American Journal of Roentgenology

1999

DOI: 10.2214/ajr.172.4.10587151

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Three-dimensional analysis of the width of the subacromial space in healthy subjects and patients with impingement syndrome.

¹

,

Harald Bonél²,

Tobias Stammberger³

et al.

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Cited by 176 publications

(142 citation statements)

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“…In total, 56 articles were included (41 cross‐sectional, 11 cohort, 4 case–control). Imaging modalities included 25 ultrasound 16, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 24 MRI 15, 16, 41, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 12 radiographs 27, 30, 49, 53, 55, 62, 65, 66, 67, 68, 69, 70, 3 bone scintigraphy 65, 71, 72, 2 PET 73, 74, and no computed tomography. Of these studies, 10 assessed associations with 2 imaging modalities (16, 27, 30, 41, …”

Section: Resultsmentioning

confidence: 99%

“…The mean (range) score was 48% 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67 for cohort, 41% 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41...…”

Section: Resultsmentioning

confidence: 99%

“…Twelve studies (23, 27, 34, 46, 47, 50, 53, 55, 56, 57, 62, 68) evaluated the relationship between the acromion and symptoms (Tables 1, 2, and 3). Two ultrasound studies 23, 34, 3 MRI studies 47, 50, 57, 1 radiographic study 68, 2 combined MRI and radiographic studies 53, 62 and 1 combined ultrasound and radiographic study 27 evaluated the relationship of the acromion and pain.…”

Section: Resultsmentioning

confidence: 99%

“…Two ultrasound studies 23, 34, 3 MRI studies 47, 50, 57, 1 radiographic study 68, 2 combined MRI and radiographic studies 53, 62 and 1 combined ultrasound and radiographic study 27 evaluated the relationship of the acromion and pain. One study radiographically evaluated the relationship with function 68.…”

Section: Resultsmentioning

confidence: 99%

“…No relationship existed between scapuloacromial angle 57, subacromial distance, or acromion shape 62 and impingement. One MRI study in patients with clinical impingement reported a reduction in the subacromial space during activity 50, and another reported decreased coracohumeral distance 62.…”

Section: Resultsmentioning

confidence: 99%

See 4 more Smart Citations

What Imaging‐Detected Pathologies Are Associated With Shoulder Symptoms and Their Persistence? A Systematic Literature Review

¹

,

²

,

³

et al. 2018

Arthritis Care & Research

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ObjectiveShoulder symptoms are common, and imaging is being increasingly used to help with management. However, the relationship between imaging and symptoms remains unclear. This review aims to understand the relationship between imaging‐detected pathologies, symptoms, and their persistence.MethodsA systematic review using Medline, EMBASE, Cochrane, and grey literature was conducted to April 2017. The cross‐sectional and longitudinal relationships between imaging‐detected abnormalities and symptoms were analyzed and associations qualitatively characterized by a best‐evidence synthesis based on study design, covariate adjustment, and the Grade of Recommendations Assessment, Development, and Evaluation (GRADE) methodology. Modalities included ultrasound, magnetic resonance imaging (MRI), radiographs, positron emission tomography (PET), bone scintigraphy, and computed tomography.ResultsA total of 6,569 abstracts was screened and 56 articles were included. In total, 50 studies did not adjust for covariates and 36 analyzed individual pathologies only. The majority of studies showed conflicting results. There was no significant association between most imaging features and symptoms among high‐quality, cross‐sectional studies. There was low‐quality evidence that enhancement of the joint capsule on MRI and increased uptake on PET were associated with symptoms in adhesive capsulitis. Based on high‐quality longitudinal studies, enlarging rotator cuff tears were associated with an increased incidence of symptoms.ConclusionThere were conflicting results on the association of imaging features with shoulder symptoms and their persistence. The existing evidence was very low in quality, based on the GRADE methodology. Further high‐quality studies are required to understand the relationship between imaging and shoulder symptoms and to determine the appropriate role of imaging in care pathways.

“…In total, 56 articles were included (41 cross‐sectional, 11 cohort, 4 case–control). Imaging modalities included 25 ultrasound 16, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 24 MRI 15, 16, 41, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 12 radiographs 27, 30, 49, 53, 55, 62, 65, 66, 67, 68, 69, 70, 3 bone scintigraphy 65, 71, 72, 2 PET 73, 74, and no computed tomography. Of these studies, 10 assessed associations with 2 imaging modalities (16, 27, 30, 41, …”

Section: Resultsmentioning

confidence: 99%

“…The mean (range) score was 48% 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67 for cohort, 41% 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41...…”

Section: Resultsmentioning

confidence: 99%

“…Twelve studies (23, 27, 34, 46, 47, 50, 53, 55, 56, 57, 62, 68) evaluated the relationship between the acromion and symptoms (Tables 1, 2, and 3). Two ultrasound studies 23, 34, 3 MRI studies 47, 50, 57, 1 radiographic study 68, 2 combined MRI and radiographic studies 53, 62 and 1 combined ultrasound and radiographic study 27 evaluated the relationship of the acromion and pain.…”

Section: Resultsmentioning

confidence: 99%

“…Two ultrasound studies 23, 34, 3 MRI studies 47, 50, 57, 1 radiographic study 68, 2 combined MRI and radiographic studies 53, 62 and 1 combined ultrasound and radiographic study 27 evaluated the relationship of the acromion and pain. One study radiographically evaluated the relationship with function 68.…”

Section: Resultsmentioning

confidence: 99%

“…No relationship existed between scapuloacromial angle 57, subacromial distance, or acromion shape 62 and impingement. One MRI study in patients with clinical impingement reported a reduction in the subacromial space during activity 50, and another reported decreased coracohumeral distance 62.…”

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

What Imaging‐Detected Pathologies Are Associated With Shoulder Symptoms and Their Persistence? A Systematic Literature Review

¹

,

²

,

³

et al. 2018

Arthritis Care & Research

View full text Add to dashboard Cite

ObjectiveShoulder symptoms are common, and imaging is being increasingly used to help with management. However, the relationship between imaging and symptoms remains unclear. This review aims to understand the relationship between imaging‐detected pathologies, symptoms, and their persistence.MethodsA systematic review using Medline, EMBASE, Cochrane, and grey literature was conducted to April 2017. The cross‐sectional and longitudinal relationships between imaging‐detected abnormalities and symptoms were analyzed and associations qualitatively characterized by a best‐evidence synthesis based on study design, covariate adjustment, and the Grade of Recommendations Assessment, Development, and Evaluation (GRADE) methodology. Modalities included ultrasound, magnetic resonance imaging (MRI), radiographs, positron emission tomography (PET), bone scintigraphy, and computed tomography.ResultsA total of 6,569 abstracts was screened and 56 articles were included. In total, 50 studies did not adjust for covariates and 36 analyzed individual pathologies only. The majority of studies showed conflicting results. There was no significant association between most imaging features and symptoms among high‐quality, cross‐sectional studies. There was low‐quality evidence that enhancement of the joint capsule on MRI and increased uptake on PET were associated with symptoms in adhesive capsulitis. Based on high‐quality longitudinal studies, enlarging rotator cuff tears were associated with an increased incidence of symptoms.ConclusionThere were conflicting results on the association of imaging features with shoulder symptoms and their persistence. The existing evidence was very low in quality, based on the GRADE methodology. Further high‐quality studies are required to understand the relationship between imaging and shoulder symptoms and to determine the appropriate role of imaging in care pathways.

Reliability study of the sonographic measurement of the acromiohumeral distance in symptomatic patients

¹

,

²

,

³

et al. 2010

J of Clinical Ultrasound

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The inaccuracy of the method was 1 mm regardless of the experience of the observer. US AHD measurement in patients with shoulder complaints is not as accurate as reported in healthy subjects. This may have important implications for the clinical use of this parameter.

Ultrasonographic measures of subacromial space in patients with rotator cuff disease: A systematic review

¹

,

²

2010

J of Clinical Ultrasound

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US images of AHD are smaller in patients with full-thickness tears than healthy individuals and subjects with subacromial impingement. AHD is potentially useful to prognosticate outcome in patients with subacromial impingement.

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