Comparison of acromiohumeral distance in symptomatic and asymptomatic patient shoulders and those of healthy controls

Navarro-Ledesma, Santiago; Luque-Suárez, Alejandro

doi:10.1016/j.clinbiomech.2018.02.013

Cited by 31 publications

(27 citation statements)

References 35 publications

(56 reference statements)

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“…Another common reason for exclusion was that the participants were not diagnosed with SAPS. Fifteen studies met the inclusion criteria; nine of the 15 addressed the first aim 21,29,31,32,[52][53][54][55][56] , three addressed the second aim 54,57,58 and six addressed the final aim 29,32,[59][60][61][62] . Of the nine studies that addressed the first aim, one also addressed the second aim 54 and two addressed the third aim 29,32 .…”

Section: Resultsmentioning

confidence: 99%

“…A total of 775 participants were included across the 15 studies (Tables 1, 2, and 3). In the nine studies that addressed the first aim 21,29,31,32,[52][53][54][55][56] , 472 participants were included (mean age (SD) ranging between 23 (4) and 65 (10) years). Three of nine studies (170 participants) only included athletes, drawn from a variety of sports [54][55][56] , and the remaining studies included the general population.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…The sports included archery, climbing, fencing, badminton, rugby, handball, tennis, water polo and swimming. Eight studies (652 participants) measured AHD and supraspinatus tendon thickness by US 21,29,32,[52][53][54][55][56] , whilst one study measured AHD through X-ray 31 . Three of the studies (64 participants) that measured supraspinatus tendon thickness by US also calculated the occupation ratio percentage 21,52,55 .…”

Section: Study Characteristicsmentioning

confidence: 99%

“…In general, the quality of the studies ranged between moderate and high (Table 4). Twelve studies were of high quality 21,31,[53][54][55][56][57][58][59][60][61][62] and three studies were of moderate quality 29,32,52 . All studies, except for one 60 , scored poorly for external validity; items 11-13.…”

Section: Risk Of Biasmentioning

confidence: 99%

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No relationship between the acromiohumeral distance and pain in adults with subacromial pain syndrome: a systematic review and meta-analysis

Park

Chen

Thompson

et al. 2020

Sci Rep

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To determine whether subacromial space (i.e. acromiohumeral distance; AHD, and/or occupation ratio percentage) differs between people with subacromial pain syndrome (SAPS) and those without. To investigate whether there is a correlation between subacromial space and pain or disability in adults with SAPS and whether temporal changes in pain or disability are accompanied by changes in subacromial space. Systematic review and meta-analysis. Fifteen studies with a total of 775 participants were included. Twelve studies were of high quality and three studies were of moderate quality using the modified Black and Downs checklist. There was no between group difference in AHD in neutral shoulder position (mean difference [95% CI] 0.28 [−0.13 to 0.69] mm), shoulder abduction at 45° (−0.02 [−0.99 to 0.96] mm) or 60° (−0.20 [−0.61 to 0.20] mm). Compared to the control group, a greater occupation ratio in neutral shoulder position was demonstrated in participants with SAPS (5.14 [1.87 to 8.4] %). There was no consistent pattern regarding the correlation between AHD and pain or disability in participants with SAPS, and no consistent increase in subacromial space with improvement in pain or disability over time. The results suggest that surgical (e.g. sub-acromial decompression) and non-surgical (e.g. manual therapy, taping, stretching and strengthening) management of subacromial pain syndrome should not focus solely on addressing a potential decrease in subacromial space, but also on the importance of other biopsychosocial factors.

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Section: Resultsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Risk Of Biasmentioning

confidence: 99%

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No relationship between the acromiohumeral distance and pain in adults with subacromial pain syndrome: a systematic review and meta-analysis

Park

Chen

Thompson

et al. 2020

Sci Rep

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“…The causes of impingement syndrome are possibly multifactorial 23 . In a study AHD measurement was found decreased at 60° abduction position in patients with shoulder pain 24 . In another study AHD measurement was found to have a small association with shoulder pain, function and range of motion at 0 and 60° in patients with rotator cuff‐related shoulder pain 25 …”

Section: Discussionmentioning

confidence: 99%

Ultrasonographic evaluation of shoulder tendons in patients with Hashimoto's disease

et al. 2020

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Objectives: To investigate the thickness of the shoulder tendons and the measurement of acromiohumeral distance (AHD) in patients with Hashimoto's disease (HD). Material and Methods: Twenty-eight patients with subclinical hypothyroid HD, 40 patients with euthyroid HD, and 51 healthy subjects were included. The thicknesses of biceps brachii, subscapularis, supraspinatus, infraspinatus tendons at both shoulders were evaluated with ultrasonography. Serum levels of thyroid stimulated hormone (TSH), free tri-iodothyronine, free thyroxine (FT4), anti-thyroid peroxidase (TPO) and anti-thyroglobulin (anti-TG) antibodies levels were measured. Results: Height, weight, body mass index (BMI), free T3 and free T4 levels were similar between the three groups (P = .839, P = .205, P = .374, P = .430 and P = .497, respectively). Biceps brachii, supraspinatus and infraspinatus tendon thicknesses in dominant arm and biceps brachii, subscapularis and infraspinatus tendon thicknesses in non-dominant arm were significantly increased in euthyroid HD compared to healthy controls (P = .003, P = .030, P < .001; P = .035, P = .042, P < .001, respectively). Biceps brachii tendon thickness in dominant arm and subscapularis and supraspinatus tendon thicknesses in non-dominant arms were significantly increased in subclinical hypothyroid HD compared to healthy controls (P = .025; P = .046, P = .017, respectively). However there was no such difference between euthyroid HD and subclinical hypothyroid HD groups (P < .05). There was low correlation between biceps brachii tendon thickness and free T4 level in non-dominant shoulder in patients with HD (r = .272 P = .030). For the rest of the tendons, there was no correlation between TSH, anti-TPO, anti-TG levels and tendon thicknesses in patients with HD. Conclusions: This study suggests that thyroid autoimmunity in HD may lead to an increase in thickness of shoulder tendons.

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Investigating the multifactorial etiology of supraspinatus tendon tears

Lawrence,

Soliman,

Dalbøge

et al. 2023

Journal Orthopaedic Research

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The purpose of this study was to develop a multivariable model to determine the extent to which a combination of etiological factors is associated with supraspinatus tendon tears. Fifty‐four asymptomatic individuals (55 ± 4 years) underwent testing of their dominant shoulder. Diagnostic ultrasound was used to assess for a supraspinatus tendon tear. The etiological factors investigated included demographics (age and sex), tendon impingement during shoulder motion (via biplane videoradiography), glenohumeral morphology (via computed tomography imaging), family history of a tear (via self‐report), occupational shoulder exposure (via shoulder job exposure matrix), and athletic exposure (via self‐report). Univariate relationships between etiological predictors and supraspinatus tears were assessed using logistic regression and odds ratios (ORs), while multivariable relationships were assessed using classification and regression tree analysis. Thirteen participants (24.1%) had evidence of a supraspinatus tear. Individuals with a tear had a higher critical shoulder angle (OR 1.2, p = 0.028) and acromial index (OR 1.2, p = 0.016) than individuals without a tear. The multivariable model suggested that a tear in this cohort can be explained with acceptable accuracy (AUROC = 0.731) by the interaction between acromial index and shoulder occupational exposure: a tear is more likely in individuals with a high acromial index (p < 0.001), and in individuals with a low acromial index and high occupational exposure (p < 0.001). The combination of an individual's glenohumeral morphology (acromial index) and occupational shoulder exposure may be important in the development of supraspinatus tears.

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Comparison of acromiohumeral distance in symptomatic and asymptomatic patient shoulders and those of healthy controls

Cited by 31 publications

References 35 publications

No relationship between the acromiohumeral distance and pain in adults with subacromial pain syndrome: a systematic review and meta-analysis

No relationship between the acromiohumeral distance and pain in adults with subacromial pain syndrome: a systematic review and meta-analysis

Ultrasonographic evaluation of shoulder tendons in patients with Hashimoto's disease

Investigating the multifactorial etiology of supraspinatus tendon tears

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