Relationship of the Shape of Subacromial Spur and Rotator Cuff Partial Thickness Tear

Kim, Young-Kyu; Jung, Kyu-Hak; Kang, Suk-Woong; Hong, Jin-Hun; Choi, Ki-Yong; Choi, Ji-Uk

doi:10.5397/cise.2019.22.3.139

Cited by 5 publications

(6 citation statements)

References 29 publications

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“…Subtle differences in the angle of the X-ray projection would have an effect on the acromial imaging and related measurement results. [ 25 ] As our study was a retrospective study, it was affected by certain biases, like selection and recall biases.…”

Section: Discussionmentioning

confidence: 99%

Influential factors of subacromial impingement syndrome after hook plate fixation for acromioclavicular joint dislocation

et al. 2021

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Subacromial impingement syndrome (SIS) after hook plate fixation for acromioclavicular joint (AC) dislocation was the most common complication. However, the researches on its’ influential factors were rare. The purpose of this study was to identify the risk factors by analyzing the influencing factors of postoperative SIS and minimize the incidence of SIS in clinical surgery. We retrospectively analyzed the prospectively collected data from 330 consecutive patients with AC joint dislocation between August 2014 and August 2017 at our institute. The SIS was presented as the dependent variable at the last follow-up when the internal fixation was removed. The independent variables included age, gender, body-mass index (BMI), smoking status, alcohol consumption, type of injury, Rockwood Classification, site of injury, operation time, injury-to-surgery, the distance between the hook body and the acromion (DBA), the depth of hook tip (DHT), the distance between the hook plate and the humeral head (DHH), the distance between the acromion and the humeral head (DAH), the hook plate angle (AHP) and acromial shape. Logistic regression analysis was performed to identify independent influential factors of SIS. A total of 312 cases were included and 18 cases were lost. The follow-up rate was 94.5%. In without SIS group, there were 225 cases (123 males and 102 females). In with SIS group, a total of 87 cases were included (56 males and 31 females). The incidence of SIS was 27.8%. DHT (OR = 9.385, 95% CI = 4.883 to 18.040, P < .001) and DBA (OR = 2.444, 95% CI = 1.591 to 3.755, P < .001) were the significant independent risk factor for SIS of AC dislocation treat with hook plate. DAH (OR = 0.597, 95% CI = 0.396 to 0.900, P = .014) and acromial shape with flat and straight (OR = 0.325, 95% CI = 0.135 to 0.785, P = .012) were also independent factors of SIS, but they were all protective. The SIS had a high incidence in fixation of clavicular hook plate for AC dislocation. DHT and DBA were two independent risk factors, DAH and acromial shape with flat and straight were two independent protective factors for SIS. In clinical surgery, we should avoid risk factors to reduce the incidence of SIS.

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Section: Discussionmentioning

confidence: 99%

Influential factors of subacromial impingement syndrome after hook plate fixation for acromioclavicular joint dislocation

et al. 2021

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“…These cytokines are also involved in inflammatory, anti-inflammatory, and pain pathways. Especially, IL-1α, IL-1β, IL-6, IL-8, and TNF-α have been found to play an important role in inflammation and pain due to RCT [ 3 , 4 , 5 , 6 , 7 , 8 ]. In comprehensive review of results from previous studies related sleep disturbance in various diseases, the present study included IL-1α, IL-1β, IL-2, IL-6, IL-8, IL-10, and TNF-α as sleep-related serum markers.…”

Section: Discussionmentioning

confidence: 99%

“…It has been widely reported that bursitis of the subacromial space (SAS) and synovitis of the glenohumeral joint (GHJ) both play a role in the development of shoulder pain in patients with RCT and that the severity correlates with the pain intensity [ 4 , 5 , 6 , 7 ]. Several studies have reported that clinical symptoms and disease progression are involved in overexpression of proinflammatory and pain-related cytokines in the shoulder joint, including subacromial bursa, joint capsule, and joint fluid [ 3 , 4 , 5 , 6 , 7 , 8 ]. Additionally, previous findings indicate that inflammatory mediators such as interleukin-1α (IL-1α), IL-1β, IL-6, IL-8, tumor necrosis factor-α (TNF-α), cyclooxygenase (COX)-1, and COX-2 play an important role in inflammation and pain due to RCT [ 3 , 4 , 5 , 6 , 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

“…Several studies have reported that clinical symptoms and disease progression are involved in overexpression of proinflammatory and pain-related cytokines in the shoulder joint, including subacromial bursa, joint capsule, and joint fluid [ 3 , 4 , 5 , 6 , 7 , 8 ]. Additionally, previous findings indicate that inflammatory mediators such as interleukin-1α (IL-1α), IL-1β, IL-6, IL-8, tumor necrosis factor-α (TNF-α), cyclooxygenase (COX)-1, and COX-2 play an important role in inflammation and pain due to RCT [ 3 , 4 , 5 , 6 , 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

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Serum Levels of TNF-α Are Increased in Patients with Rotator Cuff Tear and Sleep Disturbance

et al. 2021

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The purpose of this study was to determine serum levels of sleep-related cytokines in patients with rotator cuff tear (RCT) who were experiencing pain-related sleep disturbance. Peripheral blood samples before surgery were collected from 63 study participants and divided into three groups: RCT with sleep disturbance group; SD group (n = 21), RCT with normal sleep group; NS group (n = 21), and patients with chronic shoulder instability; control group (n = 21). Serum concentration levels of interleukin-1α (IL-1α), IL-1β, IL-2, IL-6, IL-8, IL-10, and tumor necrosis factor-α (TNF-α) were measured via ELISA. The associations between serum levels of sleep-related cytokines and clinical scores and the Pittsburgh Sleep Quality Index (PSQI) were analyzed. Serum concentration levels of TNF-α were significantly higher in the SD group compared with those of the NS and control groups (p = < 0.001 and 0.05). Serum levels of IL-8 and IL-10 were significantly higher in the SD group compared with those of control group (p = 0.01 and = 0.05), but did not differ significantly from that of the NS group. There were no associations between serum levels of sleep-related cytokines and all clinical scores. The current findings suggest that TNF-α may be associated with sleep disturbance in patients with RCT.

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“…The prevalence of rotator cuff tears (RCTs) increases with age. 36 Other risk factors for RCTs include extrinsic factors, such as acromion morphology, 17 the presence of spurs, 27 critical shoulder angle, 15 shoulder overuse, 11 , 22 and also intrinsic factors, including aging, 36 inflammation, 23 oxidative stress, 37 and hypoxia. 1 Comparative data on asymptomatic and symptomatic RCTs are available 34 , 35 ; however, it is unclear why RCTs are symptomatic or not.…”

mentioning

confidence: 99%

Shoulder activity of the contralateral shoulder as a prognostic factor in patients with arthroscopic rotator cuff repair

Uno¹,

Mura²,

Yuki³

et al. 2023

JSES International

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Relationship of the Shape of Subacromial Spur and Rotator Cuff Partial Thickness Tear

Cited by 5 publications

References 29 publications

Influential factors of subacromial impingement syndrome after hook plate fixation for acromioclavicular joint dislocation

Influential factors of subacromial impingement syndrome after hook plate fixation for acromioclavicular joint dislocation

Serum Levels of TNF-α Are Increased in Patients with Rotator Cuff Tear and Sleep Disturbance

Shoulder activity of the contralateral shoulder as a prognostic factor in patients with arthroscopic rotator cuff repair

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