The influence of individual acromial morphology on the pathogenesis of rotator cuff tears remains controversial. Since Neer first described the impingement syndrome, several authors have described the morphology of the acromion. In this study, we try to find a physiopathological correlation between the anatomical morphology of the acromion based on these two recently descripted parameters (Acromial index and Critical Shoulder Angle) and rotator cuff tears. Thirty-six consecutive conventional rotator cuff repair patients were retrospectively reviewed at our institution. Standardized, true anteroposterior radiographs with the arm in the neutral position were used to assess the acromion index, and the critical shoulder angle according. On standardized outlet views, the acromion morphology was classified according to Bigliani and Morrison. The acromion was flat in 2 patients (6%), curve (type 2) in eight patients, and hooked. The mean acromial index was 0.7. The mean critical shoulder angle was 37°. Acromial morphology plays without any doubt an important role in the pathogenesis impingement and its evolution to cuff rotator tears. The results of our study confirm the importance of a more comprehensive evaluation of the morphology of the acromion, which take in consideration not only acromial shape, but especially its lateral extension evaluated by the acromial index and the critical angle of the shoulder.
| Published in | International Journal of Clinical and Experimental Medical Sciences (Volume 3, Issue 6) |
| DOI | 10.11648/j.ijcems.20170306.13 |
| Page(s) | 78-81 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2017. Published by Science Publishing Group |
Acromion Index, Critical Shoulder Angle, Rotator Cuff Tears
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APA Style
Mohammed El Idrissi, Abdelhalim Elibrahimi, Abdelmajid Elmrini. (2017). Relationship of Acromial Morphology and Rotator Cuff Integrity. International Journal of Clinical and Experimental Medical Sciences, 3(6), 78-81. https://doi.org/10.11648/j.ijcems.20170306.13
ACS Style
Mohammed El Idrissi; Abdelhalim Elibrahimi; Abdelmajid Elmrini. Relationship of Acromial Morphology and Rotator Cuff Integrity. Int. J. Clin. Exp. Med. Sci. 2017, 3(6), 78-81. doi: 10.11648/j.ijcems.20170306.13
AMA Style
Mohammed El Idrissi, Abdelhalim Elibrahimi, Abdelmajid Elmrini. Relationship of Acromial Morphology and Rotator Cuff Integrity. Int J Clin Exp Med Sci. 2017;3(6):78-81. doi: 10.11648/j.ijcems.20170306.13
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Download@article{10.11648/j.ijcems.20170306.13,
author = {Mohammed El Idrissi and Abdelhalim Elibrahimi and Abdelmajid Elmrini},
title = {Relationship of Acromial Morphology and Rotator Cuff Integrity},
journal = {International Journal of Clinical and Experimental Medical Sciences},
volume = {3},
number = {6},
pages = {78-81},
doi = {10.11648/j.ijcems.20170306.13},
url = {https://doi.org/10.11648/j.ijcems.20170306.13},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcems.20170306.13},
abstract = {The influence of individual acromial morphology on the pathogenesis of rotator cuff tears remains controversial. Since Neer first described the impingement syndrome, several authors have described the morphology of the acromion. In this study, we try to find a physiopathological correlation between the anatomical morphology of the acromion based on these two recently descripted parameters (Acromial index and Critical Shoulder Angle) and rotator cuff tears. Thirty-six consecutive conventional rotator cuff repair patients were retrospectively reviewed at our institution. Standardized, true anteroposterior radiographs with the arm in the neutral position were used to assess the acromion index, and the critical shoulder angle according. On standardized outlet views, the acromion morphology was classified according to Bigliani and Morrison. The acromion was flat in 2 patients (6%), curve (type 2) in eight patients, and hooked. The mean acromial index was 0.7. The mean critical shoulder angle was 37°. Acromial morphology plays without any doubt an important role in the pathogenesis impingement and its evolution to cuff rotator tears. The results of our study confirm the importance of a more comprehensive evaluation of the morphology of the acromion, which take in consideration not only acromial shape, but especially its lateral extension evaluated by the acromial index and the critical angle of the shoulder.},
year = {2017}
}
TY - JOUR T1 - Relationship of Acromial Morphology and Rotator Cuff Integrity AU - Mohammed El Idrissi AU - Abdelhalim Elibrahimi AU - Abdelmajid Elmrini Y1 - 2017/11/28 PY - 2017 N1 - https://doi.org/10.11648/j.ijcems.20170306.13 DO - 10.11648/j.ijcems.20170306.13 T2 - International Journal of Clinical and Experimental Medical Sciences JF - International Journal of Clinical and Experimental Medical Sciences JO - International Journal of Clinical and Experimental Medical Sciences SP - 78 EP - 81 PB - Science Publishing Group SN - 2469-8032 UR - https://doi.org/10.11648/j.ijcems.20170306.13 AB - The influence of individual acromial morphology on the pathogenesis of rotator cuff tears remains controversial. Since Neer first described the impingement syndrome, several authors have described the morphology of the acromion. In this study, we try to find a physiopathological correlation between the anatomical morphology of the acromion based on these two recently descripted parameters (Acromial index and Critical Shoulder Angle) and rotator cuff tears. Thirty-six consecutive conventional rotator cuff repair patients were retrospectively reviewed at our institution. Standardized, true anteroposterior radiographs with the arm in the neutral position were used to assess the acromion index, and the critical shoulder angle according. On standardized outlet views, the acromion morphology was classified according to Bigliani and Morrison. The acromion was flat in 2 patients (6%), curve (type 2) in eight patients, and hooked. The mean acromial index was 0.7. The mean critical shoulder angle was 37°. Acromial morphology plays without any doubt an important role in the pathogenesis impingement and its evolution to cuff rotator tears. The results of our study confirm the importance of a more comprehensive evaluation of the morphology of the acromion, which take in consideration not only acromial shape, but especially its lateral extension evaluated by the acromial index and the critical angle of the shoulder. VL - 3 IS - 6 ER -
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