当前位置： SCI文献检索 > JOURNAL OF SHOULDER AND ELBOW SURGERY期刊下所有文献 > Critical shoulder angle is associated with full-thickness rotator cuff tears in patients with glenohumeral osteoarthritis.

Critical shoulder angle is associated with full-thickness rotator cuff tears in patients with glenohumeral osteoarthritis.

Abstract：

BACKGROUND:Higher critical shoulder angle (CSA) is correlated with rotator cuff tears (RCTs), whereas lower CSA is associated with glenohumeral osteoarthritis (OA). Our goal was to investigate whether patients with concurrent glenohumeral OA and full-thickness RCTs demonstrate a higher CSA than patients with OA alone. METHODS:Using a 2-surgeon shoulder arthroplasty registry, we identified 31 patients with glenohumeral OA and full-thickness RCTs confirmed by plain radiography and magnetic resonance imaging, respectively. Sixty-two age- and gender-matched controls (1:2 ratio) with glenohumeral OA and an intact rotator cuff were identified from the same registry. Two independent observers evaluated the radiographs for CSA and acromiohumeral index. RESULTS:The average CSA was 30° in the OA control group and 35° in the concurrent RCT and OA group (P < .0001). Acromiohumeral index was comparable between the groups (P = .13). Interobserver reliability of the independent reviewers was excellent (κ = 0.89; Ρ = 0.95). The receiver operating characteristic curve for CSA demonstrated that a value >35° was 90% specific and 52% sensitive for a full-thickness RCT in the setting of OA (area under curve = 0.84). CONCLUSION:Concurrent glenohumeral OA and full-thickness RCT are associated with greater CSA values compared with patients with glenohumeral OA alone. The CSA measurement may be useful in determining the need for magnetic resonance imaging to assess rotator cuff integrity in the arthritic population.

journal_name

J Shoulder Elbow Surg

journal_title

Journal of shoulder and elbow surgery

authors

Mantell MT,Nelson R,Lowe JT,Endrizzi DP,Jawa A

doi

10.1016/j.jse.2017.05.020

subject

Has Abstract

pub_date

2017-12-01 00:00:00

pages

e376-e381

issue

12

eissn

1058-2746

issn

1532-6500

pii

S1058-2746(17)30291-4

journal_volume

26

pub_type

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