Is Arthroscopic Coracoplasty Necessary in Subcoracoid Impingement Syndrome?

Park, Jin‐Young; Lhee, Sang-Hoon; Oh, Kyung-Soo; Kim, Na Ra; Hwang, Jung-Taek

doi:10.1016/j.arthro.2012.06.013

Cited by 43 publications

(44 citation statements)

References 19 publications

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“…Many studies have reported promising results for the treatment of SCI with the advent of arthroscopic coracoplasty 7,15 ; however, determining proper candidates for such surgery has become crucial. Although, there are many studies investigating the relation between the coracoid and the humerus, the role of imaging in the diagnosis of SCI is still controversial.…”

Section: Discussionmentioning

confidence: 99%

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Relative Ratio of Coracohumeral Distance is Greater in Patients with Subcoracoid Impingement (SCI)

Shim¹,

Jang²

2017

Radiol Open J

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CitationShim J-C, Jang S-H. Relative ratio of coracohumeral distance is greater in patients with subcoracoid impingement (SCI One hundred fifty patients with subacromial impingement (SAI) were evaluated. The subjects with subcoracoid impingement which was affirmed clinically and confirmed by ultrasound guided subcoracoid injection (n=39) was compared with patients with SAI only (n=111). Patients with stiffness and rotator cuff tear were excluded. Absolute CHD was measured on magnetic resonance imaging (MRI) axial images and on ultrasound with the humerus in neutral position and internal rotation. Also relative ratio of distance difference (RRDD) defined as the difference of CHD in neutral position and internal rotation compared with absolute CHD in neutral on ultrasound was also measured.Results: The distance measured in neutral position was similar between ultrasound (US) imaging and MRI (p>0.05) and both measurements did not have significant difference between the two groups (p>0.05). On ultrasound, there was no significant difference in CHD in neutral and the internal rotation position between the two groups. However, RRDD value was significantly greater in SCI group (p<0.05). Conclusion: Although, the SCI group and the SAI group were not matched for age, sex, or BMI, no significant difference in CHD was seen between the SCI and SAI groups. RRDD value was greater in SCI group suggesting that individualized CHD in internal rotation should be taken into account when assessing patients with subcoracoid impingement.

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Section: Discussionmentioning

confidence: 99%

“…[4][5][6] An accurate diagnosis is critical for selecting an effective treatment among a wide range of options starting from conservative management to open and arthroscopic coracoplasty. 7 Despite numerous studies on the topic, no standard imaging diagnostic criteria have yet been established.…”

Section: Introductionmentioning

confidence: 99%

Relative Ratio of Coracohumeral Distance is Greater in Patients with Subcoracoid Impingement (SCI)

Shim¹,

Jang²

2017

Radiol Open J

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“…In most studies, a distance of 6 mm or 7 mm were taken as threshold values. [4][5][6] In patients with subcoracoid impingement syndrome, rotator interval pathologies such as subscapularis tear and biceps long head tendon problems should be investigated. [7] The superior results of arthroscopic repair of Lafosse type 2 and 3 isolated subscapularis tears have been reported.…”

Section: Coracoplasty In Isolated Subscapularis Tearsmentioning

confidence: 99%

Is routine coracoplasty necessary in isolated subscapularis tears?

Ayanoğlu

Ataoğlu

Özer

et al. 2019

Eklem Hastalik Cerrahisi

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“…Subkorakoid sıkışma, korakohumeral aralığın bilgisayarlı tomografi (BT) veya manyetik rezonans görüntüleme (MRG) ile yapılan ölçümlerde bazı yayınlara göre 6 mm'nin, bazı yayınlara göre ise 11 mm gibi yüksek bir değerin altına inmesi olarak tanımlanmaktadır [3][4][5][6] .…”

Section: Introductionunclassified

Omuz iç rotasyonunun korakohumeral ve akromiyo aralığa etkisinin üç boyutlu tomografi ile değerlendirilmesi

Çetinkaya

Koçkara

Özer

et al. 2018

Cukurova Medical Journal

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AbstractÖz Purpose: The aim of this study was to assess whether the coracohumeral and acromiohumeral distances were really decreasing with the passive internal rotation of the shoulder. Materials and Methods:The patients who underwent computerized tomography arthrography with the prediagnosis of rotator cuff tear between May 2016 and October 2016 were enrolled in the study. The computerized tomography arthrography imagings were performed in two positions of the shoulder, the neutral position and the internal rotation of the arm, and then the 3 dimensional reconstructions of the images were constituted. The coracohumeral and acromiohumeral distance measurements were made on 3 dimensional reconstructions of these two computerized tomography examinations. Results: Seventeen patients with the mean age of 64.06±9.06 were involved in the study. The coracohumeral and acromiohumeral distance measurements in neutral and internally rotated arms were also statistically similar between patients with fullthickness rotator cuff tears and those without. Between the male and female patients, there was no statistically significant difference in any of measurements. Conclusion:The coraohumeral distance narrows significantly with the internal rotation of the arm. The measurements made on three dimensional computerized tomography may provide us more reliable data about the several parameters of the coracoid process.Amaç: Bu çalışmanın amacı korakohumeral aralık ve akromiyohumeral aralık miktarının omzun pasif iç rotasyonu ile gerçekten azalıp azalmadığını değerlendirmekti Gereç ve Yöntem: Çalışmada Mayıs 2016 ile Ekim 2016 arasında poliklinikte rotator kılıf hasarı ön tanısı ile bilgisayarlı tomografi artrografi çekilen hastalar kullanıldı. Bilgisayarlı tomografi artrografi tetkiki omuz nötral ve iç rotasyonda olmak üzere iki kez yapıldı ve görüntülerin 3 boyutlu rekonstrüksiyonları oluşturuldu. Bu iki bilgisayarlı tomografi tetkikinin 3 boyutlu bilgisayarlı tomografi görüntülerinde korakohumeral aralık ve akromiyohumeral aralık ölçümleri yapıldı. Bulgular: Çalışmaya yaş ortalamaları 64.06±9.06 olan 17 hasta dahil edildi. Tam kat supraspinatus yırtığı olanlarla olmayanlar değerlendirildiğinde, korakohumeral aralık ve akromiyohumeral aralığın omzun nötral ve iç rotasyonundaki ölçümlerinin ortalamaları arasında istatistiksel olarak anlamlı fark görülmedi. Kadın ve erkekler arasında ölçüm ortalaması arasında istatistiksel fark yoktu. Sonuç: Omzun pasif iç rotasyonu ile korakohumeral aralık anlamlı derecede daralmaktadır. Üç boyutlu bilgisayarlı tomografi ile yapılan ölçümler korakoid anatomisi ve korakoidin çeşitli parametreleri ile ilgili bize daha güvenilir bilgi verebilirler.

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Is Arthroscopic Coracoplasty Necessary in Subcoracoid Impingement Syndrome?

Cited by 43 publications

References 19 publications

Relative Ratio of Coracohumeral Distance is Greater in Patients with Subcoracoid Impingement (SCI)

Relative Ratio of Coracohumeral Distance is Greater in Patients with Subcoracoid Impingement (SCI)

Is routine coracoplasty necessary in isolated subscapularis tears?

Omuz iç rotasyonunun korakohumeral ve akromiyo aralığa etkisinin üç boyutlu tomografi ile değerlendirilmesi

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