scholarly journals A Study of Association Between Acromion Types and Shoulder Pathology

2021 ◽  
Author(s):  
Sagar Venkataraman ◽  
Prabhu Ethiraj ◽  
Arun Heddur Shanthappa ◽  
Kishore Vellingiri
Keyword(s):  
Rotator Cuff ◽  
Rotator Cuff Tear ◽  
Left Shoulder ◽  
Type I ◽  
Age Group ◽  
Shoulder Impingement ◽  
Shoulder Pathology ◽  
Cuff Tear ◽  
Shoulder Syndrome

Abstract Background and aim: Shoulder impingement and rotator cuff tear are commonly seen shoulder pathology. Pathological changes in soft tissue around shoulder can be due to intrinsic degenerative in tendons or extrinsic mechanical compression due to Acromion types. Arthroscopic acromioplasty is still standard procedure done for shoulder impingement pathology and during rotator cuff repair. Our primary objective was to determine acromion types, its prevalence rate with shoulder pathology.Methods: Total 85 patients who met inclusion criteria were included in the study. Acromion types were classified according to Bigliani et al type I acromion has flat undersurface, type II acromion has curved undersurface, type III acromion has hooked undersurface on Supraspinatous outlet view radiographs. Types of Acromion were co-related with shoulder pathology and age group.Results: Out of 85 patients with shoulder pathology 43 patients had impingement shoulder syndrome and 42 patients had rotator cuff tear. Mean age group for impingement shoulder syndrome group was 39.6 years and for rotator cuff tear group was 58.6 years. Overall right shoulder is affected more compared to left shoulder. Type 2 acromion was seen in 64.7% study population and type 1 is seen in 23.5% and type 3 is seen in 11.8%.Conclusions: In our study type 2 acromion is more frequently seen in shoulder pathology involving rotator cuff tear and impingement syndrome. Acromion morphology does not vary with age.

scholarly journals Latissimus Dorsi Tendon Transfer with GraftJacket® Augmentation to Increase Tendon Length for an Irreparable Rotator Cuff Tear

2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
John G. Skedros ◽  
Tanner R. Henrie
Keyword(s):  
Soft Tissue ◽  
Rotator Cuff ◽  
Rotator Cuff Tear ◽  
Latissimus Dorsi ◽  
Rotator Cuff Tears ◽  
Left Shoulder ◽  
Dermal Matrix ◽  
Tendon Transfers ◽  
Tendon Length ◽  
Cuff Tear

Massive irreparable rotator cuff tears can be reconstructed with latissimus dorsi tendon transfers (LDTT). Although uncommon, the natural length of the latissimus dorsi tendon (LDT) could be insufficient for transfer even after adequate soft tissue releases. Descriptions of cases where grafts were needed to lengthen the LDT are therefore rare. We located only two reports of the use of an acellular dermal matrix to increase effective tendon length in tendon transfers about the shoulder: (1) GraftJacket patch for a pectoralis major tendon reconstruction and (2) ArthroFlex® patch for LDTT. Both of these brands of allograft patches are obtained from human cadavers. These products are usually used to cover soft tissue repairs and offer supplemental support rather than for increasing tendon length. Extending the LDTT with GraftJacket to achieve adequate length, to our knowledge, has not been reported in the literature. We report the case of a 50-year-old male who had a massive, irreparable left shoulder rotator cuff tear that was reconstructed with a LDTT. The natural length of his LDT was insufficient for transfer. This unexpected situation was rectified by sewing two patches of GraftJacket to the LDT. The patient had greatly improved shoulder function at two-year follow-up.

scholarly journals Case Report: Humeral avulsion of the glenohumeral ligament of the shoulder

2005 ◽  
Vol 17 (1) ◽  
pp. 27
Author(s):  
RVP De Villiers ◽  
JF De Beer ◽  
K Van Rooyen ◽  
PE Huijsmans ◽  
CP Roberts ◽  
...  
Keyword(s):  
Case Report ◽  
Rotator Cuff ◽  
South African ◽  
Rotator Cuff Tear ◽  
Sports Medicine ◽  
Left Shoulder ◽  
Anterior Instability ◽  
Glenohumeral Ligament ◽  
Cuff Tear ◽  
History Of

A 24-year-old rugby player presented to an orthopaedic surgeon with a history of dislocation of the left shoulder. It reduced spontaneously and dislocated again later during the same match. On examination there was no residual instability, but the apprehension test for anterior instability was positive. Speed s test as well as O Brien s test for SLAP (Superior Labrum Anterior to Posterior tear) lesions were negative. There were no signs of rotator cuff tear or impingement. South African Sports Medicine Vol.17(1) 2005: 27-28

Lipoma Arborescens of the Subdeltoid Bursa Associated With Rotator Cuff Tear: A Case Report

2020 ◽  
Vol 36 (4) ◽  
pp. 353-356
Author(s):  
Kenji Kawashima ◽  
Nobuo Terabayashi ◽  
Hiromi Asano ◽  
Haruhiko Akiyama
Keyword(s):  
Rotator Cuff ◽  
Rotator Cuff Tear ◽  
Synovial Membrane ◽  
Glenohumeral Joint ◽  
Imaging Modality ◽  
Fluid Collection ◽  
Left Shoulder ◽  
Lipoma Arborescens ◽  
Cuff Tear ◽  
Line Imaging

Lipoma arborescens is a rare synovial lesion characterized by villous proliferation of the synovial membrane and replacement of subsynovial tissue with mature fat cells. The knee joint is the most frequently affected site, particularly in the suprapatellar pouch. However, there have been few reports regarding shoulder involvement, including the glenohumeral joint and subacromial subdeltoid bursa, associated with rotator cuff tear. This article reviews the case of a 67-year-old man who presented with lipoma arborescens of the left shoulder, associated with a rotator cuff tear. Sonography revealed a fluid collection with thickening of the synovial membrane with hyperechoic villous proliferation, located in the subdeltoid bursa. An arthroscopic synovectomy and rotator cuff repair were performed. Arthroscopic findings included yellow frond-like synovial proliferation of the synovium. Postoperatively, the patient was asymptomatic, and the lesion did not recur. Although magnetic resonance imaging is the first-line imaging modality for diagnosis of this lesion, sonography may be used initially for evaluation of chronic joint swelling. In addition, it can be useful for detection of recurrence after synovectomy. This case illustrates the typical sonographic features of lipoma arborescens.

scholarly journals Comparative Analysis of Real-Time Dynamic Ultrasound and Magnetic Resonance Imaging in the Diagnosis of Rotator Cuff Tear Injury

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Xu Zhang ◽  
Xingang Gu ◽  
Lei Zhao
Keyword(s):  
Rotator Cuff ◽  
Diagnostic Accuracy ◽  
Real Time ◽  
Rotator Cuff Tear ◽  
Type I ◽  
Time Dynamic ◽  
Cuff Tear ◽  
Rotator Cuff Injury ◽  
Dynamic Ultrasound ◽  
Partial Rotator Cuff Tear

Objective. To explore the value of real-time dynamic ultrasound and magnetic resonance imaging (MRI) in the diagnosis of rotator cuff injury. Methods. From January 2020 to June 2021, the clinical data of 55 patients with rotator cuff injury were collected. All patients were examined by real-time dynamic ultrasound and MRI at the same time within two weeks before surgery, which was confirmed by arthroscopy. The value of real-time dynamic ultrasound, MRI, and the real-time dynamic ultrasound combined with MRI in the diagnosis of rotator cuff injury was evaluated. Results. Among the 55 patients with rotator cuff injury, real-time dynamic ultrasound showed full-thickness rotator cuff tear in 12 patients (21.82%), including type I in 2 patients (3.64%), type II in 6 patients (10.91%), and type III in 4 patients (7.27%), and partial rotator cuff tear in 31 patients (56.36%), including type IV in 16 patients (29.00%), type V in 5 patients (9.09%), and type VI in 10 patients (18.18%). MRI showed full-thickness rotator cuff tear in 12 patients (21.82%), including type I in 2 patients (3.64%), type II in 6 patients (10.91%), and type III in 4 patients (7.27%), and partial rotator cuff tear in 37 patients (67.27%), including type IV in 20 patients (36.36%), type V in 7 patients (12.73%), and type VI in 10 patients (18.18%). The combined examination showed full-thickness rotator cuff tear in 12 patients (21.82%), including type I in 2 patients (3.64%), type II in 6 patients (10.91%), and type III in 4 patients (7.27%), and partial rotator cuff tear in 39 cases (70.91%), including type IV in 21 cases (38.12%), type V in 7 patients (12.73%), and type VI in 12 patients (21.82%). The diagnostic accuracy of real-time dynamic ultrasound in complete tearing, partial tearing and the overall accuracy were 92.31%, 73.81% and 78.18%, respectively. The diagnostic accuracy of complete tear, partial tear and the overall accuracy of MRI were 92.31%, 88.00% and 89.09%, respectively. The diagnostic accuracy of complete tear and partial tear and overall accuracy in the real-time dynamic ultrasound combined with MRI were 92.31%, 95.24%, and 94.55%, respectively. The diagnostic accuracy and overall diagnostic accuracy of the combined examination of partial tears were higher than those of the real-time dynamic ultrasound and MRI examinations alone. Conclusion. Real-time dynamic ultrasound and MRI have high application value in the diagnosis of rotator cuff injury, and the combined diagnosis is conducive to improving the diagnostic accuracy of patients with partial tear.

scholarly journals SONNY LISTON AND THE TORN TENDON

2018 ◽  
Author(s):  
Arturo Tozzi
Keyword(s):  
Rotator Cuff ◽  
Rotator Cuff Tear ◽  
Visual Analysis ◽  
Left Shoulder ◽  
Shoulder Injury ◽  
Cuff Tear

The first Liston-Clay fight in 1964 is still highly debated, because Liston quitted at the end of the sixth round claiming a left shoulder injury. Here we, based on the visual analysis of Sonny’s movements during the sixth round, show how a left shoulder’s rotator cuff tear cannot be the cause of the boxer failing to answer the bell for the seventh round.

IRREPARABLE ROTATOR CUFF TEAR; A SURGICAL DILEMMA

2013 ◽  
Vol 16 (02) ◽  
pp. 1330001
Author(s):  
Nishikant Kumar ◽  
Anil Mehtani
Keyword(s):  
Rotator Cuff ◽  
Rotator Cuff Tear ◽  
Older Age ◽  
Age Group ◽  
Range Of Movement ◽  
Cuff Tear ◽  
Massive Tear ◽  
Irreparable Rotator Cuff Tear ◽  
Good Range

Rotator cuff tear are common injuries in modern day orthopedic practice. Irreparable rotator cuff tear are those massive tear which cannot be repaired primarily. Their management depends on several factors like symptoms, age of patient, location of tear and examination findings. However, most chronic rotator cuff tear especially in older age group can be treated conservatively, when shoulder has reasonably good range of movement.

The role of magnetic resonance imaging in the assessment of acromial morphology in association with rotator cuff tear

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Ahmed Fathy Abdelghany ◽  
Ahmed Mohamed Osman ◽  
Taha Kamal Hussein
Keyword(s):  
Rotator Cuff ◽  
Rotator Cuff Tear ◽  
Statistical Difference ◽  
Control Group ◽  
P Value ◽  
Type I ◽  
Full Thickness ◽  
Resonance Imaging ◽  
Cuff Tear ◽  
Significant Statistical Difference

Abstract   Background: The pathogenesis of rotator cuff tear (RCT) remains controversial. The acromion portion ofthe scapula and its morphology may be attributable for a variety of shoulder disorders such as RCT. Patients and Methods: This was a retrospective study that included 40 patients divided into two groups; a group with RCT included 20 patients and a control group with no RCT included the other 20 patients. 19 were males and 21 females, their age 20-69 years old with a mean age of 45. Cases were selected from the PACS system of the Radiology department of Ain Shams University Hospital. Statistical data analysis was done using IBM SPSS software package version 20.0. (Armonk, NY: IBM Corp) Results: The study revealed that Type Il acromion was encountered in most of the male patients (42.1%) and type Ill acromion was encountered in most of the female patients (42.9%) while type IV acromion was less frequently seen among males and females (5% & 0%) respectively. It also revealed that Type Ill is mostly encountered in RCT (50%); 58% of full-thickness tear and 37% of partial thickness tear. while type I is less frequently associated with a partial tear or full thickness tear (8%) for each. Acromion type Ill was the commonest type of acromion found between the patients of the case group with a significant statistical difference found between the case and control groups (P value: 0.006). However, type I acromion was the commonest acromion type found between the control group with also a significant statistical difference (P value: 0.011). Conclusion: Type Ill acromion may be a risk factor leading to rotator cuff tear. This may help guide therapy in patients with shoulder pain and findings suggesting type Ill acromion shape Keywords acromion shapes, magnetic resonance imaging, rotator cuff tear

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