[Association of morphological variables of acromion type with rotator cuff lesions by nuclear magnetic resonance].

Acta ortopedica mexicana Pub Date : 2023-07-01
C Murillo-Nieto, L A Valverde-Galindo, J Meza-Flores
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Abstract

Introduction: the acromion is a small portion of the scapula that extends towards the anterior region from the spine of the scapula. Traditionally, the acromion is classified by the shape of its inferior surface in a sagittal plane. Acromial morphology has been found to be related to rotator cuff injury.

Objective: to determine the association between the type of acromion with a higher incidence of rotator cuff rupture. Study population: patients who come to the Traumatology and Orthopedics Service of a third level hospital at Monterrey, Mexico, due to a painful shoulder and who have undergone a simple magnetic resonance of the shoulder.

Material and methods: a cross-sectional, retrospective and descriptive study was carried out, in which 273 magnetic resonance studies were reviewed in patients who met the inclusion criteria. The type of acromion was reported according to the morphological classification in type I to IV and the state of the rotator cuff: without rupture, partial rupture or complete rupture, making a comparison between right and left shoulder.

Results: in this study we found a value of p = 0.473 which concludes that there is no relation between the type of acromion and the injury of the rotator cuff.

Conclusion: in the present study, unlike what has been published in the literature, it was found that type II acromion was the one that was associated in most cases with a rotator cuff tear.

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[核磁共振显示肩峰类型形态变量与肩袖病变的关联]。
导言:肩峰是肩胛骨的一小部分,从肩胛骨脊柱向前方延伸。传统上,肩峰是根据其下表面在矢状面上的形状进行分类的。研究发现肩峰形态与肩袖损伤有关。目的:确定肩峰类型与肩袖断裂发生率之间的关系。研究对象:因肩部疼痛而到墨西哥蒙特雷一家三级医院创伤骨科就诊,并接受过肩部简单磁共振检查的患者。材料与方法:这是一项横断面、回顾性和描述性研究,对符合纳入标准的 273 例患者进行了磁共振检查。根据 I 型至 IV 型的形态学分类报告了肩峰的类型以及肩袖的状态:无断裂、部分断裂或完全断裂,并对左右肩进行了比较。473,结论是肩峰类型与肩袖损伤之间没有关系。结论:在本研究中,与文献发表的结果不同,我们发现肩峰类型 II 与肩袖撕裂的关系最为密切。
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