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Acta Ortopédica Mexicana

ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología
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2023, Number 4

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Acta Ortop Mex 2023; 37 (4)

Association of morphological variables of acromion type with rotator cuff lesions by nuclear magnetic resonance

Murillo-Nieto C, Valverde-Galindo L, Meza-Flores J
Full text How to cite this article 10.35366/113613

DOI

DOI: 10.35366/113613
URL: https://dx.doi.org/10.35366/113613

Language: Spanish
References: 11
Page: 203-206
PDF size: 141.46 Kb.


Key words:

shoulder, acromion, nuclear magnetic resonance, rotator cuff, pain.

ABSTRACT

Introduction: the acromion is a small portion of the scapula that extends towards the anterior region from the spine of the scapula. Traditionally, the acromion is classified by the shape of its inferior surface in a sagittal plane. Acromial morphology has been found to be related to rotator cuff injury. Objective: to determine the association between the type of acromion with a higher incidence of rotator cuff rupture. Study population: patients who come to the Traumatology and Orthopedics Service of a third level hospital at Monterrey, Mexico, due to a painful shoulder and who have undergone a simple magnetic resonance of the shoulder. Material and methods: a cross-sectional, retrospective and descriptive study was carried out, in which 273 magnetic resonance studies were reviewed in patients who met the inclusion criteria. The type of acromion was reported according to the morphological classification in type I to IV and the state of the rotator cuff: without rupture, partial rupture or complete rupture, making a comparison between right and left shoulder. Results: in this study we found a value of p = 0.473 which concludes that there is no relation between the type of acromion and the injury of the rotator cuff. Conclusion: in the present study, unlike what has been published in the literature, it was found that type II acromion was the one that was associated in most cases with a rotator cuff tear.


REFERENCES

  1. Guo X, Ou M, Yi G, Qin B, Wang G, Fu S, et al. Correction between the morphology of acromion and acromial angle in Chinese population: a study on 292 scapulas. Biomed Res Int. 2018; 2018: 3125715.

  2. Stehle J, Moore SM, Alaseirlis DA, Debski RE, McMahon PJ. A reliable method for classifying acromial shape. Int Biomech. 2015; 2(1): 36-42.

  3. Moor BK, Bouaicha S, Rothenfluh DA, Sukthankar A, Gerber C. Is there an association between the individual anatomy of the scapula and the development of rotator cuff tears or osteoarthritis of the glenohumeral joint?: A radiological study of the critical shoulder angle. Bone Joint J. 2013; 95-B(7): 935-41.

  4. Garving C, Jakob S, Bauer I, Nadjar R, Brunner UH. Impingement syndrome of the shoulder. Dtsch Arztebl Int. 2017; 114(45): 765-76.

  5. Neer CS 2nd. Anterior acromioplasty for the chronic impingement syndrome in the shoulder: a preliminary report. J Bone Joint Surg Am. 1972; 54(1): 41-50.

  6. Chaimongkhol T, Benjachaya S, Mahakkanukrauh P. Acromial morphology and morphometry associated with subacromial impingement syndrome. Anat Cell Biol. 2020; 53(4): 435-43.

  7. Maffulli N. Clinical and biological aspects of rotator cuff pathology. Sports Med Arthrosc Rev. 2011; 19(3): 183.

  8. Inklebarger J, Gyer G, Parkunan A, Galanis N, Michael J. Rotator cuff impingement associated with Type III acromial morphology in a young athlete-a case for early imaging. J Surg Case Rep. 2017; 2017(1): rjw234.

  9. Roidis NT, Motamed S, Vaishnav S, Ebramzadeh E, Karachalios TS, Itamura JM. The influence of the acromioclavicular joint degeneration on supraspinatus outlet impingement and the acromion shape. J Orthop Surg (Hong Kong). 2009; 17(3): 331-4.

  10. Balke M, Schmidt C, Dedy N, Banerjee M, Bouillon B, Liem D. Correlation of acromial morphology with impingement syndrome and rotator cuff tears. Acta Orthop. 2013; 84(2): 178-83.

  11. Mayerhoefer ME, Breitenseher MJ, Wurnig C, Roposch A. Shoulder impingement: relationship of clinical symptoms and imaging criteria. Clin J Sport Med. 2009; 19(2): 83-9.



EVIDENCE LEVEL

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Acta Ortop Mex. 2023 Jul-Ago;37