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Could Some Measurements of the Scapula be Related to Rotator Cuff Syndrome?

Year 2022, Volume: 19 Issue: 3, 605 - 610, 27.12.2022
https://doi.org/10.35440/hutfd.1187836

Abstract

Background: The scapula plays a unique role in shoulder movement and stability. The dimensions of the scapula and its geometry, however, are of essential importance in the pathomechanics of rotator cuff syndrome, total shoulder arthroplasty, and recurrent shoulder dislocation. The aim of this study is to determine the scapula morphology and to investigate with the relationship between rotator cuff syndrome.
Materials and Methods: This study was a retrospective, observational study, and a total of 232 radiographs, 125 of which were male and 107 were female, were analyzed. The patients were divided into two groups as follows: Patients with rotator cuff syndrome (116 patients) and patients with no history of shoulder problems (116 patients). 9 different parameters were measured: The maximum scapular length, the maximum scapular width, the scapular index, the maximum glenoid cavity length, the maximum glenoid cavity width, the glenoid cavity index, the length of acromion, the distances between the acromion and coracoid process and length of the spina scapula.
Results: The maximum scapular length, the maximum glenoid cavity length (p=0.009) and the length of spina scapula (p=0.041) were significantly different between the rotator cuff and control groups in evaluating parameters. All parameters were significantly different between male and female patients (p<0.05).
Conclusion: A detailed knowledge of scapular anatomy is essential for successful total shoulder arthroplasty or surgical treatment of disorders related to scapula and shoulder. We think that the measurements of acromion, glenoid and scapula sizes obtained from our study will help surgeons to better understand shoulder morphology and to decide on the appropriate glenoid component size for shoulder arthroplasty. The fact that the lengths of the scapula, glenoid cavity and spina scapula are significantly different in rotator cuff syndrome suggests that scapula morphology may be effective in rotator cuff syndrome.

References

  • 1. Chaijaroonkhanarak W, Amarttayakong P, Ratanasuwan S, et al. Predetermining glenoid dimensions using the scapular dimensions. European Journal of Orthopaedic Surgery & Traumatology 2018; 29(3): 559-65.
  • 2. Bayramoglu A, Demiryurek D, Tuccar E, et al. Variations in anatomy at the suprascapular notch possibly causing suprascapular nerve entrapment: an anatomical study. Knee Surg Sport Tr A 2003; 11(6): 393-8.
  • 3. Boyan N, Ozsahin E, Kizilkanat E, Soames RW, Oguz O. Assessment of Scapular Morphometry. Int J Morphol 2018; 36(4): 1305-9.
  • 4. Krobot A, Janura M, Elfmark M. Functional categorization of the individual morphology of the scapula. Med Biol Eng Comput 2009; 47(5): 497-506.
  • 5. Adewale AO, Segun OO, Usman IM, et al. Morphometric study of suprascapular notch and scapular dimensions in Ugandan dry scapulae with specific reference to the incidence of completely ossified superior transverse scapular ligament. Bmc Musculoskel Dis 2020; 21(1).
  • 6. Taser FA, Basaloglu H. Morphometric dimensions of the scapula. Ege Tıp Dergisi 2003; 42 (2): 73-80.
  • 7. Coskun N, Karaali K, Cevikol C, Demirel BM, Sindel M. Anatomical basics and variations of the scapula in Turkish adults. Saudi Medical Journal 2006; 27(9): 1320-5.
  • 8. Mallon WJ BH, Vogler JB, Martinez S. Radiographic scapular anatomy. Clin Orthop 1992; 277:: 142-54.
  • 9. Polguj M, Jedrzejewski KS, Podgorski M, Topol M. Correlation between morphometry of the suprascapular notch and anthropometric measurements of the scapula. Folia Morphol 2011; 70(2): 109-15.
  • 10. Guo XG, Ou M, Yi G, et al. Correction between the Morphology of Acromion and Acromial Angle in Chinese Population: A Study on 292 Scapulas. Biomed Research International 2018; 2018.
  • 11. Gupta S, Magotra R, Kour M. Morphometric Analysis of Glenoid Fossa of Scapula. J Evol Med Dent Sci- 2015; 4(45): 7761-6.
  • 12. Churchill RS, Brems JJ, Kotschi H. Glenoid size, inclination, and version: An anatomic study. J Shoulder Elb Surg 2001; 10(4): 327-32.
  • 13. Von Schroeder HP, Kuiper SD, Botte MJ. Osseous anatomy of the scapula. Clin Orthop Relat Res 2001; (383): 131-9.

Scapula ile İlgili Bazı Ölçümler Rotator Cuff Sendromu ile İlgili Olabilir mi?

Year 2022, Volume: 19 Issue: 3, 605 - 610, 27.12.2022
https://doi.org/10.35440/hutfd.1187836

Abstract

Amaç: Scapula, omuz hareketi ve stabilitesinde benzersiz bir rol oynar. Bununla birlikte, scapula’nın boyutları ve geometrisi, rotator cuff sendromu, total omuz artroplastisi ve tekrarlayan omuz çıkığının patomekaniğinde çok önemlidir. Bu çalışmanın amacı scapula morfolojisini belirlemek ve rotator cuff sendromu ile ilişkisini araştırmaktır.
Materyal Metot: Bu çalışma 125 tanesi erkeğe ve 107 tanesi kadına ait olmak üzere toplam 232 radyografi görüntüsünün incelendiği retrospektif ve gözlemsel bir çalışmadır. Hastalar rotator cuff sendromu olan (116 hasta) ve omuz problemi olmayan hastalar (116 hasta) olmak üzere iki gruba ayrıldı. 9 farklı parametre ölçüldü: Maksimum scapular uzunluk, maksimum scapular genişlik, scapular indeks, maksimum cavitas glenoidalis uzunluğu, maksimum cavitas glenoidalis genişliği, cavitas glenoidalis indeksi, acromion uzunluğu, acromion ile proc. coracoideus arasındaki mesafe ve spina scapula uzunluğu.
Bulgular: Parametrelerin değerlendirilmesinde rotator cuff sendromu olan ve herhangi bir omuz problemi olmayan gruplar arasında maksimum scapular uzunluk, maksimum cavitas glenoidalis uzunluğu (p=0,009) ve spina scapula uzunluğu (p=0,041) anlamlı olarak farklıydı. Tüm parametreler erkek ve kadın hastalar arasında anlamlı olarak farklıydı (p<0.05).
Sonuç: Başarılı bir total omuz artroplastisi veya skapula ve omuz ile ilgili bozuklukların cerrahi tedavisi için ayrıntılı bir skapular anatomi bilgisi gereklidir. Çalışmamızdan elde edilen acromion, glenoid ve scapula boyutlarının ölçümlerinin cerrahların omuz morfolojisini daha iyi anlamalarına ve omuz artroplastisi için uygun glenoid komponent boyutuna karar vermelerine yardımcı olacağını düşünüyoruz. Rotator cuff sendromunda scapula, cavitas glenoidalis ve spina scapula uzunluklarının anlamlı derecede farklı olması rotator cuff sendromunda scapula morfolojisinin etkili olabileceğini düşündürmektedir.

References

  • 1. Chaijaroonkhanarak W, Amarttayakong P, Ratanasuwan S, et al. Predetermining glenoid dimensions using the scapular dimensions. European Journal of Orthopaedic Surgery & Traumatology 2018; 29(3): 559-65.
  • 2. Bayramoglu A, Demiryurek D, Tuccar E, et al. Variations in anatomy at the suprascapular notch possibly causing suprascapular nerve entrapment: an anatomical study. Knee Surg Sport Tr A 2003; 11(6): 393-8.
  • 3. Boyan N, Ozsahin E, Kizilkanat E, Soames RW, Oguz O. Assessment of Scapular Morphometry. Int J Morphol 2018; 36(4): 1305-9.
  • 4. Krobot A, Janura M, Elfmark M. Functional categorization of the individual morphology of the scapula. Med Biol Eng Comput 2009; 47(5): 497-506.
  • 5. Adewale AO, Segun OO, Usman IM, et al. Morphometric study of suprascapular notch and scapular dimensions in Ugandan dry scapulae with specific reference to the incidence of completely ossified superior transverse scapular ligament. Bmc Musculoskel Dis 2020; 21(1).
  • 6. Taser FA, Basaloglu H. Morphometric dimensions of the scapula. Ege Tıp Dergisi 2003; 42 (2): 73-80.
  • 7. Coskun N, Karaali K, Cevikol C, Demirel BM, Sindel M. Anatomical basics and variations of the scapula in Turkish adults. Saudi Medical Journal 2006; 27(9): 1320-5.
  • 8. Mallon WJ BH, Vogler JB, Martinez S. Radiographic scapular anatomy. Clin Orthop 1992; 277:: 142-54.
  • 9. Polguj M, Jedrzejewski KS, Podgorski M, Topol M. Correlation between morphometry of the suprascapular notch and anthropometric measurements of the scapula. Folia Morphol 2011; 70(2): 109-15.
  • 10. Guo XG, Ou M, Yi G, et al. Correction between the Morphology of Acromion and Acromial Angle in Chinese Population: A Study on 292 Scapulas. Biomed Research International 2018; 2018.
  • 11. Gupta S, Magotra R, Kour M. Morphometric Analysis of Glenoid Fossa of Scapula. J Evol Med Dent Sci- 2015; 4(45): 7761-6.
  • 12. Churchill RS, Brems JJ, Kotschi H. Glenoid size, inclination, and version: An anatomic study. J Shoulder Elb Surg 2001; 10(4): 327-32.
  • 13. Von Schroeder HP, Kuiper SD, Botte MJ. Osseous anatomy of the scapula. Clin Orthop Relat Res 2001; (383): 131-9.
There are 13 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Research Article
Authors

Büşra Candan 0000-0002-5138-5583

Ebru Torun 0000-0003-0879-5285

Publication Date December 27, 2022
Submission Date October 12, 2022
Acceptance Date November 25, 2022
Published in Issue Year 2022 Volume: 19 Issue: 3

Cite

Vancouver Candan B, Torun E. Could Some Measurements of the Scapula be Related to Rotator Cuff Syndrome?. Harran Üniversitesi Tıp Fakültesi Dergisi. 2022;19(3):605-10.

Harran Üniversitesi Tıp Fakültesi Dergisi  / Journal of Harran University Medical Faculty