Morphological classification of acromial spur: correlation between Rockwood tilt view and arthroscopic finding

Kongmalai, Pinkawas; Apivatgaroon, Adinun; C้hernchujit, Bancha

doi:10.1051/sicotj/2016039

Cited by 14 publications

(11 citation statements)

References 23 publications

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“…A subsequent study using conventional radiographs reported a relationship between the shape of the acromion and the presence of rotator cuff disease. 7,20,21 Although these studies confirmed an association between rotator cuff disease and acromial shape, a causal relationship between the shape of the acromion and rotator cuff disease was not established. 21,22 The arthroscopic procedure didn't take much time, although this study report a series at the beginning of the experience.…”

Section: Discussionmentioning

confidence: 96%

Functional outcome of arthroscopic subacromial decompression at the AGDAL’s clinic in Rabat

Bakriga¹,

A²,

Karrakchou³

et al. 2018

MOJOR

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The purpose of this study was to report our experience of arthroscopic subacromial decompression at the beginning experience. We retrospectively reviewed 27 patients who underwent arthroscopic subacromial decompression. The functional evaluation was done using the Constant score and Visual Analog Scale (VAS).The series consisted of 22 women for every 5 men. All patients underwent subacromial decompression (SAD) by the arthroscopic technique associated or not with the rotator cuff repair. The mean Constant score increased from 47 preoperatively to 85 postoperatively. The shoulder arthroscopy procedure is a less invasive and safe procedure and provides good result in subacromial decompression. Citation: Bakriga B, Bah A, Karrakchou S, et al. Functional outcome of arthroscopic subacromial decompression at the AGDAL's clinic in Rabat. MOJ Orthop Rheumatol. 2018;10(2):90-92.

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Section: Discussionmentioning

confidence: 96%

Functional outcome of arthroscopic subacromial decompression at the AGDAL’s clinic in Rabat

Bakriga¹,

A²,

Karrakchou³

et al. 2018

MOJOR

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“…The AHD has been widely used as a parameter to represent the rotator cuff integrity [1]. The AHD has been measured commonly by the conventional radiograph [15][16][17] despite the likelihood of misinterpretation due to the need for a specific position. For this reason, the use of MRI has been described to overcome the limitation of the conventional radiographs.…”

Section: Discussionmentioning

confidence: 99%

The relationship between rotator cuff integrity and acromiohumeral distance following open and arthroscopic rotator cuff repair

Kholinne

Kwak

Sun

et al. 2021

SICOT-J

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Background: Acromiohumeral distance (AHD) has become both a diagnostic and prognostic parameter related to rotator cuff pathology which is always measured in a 2-dimensional plane. The purposes of this study were (1) to evaluate the regional AHD with MRI following open and arthroscopic rotator cuff repair and, (2) to investigate its association to the rotator cuff integrity following medium to large size rotator cuff repair with open and arthroscopic manner. Methods: A retrospective review of 112 patients who were treated for full-thickness medium to large size rotator cuff tears either by open repair (open group) or arthroscopic repair (arthroscopic group) was done. All patients included in the study are those with at least 12 and 18 months for the post-operative MRI and clinical follow-up. Propensity score matching was used to select controls matched for age, sex, body mass index, tear size, and affected site. There were 56 patients in each group with a mean age of 63.3 years (range, 50 to 77 years). The post-operative functional and radiologic outcomes for both groups were compared. AHD was measured at three regions of interest (ROI) with MRI and compared pre-and post-operatively. Results: AHD was significantly greater in the open group when measured at the anterior third of the lateral acromion border compare to the arthroscopic group (p = 0.005). The re-tear rate was affected by AHD at the anterior third of the lateral border of the acromion for the arthroscopic and open group (p = 0.021, p = 0.029). The AHD measured at the anterior and middle third of lateral acromion border were significantly greater in healed compared to the re-tear rotator cuff group (p = 0.019, p = 0.022). Conclusions: Open rotator cuff repair showed greater AHD at the anterior third of the lateral border of the acromion. Regional AHD measured at anterior third of the lateral border of acromion significantly associated with rotator cuff integrity following repair. Level of evidence: propensity-matched case-control (Level II)

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“…The heel spur was the most common type in their rotator cuff tear group; the mean acromial thickness in their cohort was 8.0 mm, but was thicker in the rotator cuff tear group. Kongmalai et al [ 20 ] classified acromial spurs based on 30° caudal-tilt view and arthroscopic findings, where keel spur was the most common finding, followed by heel spur. These authors [ 20 ] described patients with either of these spur types as “being at-risk” of a supraspinatus tendon tear.…”

Section: Discussionmentioning

confidence: 99%

“…Kongmalai et al [ 20 ] classified acromial spurs based on 30° caudal-tilt view and arthroscopic findings, where keel spur was the most common finding, followed by heel spur. These authors [ 20 ] described patients with either of these spur types as “being at-risk” of a supraspinatus tendon tear. In our study, laterally protruding or medial-type spurs on the short axis of the subscapularis or long axis of the long head of the biceps were not analyzed by ultrasonography.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of acromial spur using ultrasonography

Kim

Choi

Park

et al. 2021

Clin Shoulder Elbow

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Background: The presence of an acromial spur implies a rotator cuff disorder due to impingement between the acromial spur and the rotator cuff. The purpose of the study was to observe acromial spurs using ultrasonography and to compare measurements between plain radiographs and sonograms.Methods: We retrospectively enrolled 51 consecutive patients with acromial spurs, which were interpreted on preoperative plain radiographs (supraspinatus outlet view and 30° caudal tilt) and preoperative sonograms. The ultrasonography transducer was held vertically and continuously moved laterally, which corresponded to the long axis of the long head of the biceps. The distance from the most distal margin of the original acromion to the most projected point of the acromial spur was measured.Results: No significant difference was found between the plain radiograph and ultrasonography measurements (p=0.186). A moderate to strong correlation was detected between the ultrasonography and supraspinatus outlet-view measurements (r=0.776, p=0.000).Conclusions: Anteriorly projected acromial spurs were well-visualized by ultrasonography. No discrepancy in acromial spur length was detected between the use of plain radiography (supraspinatus outlet view and 30° caudal-tilt view) and ultrasonography. The correlation coefficients between the plain radiography and ultrasonography measurements exceeded 0.7.

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Morphological classification of acromial spur: correlation between Rockwood tilt view and arthroscopic finding

Cited by 14 publications

References 23 publications

Functional outcome of arthroscopic subacromial decompression at the AGDAL’s clinic in Rabat

Functional outcome of arthroscopic subacromial decompression at the AGDAL’s clinic in Rabat

The relationship between rotator cuff integrity and acromiohumeral distance following open and arthroscopic rotator cuff repair

Evaluation of acromial spur using ultrasonography

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