EVALUATING THE ROLE OF SCAPULA MORPHOLOGY IN ROTATOR CUFF TEARS: WHICH IS THE MOST USEFUL PREDICTOR?
Objective: The aim of this study was to determine the relationships between glenoid inclination (GI), acromial index (AI), critical shoulder angle (CSA), superior inclination (SI), and symptomatic degenerative full-thickness supraspinatus tears (SSTs). Materials and Methods: Patients who were diagno...
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Istanbul University Press
2022-10-01
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| Series: | İstanbul Tıp Fakültesi Dergisi |
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| Online Access: | https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/031F2694227C42D8A38C3E1494C26F1D |
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| author | Gökhan Karademir Onur Tunalı Ata Can Atalar |
| author_facet | Gökhan Karademir Onur Tunalı Ata Can Atalar |
| author_sort | Gökhan Karademir |
| collection | DOAJ |
| description | Objective: The aim of this study was to determine the relationships between glenoid inclination (GI), acromial index (AI), critical shoulder angle (CSA), superior inclination (SI), and symptomatic degenerative full-thickness supraspinatus tears (SSTs). Materials and Methods: Patients who were diagnosed with SSTs (n=39) between 2015 and 2017 were assessed retrospectively. Controls were matched to age, gender, and side. Measured GI, AI, CSA, and SI values were compared between the SSTs and control groups (n=39). The mean age for the SSTs group was 52.74±5.49 years, and the mean age for the control group was 51.15±5.22 years. Results: The mean GI for the SSTs group was 19.97°±5.62°, and it was 13.72°±6.55° for the control group (p<0.001). The mean AI was 0.7±0.08 and 0.67±0.07 in the SSTs and control groups, respectively (p=0.035). The mean CSA for the SSTs group was 35.05°±4.09° and it was 33.06°±3.42° for the control group (p=0.022). The mean SI was 25.13°±5.71° and 25.91°±5.81° in the SSTs and control groups, respectively (p=0.552). For a cut-off value of GI ≥17.35°, sensitivity was 79.54%, and specificity was 79.51% (p=0.001). For a cut-off value of AI ≥0.67, sensitivity was 61.54% and specificity was 56.4% (p=0.031). For a cut-off value of CSA ≥33.45°, sensitivity was 64.12%, and specificity was 64.54% (p=0.014). Conclusion: Higher measurement values of glenoid inclination, acromial index, and critical shoulder angle were associated with symptomatic degenerative full-thickness supraspinatus tears, and no correlation was found with superior inclination measurement. The glenoid inclination measurement had the highest sensitivity and specificity in predicting symptomatic degenerative full-thickness supraspinatus tears. |
| format | Article |
| id | doaj-art-4e4c5f48e27644b19223993c55e09ee1 |
| institution | Kabale University |
| issn | 1305-6441 |
| language | English |
| publishDate | 2022-10-01 |
| publisher | Istanbul University Press |
| record_format | Article |
| series | İstanbul Tıp Fakültesi Dergisi |
| spelling | doaj-art-4e4c5f48e27644b19223993c55e09ee12025-08-20T03:52:47ZengIstanbul University Pressİstanbul Tıp Fakültesi Dergisi1305-64412022-10-0185451752210.26650/IUITFD.1136050123456EVALUATING THE ROLE OF SCAPULA MORPHOLOGY IN ROTATOR CUFF TEARS: WHICH IS THE MOST USEFUL PREDICTOR?Gökhan Karademir0https://orcid.org/0000-0002-0894-9785Onur Tunalı1https://orcid.org/0000-0002-7808-9426Ata Can Atalar2https://orcid.org/0000-0002-5708-9259Acıbadem Mehmet Ali Aydınlar Üniversitesi, Istanbul, TurkiyeAcıbadem Hastanesi, Istanbul, TurkiyeAcıbadem Mehmet Ali Aydınlar Üniversitesi, Istanbul, TurkiyeObjective: The aim of this study was to determine the relationships between glenoid inclination (GI), acromial index (AI), critical shoulder angle (CSA), superior inclination (SI), and symptomatic degenerative full-thickness supraspinatus tears (SSTs). Materials and Methods: Patients who were diagnosed with SSTs (n=39) between 2015 and 2017 were assessed retrospectively. Controls were matched to age, gender, and side. Measured GI, AI, CSA, and SI values were compared between the SSTs and control groups (n=39). The mean age for the SSTs group was 52.74±5.49 years, and the mean age for the control group was 51.15±5.22 years. Results: The mean GI for the SSTs group was 19.97°±5.62°, and it was 13.72°±6.55° for the control group (p<0.001). The mean AI was 0.7±0.08 and 0.67±0.07 in the SSTs and control groups, respectively (p=0.035). The mean CSA for the SSTs group was 35.05°±4.09° and it was 33.06°±3.42° for the control group (p=0.022). The mean SI was 25.13°±5.71° and 25.91°±5.81° in the SSTs and control groups, respectively (p=0.552). For a cut-off value of GI ≥17.35°, sensitivity was 79.54%, and specificity was 79.51% (p=0.001). For a cut-off value of AI ≥0.67, sensitivity was 61.54% and specificity was 56.4% (p=0.031). For a cut-off value of CSA ≥33.45°, sensitivity was 64.12%, and specificity was 64.54% (p=0.014). Conclusion: Higher measurement values of glenoid inclination, acromial index, and critical shoulder angle were associated with symptomatic degenerative full-thickness supraspinatus tears, and no correlation was found with superior inclination measurement. The glenoid inclination measurement had the highest sensitivity and specificity in predicting symptomatic degenerative full-thickness supraspinatus tears.https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/031F2694227C42D8A38C3E1494C26F1Dacromial indexcritical shoulder angleglenoid inclinationrotator cuff tearsuperior inclination |
| spellingShingle | Gökhan Karademir Onur Tunalı Ata Can Atalar EVALUATING THE ROLE OF SCAPULA MORPHOLOGY IN ROTATOR CUFF TEARS: WHICH IS THE MOST USEFUL PREDICTOR? İstanbul Tıp Fakültesi Dergisi acromial index critical shoulder angle glenoid inclination rotator cuff tear superior inclination |
| title | EVALUATING THE ROLE OF SCAPULA MORPHOLOGY IN ROTATOR CUFF TEARS: WHICH IS THE MOST USEFUL PREDICTOR? |
| title_full | EVALUATING THE ROLE OF SCAPULA MORPHOLOGY IN ROTATOR CUFF TEARS: WHICH IS THE MOST USEFUL PREDICTOR? |
| title_fullStr | EVALUATING THE ROLE OF SCAPULA MORPHOLOGY IN ROTATOR CUFF TEARS: WHICH IS THE MOST USEFUL PREDICTOR? |
| title_full_unstemmed | EVALUATING THE ROLE OF SCAPULA MORPHOLOGY IN ROTATOR CUFF TEARS: WHICH IS THE MOST USEFUL PREDICTOR? |
| title_short | EVALUATING THE ROLE OF SCAPULA MORPHOLOGY IN ROTATOR CUFF TEARS: WHICH IS THE MOST USEFUL PREDICTOR? |
| title_sort | evaluating the role of scapula morphology in rotator cuff tears which is the most useful predictor |
| topic | acromial index critical shoulder angle glenoid inclination rotator cuff tear superior inclination |
| url | https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/031F2694227C42D8A38C3E1494C26F1D |
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