The relationship between age, rotator cuff integrity, and osseous microarchitecture of greater tuberosity: Where should we put anchor?
| Autor: | Sung Jung Kim, Erica Kholinne, So Hyun Park, Hyun-Joo Lee, In-Ho Jeon |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Models Anatomic Rotator Cuff Injuries Rotator Cuff 03 medical and health sciences 0302 clinical medicine Humeral Heads lcsh:Orthopedic surgery Cadaver Suture Anchors medicine Humans Orthopedic Procedures Orthopedics and Sports Medicine Humerus Rotator cuff Aged 030222 orthopedics business.industry Rotator cuff injury Age Factors 030229 sport sciences General Medicine Anatomy Middle Aged medicine.disease musculoskeletal system lcsh:RD701-811 medicine.anatomical_structure Cuff Female Surgery business Volume loss Greater Tuberosity |
| Zdroj: | Acta Orthopaedica et Traumatologica Turcica, Vol 52, Iss 1, Pp 22-26 (2018) |
| Popis: | Objective: The aim of this study was to compare the microarchitecture of the greater tuberosity with or without rotator cuff tear and to obtain optimum location for anchor screw insertion for rotator cuff repair. Methods: Twenty-five humeral heads were harvested from 13 male cadavers of mean age 58.4 years, including 6 humeri with rotator cuff tear and 19 intact humeri. Six regions of interest (proximal, intermediate, and distal zones of the superficial and deep regions) were divided into the anterior (G1), middle (G2), and posterior (G3) areas of the greater tuberosity. Trabecular bone volume and cortical thickness were evaluated. Results: Total trabecular bone volume was greater in subjects 50 years old but did not differ significantly in subjects with and without rotator cuff tear. Cortical thickness in both intact and torn rotator cuff groups was significantly greater in the proximal and intermediate zones than in the distal zone. Cortical thickness was related to anatomic location rather than age or cuff tear. Conclusion: The optimal location for anchor screw insertion during rotator cuff repair is either the proximal or intermediate region of the greater tuberosity. Age has more influence in terms of trabecular bone volume loss than rotator cuff integrity. keywords: Microarchitecture, Greater tuberosity, Age, Rotator cuff tear, Suture anchor |
| Databáze: | OpenAIRE |
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