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Published in: International Orthopaedics 3/2012

01-03-2012 | Original Paper

Glenoid axis is not related with rotator cuff tears—a magnetic resonance imaging comparative study

Authors: Metin Dogan, Nurdan Cay, Ozgur Tosun, Mustafa Karaoglanoglu, Murat Bozkurt

Published in: International Orthopaedics | Issue 3/2012

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Abstract

Purpose

The relationship between glenoid version angle and rotator cuff pathology has been described. However, the effect of glenoid version angle on rotator cuff pathology is still unknown. The aim of this study was to investigate whether there is an impact of glenoid version angle on rotator cuff pathology.

Methods

All shoulder MRI examinations performed in the study centres between August 2008 and August 2009 were evaluated retrospectively. Shoulder MRI examinations having rotator cuff pathology such as trauma, degeneration, and acromion type 2-3-4 reported in previous studies were excluded from the study. Sixty-two shoulder MRIs with rotator cuff pathology having type 1 acromion morphology and 60 shoulder exams without rotator cuff pathology were included in the study. Glenoid version angle was calculated in axial images. Rotator cuff was evaluated in fat-suppressed T2-weighted and proton density-weighted images.

Result

The mean values for glenoid version angle were 2.41° and 0.61° in the control and the study groups, respectively. No statistically significant difference was found between the two groups (p > 0.05). In addition, 26.6% and 33.8% of the glenoids were retroverted and 73.4% and 66.2% were anteverted in the control and the study groups, respectively (all p > 0.05).

Conclusion

This study demonstrated no significant relationship between glenoid version angle and rotator cuff pathology. Therefore, the pathologies that can be related to the cuff itself should be investigated if the pathology cannot be explained by an extrinsic cause in subjects with rotator cuff pathology.
Literature
1.
go back to reference Hughes RE, Bryant CR, Hall JM, Wening J, Huston LJ, Kuhn JE, Carpenter JE, Blasier RB (2003) Glenoid inclination is associated with full-thickness rotator cuff tears. Clin Orthop Relat Res 407:86–91PubMedCrossRef Hughes RE, Bryant CR, Hall JM, Wening J, Huston LJ, Kuhn JE, Carpenter JE, Blasier RB (2003) Glenoid inclination is associated with full-thickness rotator cuff tears. Clin Orthop Relat Res 407:86–91PubMedCrossRef
2.
go back to reference Banas MP, Miller RJ, Totterman S (1995) Relationship between lateral acromion angle and rotator cuff disease. J Shoulder Elbow Surg 4:454–461PubMedCrossRef Banas MP, Miller RJ, Totterman S (1995) Relationship between lateral acromion angle and rotator cuff disease. J Shoulder Elbow Surg 4:454–461PubMedCrossRef
3.
go back to reference Epstein RE, Schweitzer ME, Frieman BG, Fenlin JM Jr, Mitchell DG (1993) Hooked acromion: prevalence on MR images of painful shoulders. Radiology 187:479–481PubMed Epstein RE, Schweitzer ME, Frieman BG, Fenlin JM Jr, Mitchell DG (1993) Hooked acromion: prevalence on MR images of painful shoulders. Radiology 187:479–481PubMed
4.
go back to reference Gerber C, Ganz R, Terrier F (1985) The role of coracoid process in the chronic impingement syndrome. J Bone Joint Surg Br 67:703–708PubMed Gerber C, Ganz R, Terrier F (1985) The role of coracoid process in the chronic impingement syndrome. J Bone Joint Surg Br 67:703–708PubMed
5.
go back to reference Prato N, Peloso D, Francioneri A, Tegaldo G, Ravera GB, Silvestri E, Derchi LE (1998) The anterior tilt of the acromion: radiographic evaluation and correlation with shoulder diseases. Eur Radiol 8:1639–1646PubMedCrossRef Prato N, Peloso D, Francioneri A, Tegaldo G, Ravera GB, Silvestri E, Derchi LE (1998) The anterior tilt of the acromion: radiographic evaluation and correlation with shoulder diseases. Eur Radiol 8:1639–1646PubMedCrossRef
6.
go back to reference Neer CS 2nd (1972) Anterior acromioplasty for the chronic impingement syndrome in the shoulder: a preliminary report. J Bone Joint Surg Am 54:41–50PubMed Neer CS 2nd (1972) Anterior acromioplasty for the chronic impingement syndrome in the shoulder: a preliminary report. J Bone Joint Surg Am 54:41–50PubMed
7.
go back to reference Bigliani LU, Morrison DS, April EW (1986) The morphology of the acromion and its relationship to rotator cuff tears. Orthop Trans 10:228 Bigliani LU, Morrison DS, April EW (1986) The morphology of the acromion and its relationship to rotator cuff tears. Orthop Trans 10:228
8.
go back to reference Tetreault P, Krueger A, Zurakowski D, Gerber C (2004) Glenoid version and rotator cuff tears. J Orthop Res 22:202–207PubMedCrossRef Tetreault P, Krueger A, Zurakowski D, Gerber C (2004) Glenoid version and rotator cuff tears. J Orthop Res 22:202–207PubMedCrossRef
9.
go back to reference Tokgoz N, Kanatli U, Voyvoda NK, Gultekin S, Bolukbasi S, Tali ET (2007) The relationship of glenoid and humeral version with supraspinatus tendon tears. Skeletal Radiol 36:509–514PubMedCrossRef Tokgoz N, Kanatli U, Voyvoda NK, Gultekin S, Bolukbasi S, Tali ET (2007) The relationship of glenoid and humeral version with supraspinatus tendon tears. Skeletal Radiol 36:509–514PubMedCrossRef
10.
go back to reference Koishi H, Goto A, Tanaka M, Omori Y, Futai K, Yoshikawa H, Sugamoto K (2011) In vivo three-dimensional motion analysis of the shoulder joint during internal and external rotation. Int Orthop. doi:10.1007/s00264-011-1219-5, Epub ahead of print Koishi H, Goto A, Tanaka M, Omori Y, Futai K, Yoshikawa H, Sugamoto K (2011) In vivo three-dimensional motion analysis of the shoulder joint during internal and external rotation. Int Orthop. doi:10.​1007/​s00264-011-1219-5, Epub ahead of print
11.
go back to reference Meyer AW (1931) The minuter anatomy of attrition lesions. J Bone Joint Surg 13:41–60 Meyer AW (1931) The minuter anatomy of attrition lesions. J Bone Joint Surg 13:41–60
12.
13.
go back to reference Nicholson GP, Goodman DA, Flatow EL, Bigliani LU (1996) The acromion: morphologic condition and age-related changes. A study of 420 scapulas. J Shoulder Elbow Surg 5:1–11PubMedCrossRef Nicholson GP, Goodman DA, Flatow EL, Bigliani LU (1996) The acromion: morphologic condition and age-related changes. A study of 420 scapulas. J Shoulder Elbow Surg 5:1–11PubMedCrossRef
14.
go back to reference Seeger LL, Gold RH, Bassett LW, Elman H (1988) Shoulder impingement syndrome: MR findings in 53 shoulders. AJR Am J Roentgenol 150:343–347PubMed Seeger LL, Gold RH, Bassett LW, Elman H (1988) Shoulder impingement syndrome: MR findings in 53 shoulders. AJR Am J Roentgenol 150:343–347PubMed
15.
go back to reference Das SP, Ray GS, Saha AK (1996) Observations on the tilt of the glenoid cavity of scapula. J Anat Soc India 15:114–118 Das SP, Ray GS, Saha AK (1996) Observations on the tilt of the glenoid cavity of scapula. J Anat Soc India 15:114–118
16.
go back to reference Cyprien JM, Vasey HM, Burdet A, Bonvin JC, Kritsikis N, Vuagnat P (1983) Humeral retrotorsion and glenohumeral relationship in the normal shoulder and in recurrent anterior dislocation (scapulometry). Clin Orthop Relat Res 175:8–17PubMed Cyprien JM, Vasey HM, Burdet A, Bonvin JC, Kritsikis N, Vuagnat P (1983) Humeral retrotorsion and glenohumeral relationship in the normal shoulder and in recurrent anterior dislocation (scapulometry). Clin Orthop Relat Res 175:8–17PubMed
17.
go back to reference Laumann U, Kramps HA (1984) Computer tomography on recurrent shoulder dislocation. In: Bateman YE, Welsh RP (eds) Surgery of the shoulder. Decker, Philadelphia, p 84 Laumann U, Kramps HA (1984) Computer tomography on recurrent shoulder dislocation. In: Bateman YE, Welsh RP (eds) Surgery of the shoulder. Decker, Philadelphia, p 84
18.
go back to reference Randelli M, Gambrioli PL (1986) Glenohumeral osteometry by computed tomography in normal and unstable shoulders. Clin Orthop 208:151–156PubMed Randelli M, Gambrioli PL (1986) Glenohumeral osteometry by computed tomography in normal and unstable shoulders. Clin Orthop 208:151–156PubMed
19.
go back to reference Brewer BJ, Wubben RC, Carrera GF (1986) Excessive retroversion of the glenoid cavity. J Bone Joint Surg 68:724–731PubMed Brewer BJ, Wubben RC, Carrera GF (1986) Excessive retroversion of the glenoid cavity. J Bone Joint Surg 68:724–731PubMed
20.
go back to reference Friedman RJ, Hawthorne KB, Genez BM (1992) The use of computerized tomography in the measurement of glenoid version. J Bone Joint Surg Am 74:1032–1037PubMed Friedman RJ, Hawthorne KB, Genez BM (1992) The use of computerized tomography in the measurement of glenoid version. J Bone Joint Surg Am 74:1032–1037PubMed
21.
go back to reference Hadorn DC, Baker D, Hodges JS, Hicks N (1996) Rating the quality of evidence for clinical practice guidelines. J Clin Epidemiol 49:749–754PubMedCrossRef Hadorn DC, Baker D, Hodges JS, Hicks N (1996) Rating the quality of evidence for clinical practice guidelines. J Clin Epidemiol 49:749–754PubMedCrossRef
Metadata
Title
Glenoid axis is not related with rotator cuff tears—a magnetic resonance imaging comparative study
Authors
Metin Dogan
Nurdan Cay
Ozgur Tosun
Mustafa Karaoglanoglu
Murat Bozkurt
Publication date
01-03-2012
Publisher
Springer-Verlag
Published in
International Orthopaedics / Issue 3/2012
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-011-1356-x

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