Skip to main content
Top
Published in: BMC Musculoskeletal Disorders 1/2020

01-12-2020 | Ultrasound | Research article

Correlation between acromiohumeral distance and the severity of supraspinatus tendon tear by ultrasound imaging in a Chinese population

Authors: Mingmin Xu, Zhenping Li, Youfa Zhou, Bin Ji, Suming Tian, Gang Chen

Published in: BMC Musculoskeletal Disorders | Issue 1/2020

Login to get access

Abstract

Background

The aim of this study was twofold: (i) to investigate the intrarater reliability of acromiohumeral distance measurement; (ii) to assess the level of association between acromiohumeral distance measured by ultrasonography, and the degree of supraspinatus tendon tear, in patients suffering from chronic shoulder pain.

Methods

A cross-sectional, case-control study was carried out. A convenience sample comprising 59 patients with a unilateral supraspinatus tendon tear was assessed. Both shoulders of each patient were scanned by ultrasound, with the contralateral asymptomatic shoulders serving as the control group for comparison. Acromiohumeral distances of each shoulder were measured and analysed.

Results

Intrarater reliability was excellent for the ultrasound method of acromiohumeral distance measurement. The acromiohumeral distance of shoulders with full-thickness supraspinatus tendon tear was significantly smaller than that of joints with partial-thickness supraspinatus tendon tear and an intact supraspinatus tendon. There was a significant positive correlation between reduced acromiohumeral distance and the severity of a supraspinatus tendon tear.

Conclusions

Ultrasound is a reliable tool to measure acromiohumeral distance. A positive relationship was found between a narrowed acromiohumeral distance and the severity grading of a supraspinatus tendon tear. Reduced acromiohumeral distance can be considered a predictive parameter for a full-thickness supraspinatus tendon tear.

Trial registration

The study was prospectively registered with the Chinese Clinical Trial Registry. Registration number: ChiCTR-ROC-17013550. Date of registry: 26 November 2017.
Literature
1.
go back to reference Luime JJ, Koes BW, Hendriksen IJ, Burdorf A, Verhagen AP, Miedema HS, Verhaar JA. Prevalence and incidence of shoulder pain in the general population; a systematic review. Scand J Rheumatol. 2004;33(2):73–81.CrossRef Luime JJ, Koes BW, Hendriksen IJ, Burdorf A, Verhagen AP, Miedema HS, Verhaar JA. Prevalence and incidence of shoulder pain in the general population; a systematic review. Scand J Rheumatol. 2004;33(2):73–81.CrossRef
2.
go back to reference Mackenzie TA, Herrington L, Horlsey I, Cools A. An evidence-based review of current perceptions with regard to the subacromial space in shoulder impingement syndromes: is it important and what influences it? Clin Biomech. 2015;30(7):641–8.CrossRef Mackenzie TA, Herrington L, Horlsey I, Cools A. An evidence-based review of current perceptions with regard to the subacromial space in shoulder impingement syndromes: is it important and what influences it? Clin Biomech. 2015;30(7):641–8.CrossRef
3.
go back to reference Michener LA, McClure PW, Karduna AR. Anatomical and biomechanical mechanisms of subacromial impingement syndrome. Clin Biomech. 2003;18(5):369–79.CrossRef Michener LA, McClure PW, Karduna AR. Anatomical and biomechanical mechanisms of subacromial impingement syndrome. Clin Biomech. 2003;18(5):369–79.CrossRef
4.
go back to reference McCreesh K, Crotty J, Lewis J. Acromiohumeral distance measurement in rotator cuff tendinopathy: is there a reliable, clinically applicable method? A systematic review. Br J Sports Med. 2015;49(5):298–305.CrossRef McCreesh K, Crotty J, Lewis J. Acromiohumeral distance measurement in rotator cuff tendinopathy: is there a reliable, clinically applicable method? A systematic review. Br J Sports Med. 2015;49(5):298–305.CrossRef
5.
go back to reference Azzoni R, Cabitza P, Parrini M. Sonographic evaluation of subacromial space. Ultrasonics. 2004;42:683–7.CrossRef Azzoni R, Cabitza P, Parrini M. Sonographic evaluation of subacromial space. Ultrasonics. 2004;42:683–7.CrossRef
6.
go back to reference Michener LA, Subasi Yesilyaprak SS, Seitz AL, Timmons MK, Walsworth MK. Supraspinatus tendon and subacromial space parameters measured on ultrasonographic imaging in subacromial impingement syndrome. Knee Surg Sports Traumatol Arthrosc. 2015;23(2):363–9.CrossRef Michener LA, Subasi Yesilyaprak SS, Seitz AL, Timmons MK, Walsworth MK. Supraspinatus tendon and subacromial space parameters measured on ultrasonographic imaging in subacromial impingement syndrome. Knee Surg Sports Traumatol Arthrosc. 2015;23(2):363–9.CrossRef
7.
go back to reference Jost B, Pfirrmann CW, Gerber C, Switzerland Z. Clinical outcome after structural failure of rotator cuff repairs. J Bone Joint Surg Am. 2000;82(3):304–14.CrossRef Jost B, Pfirrmann CW, Gerber C, Switzerland Z. Clinical outcome after structural failure of rotator cuff repairs. J Bone Joint Surg Am. 2000;82(3):304–14.CrossRef
8.
go back to reference Norwood LA, Barrack R, Jacobson KE. Clinical presentation of complete tears of the rotator cuff. J Bone Joint Surg Am. 1989;71(4):499–505.CrossRef Norwood LA, Barrack R, Jacobson KE. Clinical presentation of complete tears of the rotator cuff. J Bone Joint Surg Am. 1989;71(4):499–505.CrossRef
9.
go back to reference Saupe N, Pfirrmann C, Schmid M, Jost B, Werner C, Zanetti M. Association between rotator cuff abnormalities and reduced acromiohumeral distance. Am J Roentgenol. 2006;187(2):376–82.CrossRef Saupe N, Pfirrmann C, Schmid M, Jost B, Werner C, Zanetti M. Association between rotator cuff abnormalities and reduced acromiohumeral distance. Am J Roentgenol. 2006;187(2):376–82.CrossRef
10.
go back to reference Kum D, Kim J, Park K, Lee E, Park Y, Yoo J. Acromion index in Korean population and its relationship with rotator cuff tears. Clin Orthop Surg. 2017;9(2):218–22.CrossRef Kum D, Kim J, Park K, Lee E, Park Y, Yoo J. Acromion index in Korean population and its relationship with rotator cuff tears. Clin Orthop Surg. 2017;9(2):218–22.CrossRef
11.
go back to reference Fehringer E, Rosipal C, Rhodes D, Lauder A, Puumala S, Feschuk C, Mormino M, Hartigan D. The radiographic acromiohumeral interval is affected by arm and radiographic beam position. Skelet Radiol. 2008;37(6):535–9.CrossRef Fehringer E, Rosipal C, Rhodes D, Lauder A, Puumala S, Feschuk C, Mormino M, Hartigan D. The radiographic acromiohumeral interval is affected by arm and radiographic beam position. Skelet Radiol. 2008;37(6):535–9.CrossRef
12.
go back to reference Leong HT, Tsui S, Ying M, Leung VY, Fu SN. Ultrasound measurements on acromio-humeral distance and supraspinatus tendon thickness: test-retest reliability and correlations with shoulder rotational strengths. J Sci Med Sport. 2012;15(4):284–91.CrossRef Leong HT, Tsui S, Ying M, Leung VY, Fu SN. Ultrasound measurements on acromio-humeral distance and supraspinatus tendon thickness: test-retest reliability and correlations with shoulder rotational strengths. J Sci Med Sport. 2012;15(4):284–91.CrossRef
13.
go back to reference Liu Y, Ao Y, Yan H, Cui G. The hug-up test: a new, sensitive diagnostic test for supraspinatus tears. Chin Med J. 2016;129(2):147–53.CrossRef Liu Y, Ao Y, Yan H, Cui G. The hug-up test: a new, sensitive diagnostic test for supraspinatus tears. Chin Med J. 2016;129(2):147–53.CrossRef
14.
go back to reference Mall NA, Lee AS, Chahal J, Sherman SL, Romeo AA, Verma NN, Cole BJ. An evidenced-based examination of the epidemiology and outcomes of traumatic rotator cuff tears. Arthroscopy. 2013;29(2):366–76.CrossRef Mall NA, Lee AS, Chahal J, Sherman SL, Romeo AA, Verma NN, Cole BJ. An evidenced-based examination of the epidemiology and outcomes of traumatic rotator cuff tears. Arthroscopy. 2013;29(2):366–76.CrossRef
15.
go back to reference Freedman KB. The partial-thickness rotator cuff tear: is acromioplasty without repair sufficient? Am J Sports Med. 2003;31(2):325 author reply 325.CrossRef Freedman KB. The partial-thickness rotator cuff tear: is acromioplasty without repair sufficient? Am J Sports Med. 2003;31(2):325 author reply 325.CrossRef
16.
go back to reference Girometti R, De Candia A, Sbuelz M, Toso F, Zuiani C, Bazzocchi M. Supraspinatus tendon US morphology in basketball players: correlation with main pathologic models of secondary impingement syndrome in young overhead athletes. Preliminary report. La Radiologia medica. 2006;111(1):42–52.CrossRef Girometti R, De Candia A, Sbuelz M, Toso F, Zuiani C, Bazzocchi M. Supraspinatus tendon US morphology in basketball players: correlation with main pathologic models of secondary impingement syndrome in young overhead athletes. Preliminary report. La Radiologia medica. 2006;111(1):42–52.CrossRef
17.
go back to reference Navarro-Ledesma S, Struyf F, Labajos-Manzanares MT, Fernandez-Sanchez M, Luque-Suarez A. Is coracohumeral distance associated with pain-function, and shoulder range of movement, in chronic anterior shoulder pain? BMC Musculoskelet Disord. 2017;18(1):136.CrossRef Navarro-Ledesma S, Struyf F, Labajos-Manzanares MT, Fernandez-Sanchez M, Luque-Suarez A. Is coracohumeral distance associated with pain-function, and shoulder range of movement, in chronic anterior shoulder pain? BMC Musculoskelet Disord. 2017;18(1):136.CrossRef
18.
go back to reference Taylor R. Interpretation of the correlation coefficient: a basic review. J Diagn Med Sonography. 1990;6(1):35–9.CrossRef Taylor R. Interpretation of the correlation coefficient: a basic review. J Diagn Med Sonography. 1990;6(1):35–9.CrossRef
19.
go back to reference Teefey SA, Rubin DA, Middleton WD, Hildebolt CF, Leibold RA, Yamaguchi K. Detection and quantification of rotator cuff tears. Comparison of ultrasonographic, magnetic resonance imaging, and arthroscopic findings in seventy-one consecutive cases. J Bone Joint Surg Am. 2004;86(4):708–16.CrossRef Teefey SA, Rubin DA, Middleton WD, Hildebolt CF, Leibold RA, Yamaguchi K. Detection and quantification of rotator cuff tears. Comparison of ultrasonographic, magnetic resonance imaging, and arthroscopic findings in seventy-one consecutive cases. J Bone Joint Surg Am. 2004;86(4):708–16.CrossRef
20.
go back to reference N-L S, L-S A. Comparison of acromiohumeral distance in symptomatic and asymptomatic patient shoulders and those of healthy controls. Clin Biomech. 2018;53:101–6.CrossRef N-L S, L-S A. Comparison of acromiohumeral distance in symptomatic and asymptomatic patient shoulders and those of healthy controls. Clin Biomech. 2018;53:101–6.CrossRef
21.
go back to reference Kozono N, Okada T, Takeuchi N, Hamai S, Higaki H, Shimoto T, Ikebe S, Gondo H, Nakanishi Y, Senju T, et al. In vivo dynamic acromiohumeral distance in shoulders with rotator cuff tears. Clin Biomech. 2018;60:95–9.CrossRef Kozono N, Okada T, Takeuchi N, Hamai S, Higaki H, Shimoto T, Ikebe S, Gondo H, Nakanishi Y, Senju T, et al. In vivo dynamic acromiohumeral distance in shoulders with rotator cuff tears. Clin Biomech. 2018;60:95–9.CrossRef
22.
go back to reference Beard DJ, Rees JL, Cook JA, Rombach I, Cooper C, Merritt N, Shirkey BA, Donovan JL, Gwilym S, Savulescu J. Arthroscopic subacromial decompression for subacromial shoulder pain (CSAW): a multicentre, pragmatic, parallel group, placebo-controlled, three-group, randomised surgical trial. Lancet. 2018;391(10118):329–38. Beard DJ, Rees JL, Cook JA, Rombach I, Cooper C, Merritt N, Shirkey BA, Donovan JL, Gwilym S, Savulescu J. Arthroscopic subacromial decompression for subacromial shoulder pain (CSAW): a multicentre, pragmatic, parallel group, placebo-controlled, three-group, randomised surgical trial. Lancet. 2018;391(10118):329–38.
23.
go back to reference Graichen H, Hinterwimmer S, von Eisenhart-Rothe R, Vogl T, Englmeier K, Eckstein F. Effect of abducting and adducting muscle activity on glenohumeral translation, scapular kinematics and subacromial space width in vivo. J Biomech. 2005;38(4):755–60.CrossRef Graichen H, Hinterwimmer S, von Eisenhart-Rothe R, Vogl T, Englmeier K, Eckstein F. Effect of abducting and adducting muscle activity on glenohumeral translation, scapular kinematics and subacromial space width in vivo. J Biomech. 2005;38(4):755–60.CrossRef
24.
go back to reference Graichen H, Stammberger T, Bonél H, Wiedemann E, Englmeier K, Reiser M, Eckstein F. Three-dimensional analysis of shoulder girdle and supraspinatus motion patterns in patients with impingement syndrome. J Orthop Res. 2001;19(6):1192–8.CrossRef Graichen H, Stammberger T, Bonél H, Wiedemann E, Englmeier K, Reiser M, Eckstein F. Three-dimensional analysis of shoulder girdle and supraspinatus motion patterns in patients with impingement syndrome. J Orthop Res. 2001;19(6):1192–8.CrossRef
25.
go back to reference Hinterwimmer S, Von Eisenhart-Rothe R, Siebert M, Putz R, Eckstein F, Vogl T, Graichen H. Influence of adducting and abducting muscle forces on the subacromial space width. Med Sci Sports Exerc. 2003;35(12):2055–9.CrossRef Hinterwimmer S, Von Eisenhart-Rothe R, Siebert M, Putz R, Eckstein F, Vogl T, Graichen H. Influence of adducting and abducting muscle forces on the subacromial space width. Med Sci Sports Exerc. 2003;35(12):2055–9.CrossRef
26.
go back to reference Pandey V, Vijayan D, Tapashetti S, Agarwal L, Kamath A, Acharya K, Maddukuri S, Willems W. Does scapular morphology affect the integrity of the rotator cuff? J Shoulder Elb Surg. 2016;25(3):413–21.CrossRef Pandey V, Vijayan D, Tapashetti S, Agarwal L, Kamath A, Acharya K, Maddukuri S, Willems W. Does scapular morphology affect the integrity of the rotator cuff? J Shoulder Elb Surg. 2016;25(3):413–21.CrossRef
27.
go back to reference Wang YC, Wang HK, Chen WS, Wang TG. Dynamic visualization of the coracoacromial ligament by ultrasound. Ultrasound Med Biol. 2009;35(8):1242–8.CrossRef Wang YC, Wang HK, Chen WS, Wang TG. Dynamic visualization of the coracoacromial ligament by ultrasound. Ultrasound Med Biol. 2009;35(8):1242–8.CrossRef
Metadata
Title
Correlation between acromiohumeral distance and the severity of supraspinatus tendon tear by ultrasound imaging in a Chinese population
Authors
Mingmin Xu
Zhenping Li
Youfa Zhou
Bin Ji
Suming Tian
Gang Chen
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2020
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/s12891-020-3109-8

Other articles of this Issue 1/2020

BMC Musculoskeletal Disorders 1/2020 Go to the issue