Predictive findings on magnetic resonance imaging in patients with symptomatic acromioclavicular osteoarthritis

Veen, Egbert J.D.; Donders, Cornelia M.; Westerbeek, Robin E.; Derks, Rosalie; Landman, Ellie; Koorevaar, Cornelis T.

doi:10.1016/j.jse.2018.01.001

Cited by 18 publications

(12 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It was further found that patients with edema in MRI were 9.4 times more likely to present ACJ pain, showing the importance of this factor in preoperative analyses of patients. Just as in Veen et al, 15 the bone marrow edema was significant on MRI.…”

Section: Discussionsupporting

confidence: 55%

“…In the present study, it was possible to observe a certain tendency of patients with painful ACJ osteoarthritis to present, on MRI, osteophytes that caused an impingement (or compression) on the supraspinatus tendon or muscle, but it was not statistically significant ( P = .109). It is the opposite of Veen et al, 15 who stated that inferior osteophytes have a positive predictive value for ACJ osteoarthritis. Perhaps this association may be significant with a larger sample.…”

Section: Discussionmentioning

confidence: 82%

“…Changes in magnetic resonance imaging (MRI) are commonly found 15 and indicate ACJ osteoarthritis; however, the correlation of these images with the patients' clinical evaluation is low. Bone marrow edema imaging may predict the increased risk of osteoarthritis 16 but are also observed among the asymptomatic and healthy population.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Histologic and magnetic resonance image evaluation in acromioclavicular joint osteoarthritis

Bomfim¹,

Ejnisman²,

Belangero³

2020

JSES International

View full text Add to dashboard Cite

Introduction Little is known about the development of specific acromioclavicular joint osteoarthritis. Its histologic alterations are controversial, and radiologic alterations are seen in asymptomatic people. The objective of this study was to evaluate histologically the distal clavicle subchondral bone and to analyze magnetic resonance images in patients with painful and nonpainful acromioclavicular joint osteoarthritis. Methods An observational, analytical, and cross-sectional study with a control group was conducted. Between August 2018 and June 2019, we analyzed a total of 41 patients. Group 1 consisted of patients with pain in the acromioclavicular joint (symptomatic osteoarthritis), and group 2 consisted of patients without pain in the acromioclavicular joint (asymptomatic osteoarthritis). Results Twelve of the 15 patients with acromioclavicular joint pain (group 1) were female, 13 presented distal clavicle edema on magnetic resonance imaging, and 9 had subchondral bone edema on histologic examination. Patients with acromioclavicular joint pain had longer shoulder pain duration than patients without pain. Women were more likely to have acromioclavicular joint pain compared with men. Patients with edema on magnetic resonance imaging showed a greater chance of presenting pain in the acromioclavicular joint in comparison with patients without edema. Conclusion Women had a higher chance of presenting with acromioclavicular joint pain than men. Patients with edema on magnetic resonance imaging were more likely to present with pain than patients without edema. Patients with acromioclavicular joint pain had longer shoulder pain duration than patients without pain, and subchondral bone edema on histologic examination was more frequent in patients with pain.

show abstract

Section: Discussionsupporting

confidence: 55%

Section: Discussionmentioning

confidence: 82%

See 1 more Smart Citation

Histologic and magnetic resonance image evaluation in acromioclavicular joint osteoarthritis

Bomfim¹,

Ejnisman²,

Belangero³

2020

JSES International

View full text Add to dashboard Cite

show abstract

“…Bone marrow edema within the glenoid and humeral head can also be a source of shoulder pain. [ 26 , 27 ] It is not known whether genicular nerve block is effective in reducing the pain caused by bone marrow edema. Moreover, innervation to the anterosuperior part of the GH joint shows a minor anatomical variation: some patients have no articular branch from the superior SC nerve, and instead receive innervation from a direct branch from the posterior cord or the lateral pectoral nerve.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of new nerve blocks method on the articular branches of the suprascapular and subscapular nerves to treat shoulder pain

2020

View full text Add to dashboard Cite

To evaluate the effectiveness and safety of performing nerve blocks on the articular branches of the suprascapular and subscapular nerves for the treatment of shoulder pain caused by various pathologies. Fifty-two patients with shoulder pain were included in this study. Suprascapular and subscapular nerve blocks were performed with 2.5 mL anesthetic solution (2 mL of 0.5% bupivacaine and 0.5 mL of 2 mg/mL dexamethasone). The subjects were evaluated before the procedure and 1, 3, and 6 months afterward by means of the numeric rating scale and the shoulder pain and disability index. A post-injection pain reduction of >50% and <50% was considered a positive and negative response to the blocks, respectively. After nerve blocks, the mean numeric rating scale and shoulder pain and disability index scores were significantly reduced from pre-injection values, and this effect persisted for 6 months after injection. The positive and negative response groups consisted of 31 (60%) and 21 (40%) patients, respectively. The positive response group showed significantly better outcomes on the numeric rating scale and shoulder pain and disability index compared with the negative response group. No patients reported adverse effects either during or after the procedure. Performing nerve blocks on the articular branches of the suprascapular and subscapular nerves resulted in positive outcomes for shoulder pain patients. Regardless of shoulder pathology, this new injection method can be safely used in shoulder pain patients.

show abstract

“…A clinical problem is selecting the patient who may benefit from the procedure. Some predictive clinical factors found in multivariable regression analysis are local tenderness to palpation, female sex and dominant shoulder 38 and when comparing MRI findings of symptomatic and asymptomatic patients, bone marrow oedema was found only in symptomatic shoulders 256 . Both lateral clavicle resection (open and arthroscopic) and corticosteroid injection can relieve symptoms, but directly comparative studies are lacking 42 .…”

Section: Procedures Adjunctive To Repairmentioning

confidence: 97%

Rotator Cuff Tears : Short- and long-term aspects on treatment outcome

Ranebo

2020

Linköping University Medical Dissertations

View full text Add to dashboard Cite

Predictive findings on magnetic resonance imaging in patients with symptomatic acromioclavicular osteoarthritis

Cited by 18 publications

References 20 publications

Histologic and magnetic resonance image evaluation in acromioclavicular joint osteoarthritis

Histologic and magnetic resonance image evaluation in acromioclavicular joint osteoarthritis

Effectiveness of new nerve blocks method on the articular branches of the suprascapular and subscapular nerves to treat shoulder pain

Rotator Cuff Tears : Short- and long-term aspects on treatment outcome

Contact Info

Product

Resources

About