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Knee Surgery, Sports Traumatology, Arthroscopy

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01-02-2014 | Shoulder

Acromial morphology in patients with calcific tendinitis of the shoulder

Authors: Maurice Balke, Marc Banerjee, Tim Vogler, Ralph Akoto, Bertil Bouillon, Dennis Liem

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 2/2014

Abstract

Purpose

The purpose of this study was to evaluate whether the morphology of the acromion in calcific tendinitis differs from controls without subacromial pathology and matches subacromial impingement.

Methods

Digital radiographs of 150 shoulders were evaluated with the open source DICOM-Viewer OsiriX. 50 patients had symptomatic calcific tendinitis of the shoulder, 50 had subacromial impingement without calcifications or rotator cuff tears, 50 with bruised shoulder that were previously asymptomatic served as controls. Acromial shape according to Bigliani et al. acromial tilt (AT) according to Kitay et al. and Aoki et al. acromion index (AI) according to Nyffeler et al. and lateral acromial angle (LAA) according to Banas et al. were measured.

Results

Both calcific (0.72; P = 0.001) and impingement groups (0.73; P = 0.008) were significantly different from controls (0.67) using AI measure, while only the calcific group (79.5°) was different from controls (84.1°) using LAA (P < 0.001), and only the impingement group (32.9°) was different from controls (29.2°) using AT (P < 0.001). An LAA <70° only occurred in two patients with calcific tendinitis.

Conclusion

The hypothesis of this study was that the morphology of the acromion in calcific tendinitis differs from controls without subacromial pathology and matches subacromial impingement was only confirmed for the AI. The AI of shoulders with calcific tendinitis is comparable to that of shoulders with subacromial impingement.

Level of evidence

IV.

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Title: Acromial morphology in patients with calcific tendinitis of the shoulder
Authors: Maurice Balke
Marc Banerjee
Tim Vogler
Ralph Akoto
Bertil Bouillon
Dennis Liem
Publication date: 01-02-2014
Publisher: Springer Berlin Heidelberg
Published in: Knee Surgery, Sports Traumatology, Arthroscopy / Issue 2/2014
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-012-2327-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Acromial morphology in patients with calcific tendinitis of the shoulder

Abstract

Purpose

Methods

Results

Conclusion

Level of evidence

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

Level of evidence

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