Relationship Between Acromial Anatomy and Rotator Cuff Tears in Saudi Arabian Population
| Autor: | Ziyad Alqurashi, Abdulraheem A Almokhtar, Albarra Mulla, Ahmed Aljeraisi, Adel H Hegaze, Ahmed S. Qanat |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Supraspinatus muscle Population Infraspinatus muscle 030204 cardiovascular system & hematology law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law medicine Rotator cuff acromial anatomy education rotator cuff tears education.field_of_study medicine.diagnostic_test business.industry General Engineering Magnetic resonance imaging Retrospective cohort study Surgery medicine.anatomical_structure Orthopedics Tears business 030217 neurology & neurosurgery |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| Popis: | Objectives We investigated the relationship between acromial shape, classified as Type I-IV by magnetic resonance imaging, and the occurrence and characteristics of rotator cuff tears (RCTs). Methods This retrospective cohort study included 89 patients aged 25 - 60 years who underwent RCT surgeries in the Orthopedic Department at King Abdulaziz University Hospital (KAUH) from January 2014 to April 2019. We collected imaging findings from the KAUH record system, which were then entered into a Google form (Google, Inc., Mountain View, CA) and exported to Microsoft Excel 2016 (Microsoft® Corp., Redmond, WA). Correlations between variables were assessed using Chi-squared tests. Results The supraspinatus muscle in both men and women was most commonly affected by RCTs, accounting for 73.6% of all tears. Subscapularis was the next most commonly injured muscle of the rotator cuff (15.1%), followed by the infraspinatus muscle (11.3%). The majority of supraspinatus, infraspinatus, and subscapularis tears (69.2%, 66.7%, and 56.3%, respectively) were associated with flat acromia. In all cases, tears in association with flat acromia were more prevalent among women (supraspinatus: 51.3% in women, 17.9% in men, p = 0.030; infraspinatus: 50% in women, 16.7% in men, p = 0.292; subscapularis: 43.8% in women, 12.5% in men, p = 0.054). Conclusions No correlation exists between acromial shape and sex, regardless of the specific muscle injured. However, supraspinatus injury, acromial shape, and sex are significantly related; right-side partial tear injuries occur more frequently among women aged ≥ 50 years with flat acromia than other RCTs. |
| Databáze: | OpenAIRE |
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