Histological analysis of the coracoacromial arch: Correlation between age-related changes and rotator cuff tears

Panni, Alfredo Schiavone; Milano, Giuseppe; Lucania, L.; Fabbriciani, C.; Logroscino, Carlo Ambrogio

doi:10.1016/s0749-8063(96)90190-5

Cited by 73 publications

(59 citation statements)

References 21 publications

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“…On the other hand, Panni et al [23] and Bonsell et al [24] suggested that a spur is a degenerative change that increases with age, and is not associated with rotator cuff tears.…”

Section: Discussionmentioning

confidence: 99%

Can a high acromion index predict rotator cuff tears?

Kim

Ryu

Hong

et al. 2012

International Orthopaedics (SICOT)

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Purpose The purpose of this study was to identify the relationship between an acromion index (AI) and the size of a rotator cuff tear. The hypothesis of our study was that an AI will be higher in patients with a full-thickness tear than in patients with a partial-thickness articular-side tear, and that it can be used as a predictor for the size of a rotator cuff tear. Methods We included 284 patients who had been diagnosed with rotator cuff tears and had undergone arthroscopic rotator cuff repair at our institute. All patients were divided into five distinct groups (partial-thickness articular side tear, and four subgroups of full-thickness tears) depending on the size of the rotator cuff tear on arthroscopy. In each patient, an AI was measured on the pre-operative oblique coronal MR images and then analysed to determine the difference between groups. Results There were statistically significant differences between the partial-thickness articular side rotator cuff tear and large-tomassive rotator cuff tear groups (p<0.01), and the mean value of an AI was highest in the large-sized full-thickness tear group. The AI of the partial-thickness articular-side rotator cuff tear group was statistically different from the large-to-massive rotator cuff tear groups. ConclusionsThe AI can be a predictor which can differentiate a partial-thickness articular-side tear and a large-to-massive rotator cuff tear pre-operatively. However the AI could not provide useful guidance on predicting the differences in tear size in full-thickness tear patients. We suggest that a high AI can be one of the associated factors for progression to large-to-massive rotator cuff tears in a rotator cuff disease.

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“…On the other hand, Panni et al [23] and Bonsell et al [24] suggested that a spur is a degenerative change that increases with age, and is not associated with rotator cuff tears.…”

Section: Discussionmentioning

confidence: 99%

Can a high acromion index predict rotator cuff tears?

Kim

Ryu

Hong

et al. 2012

International Orthopaedics (SICOT)

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“…However, there is ongoing debate regarding whether acromial spurs are the cause or effect of rotator cuff tears. Panni et al [24] and Bonsell et al [4] suggest a spur is a degenerative change that increases with age, and is not associated with rotator cuff tears. In a case report regarding spur recurrence after acromioplasty, Anderson and Bowen [1] suggested morphologic features of the acromion may be a reactive change attributable to a primary cuff lesion.…”

Section: Discussionmentioning

confidence: 99%

Classification and Clinical Significance of Acromial Spur in Rotator Cuff Tear: Heel-type Spur and Rotator Cuff Tear

Kim

Lee

et al. 2010

Clinical Orthopaedics &Amp; Related Research

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Acromial spurs reportedly relate to the impingement syndrome and rotator cuff tears. We classified the morphologic characteristics of the acromion (shape and thickness) and acromial spurs and determined whether they correlated with rotator cuff tears. We measured acromial shape and thickness using simple radiography and MR arthrography or CT arthrography in 106 patients with full-thickness rotator cuff tears and in 102 patients without tears. Acromial spurs could be classified morphologically into six types: heel, lateral/anterior traction, lateral/anterior bird beak, and medial. We found acromial spurs in 142 of the 208 patients (68%), and their incidence increased with age. The acromial spur was more common in the cuff tear group. The heel type was most common and detected in 59 patients (56%) in the cuff tear group and in 36 patients (35%) in the control group. The flat acromion was more common (60%) than curved and hooked acromion; however, there was no major difference between acromial shape and cuff tear. The mean acromial thickness was 8.0 mm, and the cuff tear group had thicker acromion. These data suggest acromial spurs can be classified according to the distinct morphology, and the most common heel-type spur might be a risk factor for full-thickness rotator cuff tears.

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“…A vizsgálatba bevont betegek több mint 80%-a a Constant Score alapján a jó (65-79) vagy kiváló (80-100) kategóriába került. A Vizuális Analóg Skála eredményeit értékelve, a betegek szintén több mint 80%-a került a jó (3)(4), illetve a kiváló (1-2) kategóriába. Egy esetben befagyott váll alakult ki a posztoperatív időszakban, és négy betegnél tapasztaltuk a beültetett implantátum minimális előemelkedését a humerus corticalis felszíne fölé.…”

Section: Megbeszélésunclassified

“…típusnál gyakoribb volt a részleges, valamint a teljes vastagságú szakadás. Panni és munkatársai [4] azonban rávilágítottak arra, hogy a ligamentum corracoacromiale kalcifi kációja a kor előrehaladtával több III. típusú acromiont eredményez.…”

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Functional outcome of arthroscopic rotator cuff repair

et al. 2014

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Bevezetés: A rotátorköpeny rekonstrukciója után kialakuló posztoperatív funkciót rendkívül sok tényező befolyásolja, közülük kiemelten fontos az esetlegesen kialakuló reruptura. Célkitűzés: A szerzők célul tűzték ki az artroszkópos rotátorköpeny-rekonstrukción átesett betegek műtét előtti és utáni állapotának összehasonlítását. Módszer: 2008 és 2012 júliusa között operált 22 beteg 23 vállát vizsgálták prospektíven. Minden esetben fi zikális vizsgálat, röntgen és ultrahang történt. Az életminőséget és a funkcionális eredményeket Constant Score és Vizuális Analóg Skála segítsé-gével határozták meg. Eredmények: A rekonstrukció a használt pontrendszerek alapján a betegek több mint 80%-ánál kiváló vagy jó eredményt hozott, a Constant Score 45-ről 79-re emelkedett, a Vizuális Analóg Skálán mért fájdalom szintje 6,6-ről 2,5-re csökkent. Teljes vastagságú szakadást nem, részleges szakadást 7 esetben (30%) észleltek. Az operált oldalon az acromiohumeralis távolság átlagosan 8,5 mm volt az ép oldalon mért 9,5 mm-rel szemben. Következtetések: Az artroszkópos rotátorköpeny-rekonstrukcióval a nyílt műtéthez hasonló jó eredmények érhetőek el. Orv. Hetil., 2014, 155(16), 620-626. Kulcsszavak: rotátorköpeny, műtéti kezelés, ultrahang, utánkövetéses vizsgálat, vállízület, műtéti kezelés Functional outcome of arthroscopic rotator cuff repairIntroduction: Functional outcome after rotator cuff reconstruction is infl uenced by several factors of which re-rupture is probably the most important. Aim: The aim of the study was to evaluate the postoperative outcome including re-rupture rate after arthroscopic rotator cuff reconstruction. Method: 23 shoulders of 22 patients were examined prospectively. Physical examination, ultrasound and radiography were performed. Quality of life and functional outcome were evaluated using Constant Score and Visual Analog Scale. Results: Excellent or good results were found in 80% of the patients. The Constant Score has increased from 45 to 79, and the level of pain decreased from 6.6 to 2.5. Full-thickness rotator cuff tear was absent, but partial tear occurred in 7 cases (30%). Average acromiohumeral distance in the operated side was 8.5 mm compared to 9.5 mm measured on the contralateral shoulder. Conclusions: Arthroscopic rotator cuff repair is a safe and reliable procedure that provides good results.

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Histological analysis of the coracoacromial arch: Correlation between age-related changes and rotator cuff tears

Cited by 73 publications

References 21 publications

Can a high acromion index predict rotator cuff tears?

Can a high acromion index predict rotator cuff tears?

Classification and Clinical Significance of Acromial Spur in Rotator Cuff Tear: Heel-type Spur and Rotator Cuff Tear

Functional outcome of arthroscopic rotator cuff repair

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