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The Influence of the Acromioclavicular Joint Degeneration on Supraspinatus Outlet Impingement and the Acromion Shape
Purpose. To assess the anatomic association of acromioclavicular joint degeneration to supraspinatus outlet impingement and the acromion shape. Methods. Sagittal oblique magnetic resonance images of 49 shoulders in 49 patients were reviewed. 29 of them (mean age, 59 years) underwent surgery for impi...
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| Published in: | Journal of orthopaedic surgery (Hong Kong) 2009-12, Vol.17 (3), p.331-334 |
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| cites | cdi_FETCH-LOGICAL-c3948-80b96b527ef99cac1e45daaa58733039f5ae6e2a74e9e8626828c0ae12fd84853 |
| container_end_page | 334 |
| container_issue | 3 |
| container_start_page | 331 |
| container_title | Journal of orthopaedic surgery (Hong Kong) |
| container_volume | 17 |
| creator | Roidis, Nikolaos T Motamed, Soheil Vaishnav, Suketu Ebramzadeh, Edward Karachalios, Theofilos S Itamura, John M |
| description | Purpose.
To assess the anatomic association of acromioclavicular joint degeneration to supraspinatus outlet impingement and the acromion shape.
Methods.
Sagittal oblique magnetic resonance images of 49 shoulders in 49 patients were reviewed. 29 of them (mean age, 59 years) underwent surgery for impingement with or without rotator cuff tear (group 1), whereas the 20 controls (mean age, 27 years) were treated for shoulder instability without rotator cuff disease or acromioclavicular joint derangement (group 2). The supraspinatus outlet and the acromion shape of the 2 groups were compared. Results. The difference in the mean supraspinatus outlet between groups 1 and 2 was 11% (514 vs 577 mm2, p=0.095) and between the subgroup (of group 1) with full thickness rotator cuff tears and group 2 was 17% (481 vs 577 mm2, p=0.036). Six of the acromions in group 1 were type III (hooked) compared to none in group 2.
Conclusion.
In severe acromioclavicular degeneration, distal clavicular excision is recommended, even in cases with an asymptomatic acromioclavicular joint, so as to prevent further osteophyte formation. |
| doi_str_mv | 10.1177/230949900901700318 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_AFRWT</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_2fefc1db3a5e4a3ea7ff42c7edee6f5e</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_230949900901700318</sage_id><doaj_id>oai_doaj_org_article_2fefc1db3a5e4a3ea7ff42c7edee6f5e</doaj_id><sourcerecordid>733885965</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3948-80b96b527ef99cac1e45daaa58733039f5ae6e2a74e9e8626828c0ae12fd84853</originalsourceid><addsrcrecordid>eNp9kd1rFDEUxYModtv6D_gggy99GpuPyddjqdauFPpg-xzuZm62s8xMxmSm4H9v1q1VFIRA4HDO797kEPKW0Q-MaX3OBbWNtZRayjSlgpkXZLUX6736kqwY5byWUqgjcpzzjlJmuVGvyRGnVEmh5YrMdw9YrcfQLzh6rGKo5iJc-BSHLvoeHju_9JCqL7Eb5-ojbnHEBHMXx6qcr8uUIE_dCPOSq9tl7nGu1kMRtjhgCcDY_gksiQeY8JS8CtBnfPN0n5D7q093l9f1ze3n9eXFTe2FbUxt6MaqjeQag7UePMNGtgAgjRaCChskoEIOukGLRnFluPEUkPHQmsZIcULWB24bYeem1A2QvrsInfspxLR1kObO9-h4wOBZuxEgsQGBoENouNfYIqogsbDODqwpxW8L5tkNXfbY9zBiXLIrKxkjrdpPff-XcxeXNJaHOi64VUwLXkz8YCofk3PC8Lweo27frvu33RJ690ReNgO2z5FfdRbD-cGQYYu_x_4H-QNRna4L</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>232961732</pqid></control><display><type>article</type><title>The Influence of the Acromioclavicular Joint Degeneration on Supraspinatus Outlet Impingement and the Acromion Shape</title><source>Sage Journals GOLD Open Access 2024</source><creator>Roidis, Nikolaos T ; Motamed, Soheil ; Vaishnav, Suketu ; Ebramzadeh, Edward ; Karachalios, Theofilos S ; Itamura, John M</creator><creatorcontrib>Roidis, Nikolaos T ; Motamed, Soheil ; Vaishnav, Suketu ; Ebramzadeh, Edward ; Karachalios, Theofilos S ; Itamura, John M</creatorcontrib><description>Purpose.
To assess the anatomic association of acromioclavicular joint degeneration to supraspinatus outlet impingement and the acromion shape.
Methods.
Sagittal oblique magnetic resonance images of 49 shoulders in 49 patients were reviewed. 29 of them (mean age, 59 years) underwent surgery for impingement with or without rotator cuff tear (group 1), whereas the 20 controls (mean age, 27 years) were treated for shoulder instability without rotator cuff disease or acromioclavicular joint derangement (group 2). The supraspinatus outlet and the acromion shape of the 2 groups were compared. Results. The difference in the mean supraspinatus outlet between groups 1 and 2 was 11% (514 vs 577 mm2, p=0.095) and between the subgroup (of group 1) with full thickness rotator cuff tears and group 2 was 17% (481 vs 577 mm2, p=0.036). Six of the acromions in group 1 were type III (hooked) compared to none in group 2.
Conclusion.
In severe acromioclavicular degeneration, distal clavicular excision is recommended, even in cases with an asymptomatic acromioclavicular joint, so as to prevent further osteophyte formation.</description><identifier>ISSN: 1022-5536</identifier><identifier>EISSN: 2309-4990</identifier><identifier>DOI: 10.1177/230949900901700318</identifier><identifier>PMID: 20065375</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Acromioclavicular Joint - pathology ; Acromion - pathology ; Adolescent ; Adult ; Aged ; Aged, 80 and over ; Arthroscopy ; Case-Control Studies ; Female ; Humans ; Magnetic Resonance Imaging - methods ; Male ; Middle Aged ; Muscle, Skeletal - pathology ; Physical therapy ; Rotator Cuff - pathology ; Sample size ; Shoulder ; Shoulder Impingement Syndrome - pathology ; Shoulder Impingement Syndrome - surgery ; Sports injuries</subject><ispartof>Journal of orthopaedic surgery (Hong Kong), 2009-12, Vol.17 (3), p.331-334</ispartof><rights>2009 Asia Pacific Orthopaedic Association unless otherwise noted. Manuscript content on this site is licensed under Creative Commons Licenses.</rights><rights>Copyright Western Pacific Orthopaedic Association Dec 2009</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3948-80b96b527ef99cac1e45daaa58733039f5ae6e2a74e9e8626828c0ae12fd84853</citedby><cites>FETCH-LOGICAL-c3948-80b96b527ef99cac1e45daaa58733039f5ae6e2a74e9e8626828c0ae12fd84853</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/232961732/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/232961732?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,21966,25753,27853,27924,27925,37012,37013,44590,44945,45333,75126</link.rule.ids><linktorsrc>$$Uhttps://journals.sagepub.com/doi/full/10.1177/230949900901700318?utm_source=summon&utm_medium=discovery-provider$$EView_record_in_SAGE_Publications$$FView_record_in_$$GSAGE_Publications</linktorsrc><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20065375$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Roidis, Nikolaos T</creatorcontrib><creatorcontrib>Motamed, Soheil</creatorcontrib><creatorcontrib>Vaishnav, Suketu</creatorcontrib><creatorcontrib>Ebramzadeh, Edward</creatorcontrib><creatorcontrib>Karachalios, Theofilos S</creatorcontrib><creatorcontrib>Itamura, John M</creatorcontrib><title>The Influence of the Acromioclavicular Joint Degeneration on Supraspinatus Outlet Impingement and the Acromion Shape</title><title>Journal of orthopaedic surgery (Hong Kong)</title><addtitle>J Orthop Surg (Hong Kong)</addtitle><description>Purpose.
To assess the anatomic association of acromioclavicular joint degeneration to supraspinatus outlet impingement and the acromion shape.
Methods.
Sagittal oblique magnetic resonance images of 49 shoulders in 49 patients were reviewed. 29 of them (mean age, 59 years) underwent surgery for impingement with or without rotator cuff tear (group 1), whereas the 20 controls (mean age, 27 years) were treated for shoulder instability without rotator cuff disease or acromioclavicular joint derangement (group 2). The supraspinatus outlet and the acromion shape of the 2 groups were compared. Results. The difference in the mean supraspinatus outlet between groups 1 and 2 was 11% (514 vs 577 mm2, p=0.095) and between the subgroup (of group 1) with full thickness rotator cuff tears and group 2 was 17% (481 vs 577 mm2, p=0.036). Six of the acromions in group 1 were type III (hooked) compared to none in group 2.
Conclusion.
In severe acromioclavicular degeneration, distal clavicular excision is recommended, even in cases with an asymptomatic acromioclavicular joint, so as to prevent further osteophyte formation.</description><subject>Acromioclavicular Joint - pathology</subject><subject>Acromion - pathology</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arthroscopy</subject><subject>Case-Control Studies</subject><subject>Female</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Muscle, Skeletal - pathology</subject><subject>Physical therapy</subject><subject>Rotator Cuff - pathology</subject><subject>Sample size</subject><subject>Shoulder</subject><subject>Shoulder Impingement Syndrome - pathology</subject><subject>Shoulder Impingement Syndrome - surgery</subject><subject>Sports injuries</subject><issn>1022-5536</issn><issn>2309-4990</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNp9kd1rFDEUxYModtv6D_gggy99GpuPyddjqdauFPpg-xzuZm62s8xMxmSm4H9v1q1VFIRA4HDO797kEPKW0Q-MaX3OBbWNtZRayjSlgpkXZLUX6736kqwY5byWUqgjcpzzjlJmuVGvyRGnVEmh5YrMdw9YrcfQLzh6rGKo5iJc-BSHLvoeHju_9JCqL7Eb5-ojbnHEBHMXx6qcr8uUIE_dCPOSq9tl7nGu1kMRtjhgCcDY_gksiQeY8JS8CtBnfPN0n5D7q093l9f1ze3n9eXFTe2FbUxt6MaqjeQag7UePMNGtgAgjRaCChskoEIOukGLRnFluPEUkPHQmsZIcULWB24bYeem1A2QvrsInfspxLR1kObO9-h4wOBZuxEgsQGBoENouNfYIqogsbDODqwpxW8L5tkNXfbY9zBiXLIrKxkjrdpPff-XcxeXNJaHOi64VUwLXkz8YCofk3PC8Lweo27frvu33RJ690ReNgO2z5FfdRbD-cGQYYu_x_4H-QNRna4L</recordid><startdate>200912</startdate><enddate>200912</enddate><creator>Roidis, Nikolaos T</creator><creator>Motamed, Soheil</creator><creator>Vaishnav, Suketu</creator><creator>Ebramzadeh, Edward</creator><creator>Karachalios, Theofilos S</creator><creator>Itamura, John M</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><general>SAGE Publishing</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>4T-</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BVBZV</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope><scope>DOA</scope></search><sort><creationdate>200912</creationdate><title>The Influence of the Acromioclavicular Joint Degeneration on Supraspinatus Outlet Impingement and the Acromion Shape</title><author>Roidis, Nikolaos T ; Motamed, Soheil ; Vaishnav, Suketu ; Ebramzadeh, Edward ; Karachalios, Theofilos S ; Itamura, John M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3948-80b96b527ef99cac1e45daaa58733039f5ae6e2a74e9e8626828c0ae12fd84853</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Acromioclavicular Joint - pathology</topic><topic>Acromion - pathology</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arthroscopy</topic><topic>Case-Control Studies</topic><topic>Female</topic><topic>Humans</topic><topic>Magnetic Resonance Imaging - methods</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Muscle, Skeletal - pathology</topic><topic>Physical therapy</topic><topic>Rotator Cuff - pathology</topic><topic>Sample size</topic><topic>Shoulder</topic><topic>Shoulder Impingement Syndrome - pathology</topic><topic>Shoulder Impingement Syndrome - surgery</topic><topic>Sports injuries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Roidis, Nikolaos T</creatorcontrib><creatorcontrib>Motamed, Soheil</creatorcontrib><creatorcontrib>Vaishnav, Suketu</creatorcontrib><creatorcontrib>Ebramzadeh, Edward</creatorcontrib><creatorcontrib>Karachalios, Theofilos S</creatorcontrib><creatorcontrib>Itamura, John M</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Docstoc</collection><collection>ProQuest Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>East & South Asia Database</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>ProQuest Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><collection>Directory of Open Access Journals</collection><jtitle>Journal of orthopaedic surgery (Hong Kong)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Roidis, Nikolaos T</au><au>Motamed, Soheil</au><au>Vaishnav, Suketu</au><au>Ebramzadeh, Edward</au><au>Karachalios, Theofilos S</au><au>Itamura, John M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Influence of the Acromioclavicular Joint Degeneration on Supraspinatus Outlet Impingement and the Acromion Shape</atitle><jtitle>Journal of orthopaedic surgery (Hong Kong)</jtitle><addtitle>J Orthop Surg (Hong Kong)</addtitle><date>2009-12</date><risdate>2009</risdate><volume>17</volume><issue>3</issue><spage>331</spage><epage>334</epage><pages>331-334</pages><issn>1022-5536</issn><eissn>2309-4990</eissn><abstract>Purpose.
To assess the anatomic association of acromioclavicular joint degeneration to supraspinatus outlet impingement and the acromion shape.
Methods.
Sagittal oblique magnetic resonance images of 49 shoulders in 49 patients were reviewed. 29 of them (mean age, 59 years) underwent surgery for impingement with or without rotator cuff tear (group 1), whereas the 20 controls (mean age, 27 years) were treated for shoulder instability without rotator cuff disease or acromioclavicular joint derangement (group 2). The supraspinatus outlet and the acromion shape of the 2 groups were compared. Results. The difference in the mean supraspinatus outlet between groups 1 and 2 was 11% (514 vs 577 mm2, p=0.095) and between the subgroup (of group 1) with full thickness rotator cuff tears and group 2 was 17% (481 vs 577 mm2, p=0.036). Six of the acromions in group 1 were type III (hooked) compared to none in group 2.
Conclusion.
In severe acromioclavicular degeneration, distal clavicular excision is recommended, even in cases with an asymptomatic acromioclavicular joint, so as to prevent further osteophyte formation.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>20065375</pmid><doi>10.1177/230949900901700318</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| source | Sage Journals GOLD Open Access 2024 |
| subjects | Acromioclavicular Joint - pathology Acromion - pathology Adolescent Adult Aged Aged, 80 and over Arthroscopy Case-Control Studies Female Humans Magnetic Resonance Imaging - methods Male Middle Aged Muscle, Skeletal - pathology Physical therapy Rotator Cuff - pathology Sample size Shoulder Shoulder Impingement Syndrome - pathology Shoulder Impingement Syndrome - surgery Sports injuries |
| title | The Influence of the Acromioclavicular Joint Degeneration on Supraspinatus Outlet Impingement and the Acromion Shape |
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