Assessment of postoperative acromial and subacromial morphology after arthroscopic acromioplasty using magnetic resonance imaging

Kang, Hye Jin; Park, Ji Seon; Ryu, Kyung Nam; Rhee, Yong Girl; Jin, Wook; Park, So Young

doi:10.1007/s00256-020-03607-5

Cited by 2 publications

(3 citation statements)

References 39 publications

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“…The UCLA shoulder joint scoring system was divided into five aspects, i.e., pain, function, active upper limb anteflexion, upper limb anteflexion muscle strength, and patient satisfaction. The full score was 35 points, and a score less than 27 points indicated that the recovery was not ideal [ 9 ]. Pain conditions: two groups were assessed with visual analogue scales (VAS) before operation, 2 weeks after operation, 2 months after operation, and 6 months after operation.…”

Section: Methodsmentioning

confidence: 99%

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Effect of Arthroscopic Acromioplasty Combined with Rotator Cuff Repair in the Treatment of Aged Patients with Full-Thickness Rotator Cuff Tear and Rotator Cuff Injury

Liu

2022

Emergency Medicine International

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Full-thickness rotator cuff tear and rotator cuff injury are frequently occurring diseases and widely exist in the social population. Surgical repair is the most effective treatment for rotator cuff tears and injuries. With the continuous development of arthroscopy, more and more surgeons choose arthroscopic acromioplasty plus rotator cuff repair for the treatment of rotator cuff injury. However, previously published systematic reviews or meta-analyses still cast doubt on the efficacy of such concomitant procedures for postoperative patient function and pain recovery. In this study, we analyzed the effects of parameters such as shoulder function and acromion morphology on aged patients with full-thickness rotator cuff tear combined with rotator cuff injury treated with arthroscopic acromion plasty and rotator cuff repair. The results showed that arthroscopic acromion plasty and rotator cuff repair helped to promote the joint function recovery of the aged patients with full-thickness rotator cuff tear combined with rotator cuff injury and alleviate the pain of the patients. Compared with simple rotator cuff repair, this technique can increase the postoperative AT and reduce the ACEA and to some extent reduce the risk of postoperative rotator cuff reinjury, which is worthy of promotion.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Effect of Arthroscopic Acromioplasty Combined with Rotator Cuff Repair in the Treatment of Aged Patients with Full-Thickness Rotator Cuff Tear and Rotator Cuff Injury

Liu

2022

Emergency Medicine International

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“…Furthermore, a comparison of the long-term clinical outcomes in patients treated with RC repair and those who underwent RC repair along with subacromial decompression showed no additional benefits [ 16 ]. Kang [ 17 ] also reported that a delayed reduction in acromial thickness is a normal postoperative feature one year after arthroscopic acromioplasty, and that an exaggerated concave contour of the acromial undersurface is also observed in some patients, which is considered a new risk factor for RC tears. Lähdeoja [ 18 ] reported that spur size did not correlate significantly with shoulder function or pain, which was proposed based on findings that subacromial decompression had no benefit in terms of functional outcome or pain.…”

Section: Introductionmentioning

confidence: 99%

Distribution and analysis of subacromial spurs and the relationship with acromial classification and angle in healthy individuals

Dong,

Du,

Shi

et al. 2024

PLoS ONE

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Background Subacromial spurs are considered the one of the pathology underlying shoulder impingement syndrome. Furthermore, few studies have focused on the morphology of the subacromial spurs in normal Chinese people. This study aimed to study the spur distribution and to illustrate the morphology of spurs, which may help guide the extent of acromioplasty. Methods A total of 93 normal individuals were enrolled, and both shoulders of all enrolled individuals were analyzed. The subjects were divided and classified into three different groups by ages: group I = 18–40 years, group II = 41–60 years, and group III ≥ 61 years. The osteophyte distribution, osteophyte area, subacromial surface area and osteophyte area/subacromial surface area ratio were measured and illustrated using Mimics and 3-matic software. The shape of the acromion was classified according to the Bigliani and Morrison classification system. The acromial angle was also classified. Then, the relationship between osteophytes, acromial classification and acromial angle was analyzed. Results Type II (curved shape) was the most common type of acromion, and the hooked shape was a rare form. A significant increase in the left subacromial surface area in males was observed in group III compared with group I (P < 0.001) and group II (P = 0.004). The total spur/subacromial area ratio was significantly higher in group II than I. An obvious increase in the right subacromial area was observed in group III compared with group I (P = 0.004). Furthermore, there was a significant increase in the right spur area (P = 0.021) and total spur/subacromial area ratio (P = 0.006) in females in group II compared with group I. Fewer spurs were observed on the left than on the right side (p = 0.0482). One spur was most common among type II acromions (29/36) (80.56%) on the left side and the right side (34/52, 65.38%). Conclusions Spurs osteophytes are mainly distributed with an irregular shape and mostly run through the medial and lateral sides of the subacromial surface in normal subjects. The characteristics of subacromial spurs are so diverse that a surgeon must conduct subacromial decompression completely based on the morphology of individual spurs.

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Assessment of postoperative acromial and subacromial morphology after arthroscopic acromioplasty using magnetic resonance imaging

Cited by 2 publications

References 39 publications

Effect of Arthroscopic Acromioplasty Combined with Rotator Cuff Repair in the Treatment of Aged Patients with Full-Thickness Rotator Cuff Tear and Rotator Cuff Injury

Effect of Arthroscopic Acromioplasty Combined with Rotator Cuff Repair in the Treatment of Aged Patients with Full-Thickness Rotator Cuff Tear and Rotator Cuff Injury

Distribution and analysis of subacromial spurs and the relationship with acromial classification and angle in healthy individuals

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