دورية أكاديمية
Subacromial contact after acromioplasty in the rotator cuff deficient shoulder.
| العنوان: | Subacromial contact after acromioplasty in the rotator cuff deficient shoulder. |
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| المؤلفون: | Gatto L; Department of Biomedical Engineering, University of Melbourne, Parkville, Victoria, Australia., Fernando A; Department of Biomedical Engineering, University of Melbourne, Parkville, Victoria, Australia., Patel M; Department of Orthopaedic Surgery, Epworth Healthcare, Richmond, Victoria, Australia.; Department of Anatomy and Cell Biology, University of Melbourne, Parkville, Victoria, Australia.; School of Health and Biomedical Sciences, RMIT University, Melbourne, Victoria, Australia., Yeung A; Department of Biomedical Engineering, University of Melbourne, Parkville, Victoria, Australia., Ackland DC; Department of Biomedical Engineering, University of Melbourne, Parkville, Victoria, Australia. |
| المصدر: | Journal of orthopaedic research : official publication of the Orthopaedic Research Society [J Orthop Res] 2024 Mar; Vol. 42 (3), pp. 588-597. Date of Electronic Publication: 2023 Oct 26. |
| نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: Wiley Country of Publication: United States NLM ID: 8404726 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1554-527X (Electronic) Linking ISSN: 07360266 NLM ISO Abbreviation: J Orthop Res Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2006- : Hoboken, NJ : Wiley Original Publication: New York, N.Y. : Raven Press, [c1983- |
| مواضيع طبية MeSH: | Rotator Cuff Injuries*/surgery , Shoulder Joint*, Humans ; Rotator Cuff/surgery ; Shoulder ; Rupture ; Biomechanical Phenomena ; Cadaver ; Range of Motion, Articular |
| مستخلص: | Subacromial impingement (SAI) is associated with shoulder pain and dysfunction and is exacerbated by rotator cuff tears; however, the role of acromioplasty in mitigating subacromial contact in the rotator cuff deficient shoulder remains debated. This study aimed to quantify the influence of isolated and combined tears involving the supraspinatus on subacromial contact during abduction; and second, to evaluate the influence of acromioplasty on joint space size and subacromial contact under these pathological conditions. Eight fresh-frozen human cadaveric upper limbs were mounted to a computer-controlled testing apparatus that simulated joint motion by simulated force application. Shoulder abduction was performed while three-dimensional joint kinematics was measured using an optoelectronic system, and subacromial contact evaluated using a digital pressure sensor secured to the inferior acromion. Testing was performed after an isolated tear to the supraspinatus, as well as tears involving the subscapularis and infraspinatus-teres minor, both before and after acromioplasty. Rotator cuff tears significantly increased peak subacromial pressure (p < 0.001), average subacromial pressure (p = 0.001), and contact force (p = 0.034) relative to those in the intact shoulder. Following acromioplasty, significantly lower peak subacromial contact pressure, force and area were observed for all rotator cuff tears involving the supraspinatus at 30° of abduction (p < 0.05). Acromioplasty predominantly reduces acromion thickness anteriorly thereby reducing subacromial contact in the rotator cuff deficient shoulder, particularly in early to mid-abduction where superior glenohumeral joint shear force potential is large. These findings provide a biomechanical basis for acromioplasty as an intervention for SAI syndrome and as an adjunct to rotator cuff repairs. (© 2023 Orthopaedic Research Society.) |
| References: | Michener LA, McClure PW, Karduna AR. Anatomical and biomechanical mechanisms of subacromial impingement syndrome. Clinical Biomechanics. 2003;18:369-379. Seitz AL, McClure PW, Finucane S, Boardman ND, Michener LA. Mechanisms of rotator cuff tendinopathy: intrinsic, extrinsic, or both? Clinical Biomechanics. 2011;26:1-12. Garving C, Jakob S, Bauer I, et al. Impingement syndrome of the shoulder. Dtsch Arztebl Int. 2017;114:765-776. Poppen N, Walker P. Normal and abnormal motion of the shoulder. J Bone Joint Surg Am. 1976;58A:195-201. Ketola S, Lehtinen J, Rousi T, et al. No evidence of long-term benefits of arthroscopic acromioplasty in the treatment of shoulder impingement syndrome. Bone Joint Res. 2013;2:132-139. Dorrestijn O, Stevens M, Winters JC, van der Meer K, Diercks RL. Conservative or surgical treatment for subacromial impingement syndrome? A systematic review. J Shoulder Elbow Surg. 2009;18:652-660. Neer, 2nd CS. Anterior acromioplasty for the chronic impingement syndrome in the shoulder: a preliminary report. J Bone Joint Surg Am. 1972;54:41-50. Beard DJ, Rees JL, Cook JA, et al. Arthroscopic subacromial decompression for subacromial shoulder pain (CSAW): a multicentre, pragmatic, parallel group, placebo-controlled, three-group, randomised surgical trial. The Lancet. 2018;391:329-338. Hyvonen P, Lantto V, Jalovaara P. Local pressures in the subacromial space. Int Orthop. 2003;27:373-377. Nordt, 3rd WE, Garretson, 3rd RB, Plotkin E. The measurement of subacromial contact pressure in patients with impingement syndrome. Arthroscopy. 1999;15:121-125. Wuelker N, Roetman B, Roessig S. Coracoacromial pressure recordings in a cadaveric model. J Shoulder Elbow Surg. 1995;4:462-467. Denard PJ, Bahney TJ, Kirby SB, Orfaly RM. Contact pressure and glenohumeral translation following subacromial decompression: how much is enough? Orthopedics. 2010;33:1-8. Ackland DC, Pandy MG. Lines of action and stabilizing potential of the shoulder musculature. J Anat. 2009;215:184-197. Wu G, van der Helm FCT, (DirkJan) Veeger HEJ, et al. ISB recommendation on definitions of joint coordinate systems of various joints for the reporting of human joint motion-part II: shoulder, elbow, wrist and hand. J Biomech. 2005;38:981-992. Söderkvist I, Wedin PÅ. Determining the movements of the skeleton using well-configured markers. J Biomech. 1993;26:1473-1477. Ackland DC, Roshan-Zamir S, Richardson M, Pandy MG. Muscle and joint-contact loading at the glenohumeral joint after reverse total shoulder arthroplasty. J Orthop Res. 2011;29:1850-1858. Kian A, Pizzolato C, Halaki M, et al. Static optimization underestimates antagonist muscle activity at the glenohumeral joint: a musculoskeletal modeling study. J Biomech. 2019;97:109348. Kian A, Pizzolato C, Halaki M, et al. The effectiveness of EMG-driven neuromusculoskeletal model calibration is task dependent. J Biomech. 2021;129:110698. Brimacombe JM, Wilson DR, Hodgson AJ, Ho KCT, Anglin C. Effect of calibration method on Tekscan sensor accuracy. J Biomech Eng. 2009;131:034503. Ackland DC, Pak P, Richardson M, Pandy MG. Moment arms of the muscles crossing the anatomical shoulder. J Anat. 2008;213:383-390. Ackland DC, Robinson DL, Wilkosz A, et al. The influence of rotator cuff tears on muscle and joint-contact loading after reverse total shoulder arthroplasty. J Orthop Res. 2019;37:211-219. Payne LZ, Deng XH, Craig EV, Torzilli PA, Warren RF. The combined dynamic and static contributions to subacromial impingement. A biomechanical analysis. Am J Sports Med. 1997;25:801-808. Blaber O, Hadley CJ, Gutman MJ, et al. Prior acromioplasty provides similar outcomes and rate of postoperative complications including acromial fracture after reverse total shoulder arthroplasty: a retrospective matched-cohort analysis. Arthrosc Sports Med Rehabil. 2023;5:e263-e266. |
| معلومات مُعتمدة: | Research Foundation Grant Australian Orthopaedic Association; FT200100098 Australian Research Council Future Fellowship |
| فهرسة مساهمة: | Keywords: biomechanical model; impingement syndrome; rotator cuff tear; shoulder stability; supraspinatus tear |
| تواريخ الأحداث: | Date Created: 20231009 Date Completed: 20240308 Latest Revision: 20240730 |
| رمز التحديث: | 20240730 |
| DOI: | 10.1002/jor.25717 |
| PMID: | 37812185 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1554-527X |
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| DOI: | 10.1002/jor.25717 |