Morphology of the coracoid process as a predictor of articular-side tear at the upper border of the subscapularis

Kawamata, Jun; Suenaga, Naoki; Oizumi, Naomi; Hisada, Yukiyoshi

doi:10.1016/j.jse.2021.12.035

Cited by 1 publication

(5 citation statements)

References 30 publications

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“…Ten studies from seven countries were included 6 9 15 17 18 19 20 23 24 25 . A total of 2 126 patients and six predictors were included.…”

Section: Resultsmentioning

confidence: 99%

“…Male sex was evaluated in nine studies 6 9 15 17 18 19 23 24 25 . There were 2 050 patients included, and the experimental group had 988 patients, while the control group had 1 062 patients.…”

Section: Meta-analysis Resultsmentioning

confidence: 99%

“…Certainly, there are other risk factors related to SSC tears, such as coracoid distal length (CLD), coracoid proximal length (CLP), and coracoid angle (CA) 18 36 . However, there are few studies evaluating these indicators.…”

Section: Discussionmentioning

confidence: 99%

“…Female sex was evaluated in nine studies [6,9,15,[17][18][19][23][24][25]. There were 2 050 patients included, with 988 patients in the experimental group and 1 062 patients in the control group.…”

Section: Female Sexmentioning

confidence: 99%

“…Relevant studies have shown that age, sex, coracoid overlap (CO), coracohumeral distance (CHD), long head of the biceps tendon (LHB) injury, and the dominant arm may be related to SSC tears 6 9 15 17 18 19 20 . The purpose of our study was to summarize previously demonstrated correlations between the above indicators and SSC tears through meta-analysis and to identify the most valuable predictive indicators for SSC tears to help clinicians make early diagnoses and formulate early treatment plans for SSC injuries.…”

Section: Introductionmentioning

confidence: 99%

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Clinical Approach to Inconclusive Subscapularis Tear Diagnosis: a Meta-analysis

Wang,

Cao,

et al. 2023

Int J Sports Med

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To identify factors associated with subscapularis (SSC) tears and provide a theoretical basis for clinical diagnosis, we included studies related to subscapularis tears published before February 1, 2023. We screened for six predictors across previous studies for the meta-analysis. The predictors included age, sex, coracoid overlap (CO), coracohumeral distance (CHD), impairment of the long head of the biceps tendon (LHB), and dominant arm. The Newcastle-Ottawa Scale (NOS) was used to evaluate the quality of the studies. The risk ratios (RRs) and the weighted mean differences (WMDs) were used to evaluate the effect size of categorical variables and continuous variables, respectively. The Egger test was used to assess the publication bias of the studies. Ten studies were included from seven countries. A total of 2 126 patients were enrolled, of whom 1 041 had subscapularis tears and 1 085 did not. The study showed that age (WMD, 4.23 [95% CI, 2.32–6.15]; P<.00001), coracoid overlap (WMD, 1.98 [95% CI, 1.55–2.41]; P<.00001), coracohumeral distance(WMD, –1.03 [95% CI, –1.17– –0.88]; P<.00001), and an injury of the long head of the biceps tendon (RR, 4.98 [95% CI, 3.75–6.61]; P<.00001) were risk factors for subscapularis tears. These risk factors can help clinicians identify subscapularis tears early and select appropriate interventions. The level of evidence is 3.

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