21873021)
J Shoulder Elbow Surg. 2018 Apr;27(4):659-666. (PMID: 29329902)
AJR Am J Roentgenol. 2006 Aug;187(2):376-82. (PMID: 16861541)
Eur J Radiol. 2008 Oct;68(1):16-24. (PMID: 18511227)
J Shoulder Elbow Surg. 1996 May-Jun;5(3):186-93. (PMID: 8816337)
J Orthop Surg Res. 2020 Sep 23;15(1):436. (PMID: 32967710)
Clin Orthop Relat Res. 1990 May;(254):81-6. (PMID: 2323151)
فهرسة مساهمة: Keywords: Acromiohumeral distance; Glenohumeral centering; Rotator cuff tear; Shoulder
تواريخ الأحداث: Date Created: 20220824 Date Completed: 20221216 Latest Revision: 20221222
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC9750900
DOI: 10.1007/s00256-022-04159-6
PMID: 36002755
قاعدة البيانات: MEDLINE
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