Öz
Amaç: Çalışmamızdaki amacımız, omuz sıkışmasında etkili olduğunu düşündüğümüz korakoid morfolojisini ve korakohumeral mesafeyi ortaya koymaktır.
Gereç ve Yöntem: Her iki omuzda korakoglenoidal aralık tipi, korakoid açılanması ve korakohumeral mesafeler ölçüldü. Olguların yaş, cinsiyet, taraf, boy uzunluğu ve el dominansı ile elde edilen sonuçlar arasındaki korelasyonlar değerlendirildi.
Bulgular: Her iki omuz korakohumeral mesafe değerleri erkeklerde kadınlardan daha yüksek bulundu (p<0,05). Yaş ile korakoid açılanma ve korakohumeral mesafe değerleri arasında negatif korelasyon tespit edildi (p<0,05). Olguların boy uzunluklarıyla korakohumeral mesafe değerleri arasında pozitif korelasyon görüldü (p<0,05). Her iki cinsiyette açılanma değerleriyle korakohumeral mesafe değerleri arasında herhangi bir korelasyon tespit edilmedi.
Sonuç: Çalışmamız, korakoid açılanması ve korakohumeral mesafe değerlerini ortaya koymanın yanısıra, el dominansı ve korakoid açılanmanın korakohumeral mesafe üzerinde etkisi olmadığını göstermiştir.
Anahtar Kelimeler
Korakoid Korakohumeral mesafe Subkorakoidal sıkışma Subskapularis kası
Kaynakça
- 1. De Witte P, Nagels J, van Arkel ER, Visser CP, Nelissen RG, de Groot JH. Study protocol subacromial impingement syndrome: the identification of pathophysiologic mechanisms (SISTIM). BMC Musculoskelet Disord. 2011;12:282.
- 2. Seitz AL, McClure PW, Finucane S, Boardman ND 3rd, Michener LA. Mechanisms of rotator cuff tendinopathy: intrinsic, extrinsic, or both? ClinBiomech (Bristol Avon). 2011;26(1):1-12.
- 3. Cezayir E, Ateş Y, Ersoy M, Tekdemir I. Akromion ve korakoakromiyal kavsin morfometrik anatomisi. Acta Orthop Traumatol Turc.1995;29(3):224-226.
- 4. Le Reun O, Lebhar J, Mateos F, Voisin JL, Thomazeau H, Ropars M. Anatomical and morphological study of the subcoracoacromial canal. Orthop Traumatol Surg Res. 2016;102(8S):S295-S299.
- 5. Cunningham G, Lädermann A Redefining anterior shoulder impingement: a literature review. Int Orthop. 2018;42(2):359-366.
- 6. Lo IK, Parten PM, Burkhart SS. Combined subcoracoid and subacromial impingement in association with anterosuperior rotator cuff tears: An arthroscopic approach. Arthroscopy. 2003;19(10):1068-78.
- 7. Lo IK, Burkhart SS. The etiology and assessment of subscapularis tendon tears: a case for subcoracoid impingement, the roller-wringer effect, and TUFF lesions of the subscapularis. Arthroscopy. 2003;19(10):1142-50.
- 8. Balke M, Banerjee M, Greshake O, Hoeher J, Bouillon B, Liem D. The coracohumeral distance in shoulders with traumatic and degenerative subscapularis tendon tears. Am J Sports Med. 2016;44(1):198-201.
- 9. Giaroli EL, Major NM, Lemley DE, Lee J. Coracohumeral interval imaging in subcoracoid impingement syndrome on MRI. AJR Am J Roentgenol. 2006;186(1):242-6.
- 10. Dugarte AJ, Davis RJ, Lynch TS, Schickendantz MS, Farrow LD. Anatomic Study of Subcoracoid Morphology in 418 Shoulders: Potential Implications for Subcoracoid Impingement.Orthop J Sports Med. 2017;5(10):2325967117731996.
- 11. Gumina S, Postacchini F, Orsina L, Cinotti G. The morphometry of the coracoid process - it’s aetiologic role in subcoracoid impingement syndrome. Int Orthop. 1999;23(4):198-201.
- 12. Arrigoni P, Brady PC, Burkhart SS. Calcific tendonitis of the subscapularis tendon causing subcoracoid stenosis and coracoid impingement. Arthroscopy.2006;22(10):1139.e1-3.
- 13. Cetinkaya M, Ataoglu MB, Ozer M, Ayanoglu T, Kanatli U. Subscapularis tendon slip number and coracoid overlap are more related parameters for subcoracoid impingement in subscapularis tears: a magnetic resonance imaging comparison study. Arthroscopy. 2017;33(4):734-42.
- 14. Hekimoğlu B, Aydın H, Kızılgöz V, Tatar IG, Ersan O. Quantitative measurement of humeroacromial, humericoracoid and coracoclavicular intervals for the diagnosis of subacromial and subcoracoid impingement of shoulder joint. Clin Imaging. 2013;37(2):201-10.
- 15. Gerber C, Terrier F, Zehdner R, Ganz R. The subcoracoid space.An anatomic study. Clin Orthop Relat Res 1987;(215):132-8.
- 16. Leite MJ, Sá MC, Lopes MJ, Matos RM, Sousa AN, Torres JM. Coracohumeral distance and coracoid overlap as predictors of subscapularis and long head of the biceps injuries. J Shoulder Elbow Surg. 2019;28(9):1723-1727.
- 17. Verma U, Singroha R, Malik P, Rathee SK.A study on morphometry of coracoid process of scapula in north Indian population. Int J Res Med Sci. 2017;5(11):4970-4974.
- 18. Brunkhorst JP, Giphart JE, LaPrade RF, Millett PJ. Coracohumeral distances and correlation to arm rotation: An in vivo3-dimensional biplane fluoroscopy study. Orthop J Sports Med. 2013;1(2):2325967113496059.
- 19. Kleist KD, Freehill MQ, Hamilton L, Buss DD, Fritts H. Computed tomography analysis of the coracoid process and anatomic structures of the shoulder after arthroscopic coracoid decompression: a cadaveric study. J Shoulder Elbow Surg. 2007;16(2):245-50.
- 20. Suenaga N, Minami A, Kaneda K. Postoperative subcoracoid impingement syndrome in patients with rotator cuff tear. J Shoulder Elbow Surg. 2000;9(4):275-8.
- 21. Park JY, Lhee SH, Oh KS, Kim NR, Hwang JT. Is arthroscopic coracoplasty necessary in subcoracoid impingement syndrome? Arthroscopy. 2012;28(12):1766-75.
- 22. Freehill MQ. Coracoid impingement: diagnosis and treatment. J Am Acad Orthop Surg. 2011;19(4):191-7.
- 23. Asal N, Şahan MH. Radiological Variabilities in Subcoracoid Impingement: Coracoid Morphology, Coracohumeral Distance, Coracoglenoid Angle, and CoracohumeralAngle. Med Sci Monit.2018;24:8678-8684.
- 24. Richards DP, Burkhart SS, Campbell SE. Relation between narrowed coracohumeral distance and subscapularis tears. Arthroscopy. 2005;21(10):1223-8.
- 25. MacMahon PJ, Taylor DH, Duke D, Brennan DD, O’Brien J, Eustace SJ. Contribution of full-thickness supraspinatus tendon tears to acquired subcoracoid impingement. Clin Radiol. 2007;62(6):556-63.
Öz
Aim: To reveal the coracoid morphology and coracohumeral distance, which is believed to have an impact on shoulder impingement.
Materials and Methods: The type of the coracoglenoidal space, coracoid angulation and coracohumeral distances were assessed for both shoulders. Correlations between age, gender, side, height and hand dominance of the cases were investigated.
Results: The coracohumeral distance values were significantly higher in both shoulders in males (p<0,05). A negative correlation was found between age and the coracoid angulation and coracohumeral distance values (p<0,05). A positive correlation was detected between the height and the coracohumeral distance of the cases (p<0,05). There was no correlation between the angulation values and the coracohumeral distance values in both genders.
Conclusion: The current study has revealed the values of coracoid angulation and coracohumeral distance values. It has also demonstrated that hand dominance and coracoid angulation did not have an impact on the coracohumeral distance.
Anahtar Kelimeler
Coracoid Coracohumeral distance Subcoracoid impingement Subscapularis muscle
Kaynakça
- 1. De Witte P, Nagels J, van Arkel ER, Visser CP, Nelissen RG, de Groot JH. Study protocol subacromial impingement syndrome: the identification of pathophysiologic mechanisms (SISTIM). BMC Musculoskelet Disord. 2011;12:282.
- 2. Seitz AL, McClure PW, Finucane S, Boardman ND 3rd, Michener LA. Mechanisms of rotator cuff tendinopathy: intrinsic, extrinsic, or both? ClinBiomech (Bristol Avon). 2011;26(1):1-12.
- 3. Cezayir E, Ateş Y, Ersoy M, Tekdemir I. Akromion ve korakoakromiyal kavsin morfometrik anatomisi. Acta Orthop Traumatol Turc.1995;29(3):224-226.
- 4. Le Reun O, Lebhar J, Mateos F, Voisin JL, Thomazeau H, Ropars M. Anatomical and morphological study of the subcoracoacromial canal. Orthop Traumatol Surg Res. 2016;102(8S):S295-S299.
- 5. Cunningham G, Lädermann A Redefining anterior shoulder impingement: a literature review. Int Orthop. 2018;42(2):359-366.
- 6. Lo IK, Parten PM, Burkhart SS. Combined subcoracoid and subacromial impingement in association with anterosuperior rotator cuff tears: An arthroscopic approach. Arthroscopy. 2003;19(10):1068-78.
- 7. Lo IK, Burkhart SS. The etiology and assessment of subscapularis tendon tears: a case for subcoracoid impingement, the roller-wringer effect, and TUFF lesions of the subscapularis. Arthroscopy. 2003;19(10):1142-50.
- 8. Balke M, Banerjee M, Greshake O, Hoeher J, Bouillon B, Liem D. The coracohumeral distance in shoulders with traumatic and degenerative subscapularis tendon tears. Am J Sports Med. 2016;44(1):198-201.
- 9. Giaroli EL, Major NM, Lemley DE, Lee J. Coracohumeral interval imaging in subcoracoid impingement syndrome on MRI. AJR Am J Roentgenol. 2006;186(1):242-6.
- 10. Dugarte AJ, Davis RJ, Lynch TS, Schickendantz MS, Farrow LD. Anatomic Study of Subcoracoid Morphology in 418 Shoulders: Potential Implications for Subcoracoid Impingement.Orthop J Sports Med. 2017;5(10):2325967117731996.
- 11. Gumina S, Postacchini F, Orsina L, Cinotti G. The morphometry of the coracoid process - it’s aetiologic role in subcoracoid impingement syndrome. Int Orthop. 1999;23(4):198-201.
- 12. Arrigoni P, Brady PC, Burkhart SS. Calcific tendonitis of the subscapularis tendon causing subcoracoid stenosis and coracoid impingement. Arthroscopy.2006;22(10):1139.e1-3.
- 13. Cetinkaya M, Ataoglu MB, Ozer M, Ayanoglu T, Kanatli U. Subscapularis tendon slip number and coracoid overlap are more related parameters for subcoracoid impingement in subscapularis tears: a magnetic resonance imaging comparison study. Arthroscopy. 2017;33(4):734-42.
- 14. Hekimoğlu B, Aydın H, Kızılgöz V, Tatar IG, Ersan O. Quantitative measurement of humeroacromial, humericoracoid and coracoclavicular intervals for the diagnosis of subacromial and subcoracoid impingement of shoulder joint. Clin Imaging. 2013;37(2):201-10.
- 15. Gerber C, Terrier F, Zehdner R, Ganz R. The subcoracoid space.An anatomic study. Clin Orthop Relat Res 1987;(215):132-8.
- 16. Leite MJ, Sá MC, Lopes MJ, Matos RM, Sousa AN, Torres JM. Coracohumeral distance and coracoid overlap as predictors of subscapularis and long head of the biceps injuries. J Shoulder Elbow Surg. 2019;28(9):1723-1727.
- 17. Verma U, Singroha R, Malik P, Rathee SK.A study on morphometry of coracoid process of scapula in north Indian population. Int J Res Med Sci. 2017;5(11):4970-4974.
- 18. Brunkhorst JP, Giphart JE, LaPrade RF, Millett PJ. Coracohumeral distances and correlation to arm rotation: An in vivo3-dimensional biplane fluoroscopy study. Orthop J Sports Med. 2013;1(2):2325967113496059.
- 19. Kleist KD, Freehill MQ, Hamilton L, Buss DD, Fritts H. Computed tomography analysis of the coracoid process and anatomic structures of the shoulder after arthroscopic coracoid decompression: a cadaveric study. J Shoulder Elbow Surg. 2007;16(2):245-50.
- 20. Suenaga N, Minami A, Kaneda K. Postoperative subcoracoid impingement syndrome in patients with rotator cuff tear. J Shoulder Elbow Surg. 2000;9(4):275-8.
- 21. Park JY, Lhee SH, Oh KS, Kim NR, Hwang JT. Is arthroscopic coracoplasty necessary in subcoracoid impingement syndrome? Arthroscopy. 2012;28(12):1766-75.
- 22. Freehill MQ. Coracoid impingement: diagnosis and treatment. J Am Acad Orthop Surg. 2011;19(4):191-7.
- 23. Asal N, Şahan MH. Radiological Variabilities in Subcoracoid Impingement: Coracoid Morphology, Coracohumeral Distance, Coracoglenoid Angle, and CoracohumeralAngle. Med Sci Monit.2018;24:8678-8684.
- 24. Richards DP, Burkhart SS, Campbell SE. Relation between narrowed coracohumeral distance and subscapularis tears. Arthroscopy. 2005;21(10):1223-8.
- 25. MacMahon PJ, Taylor DH, Duke D, Brennan DD, O’Brien J, Eustace SJ. Contribution of full-thickness supraspinatus tendon tears to acquired subcoracoid impingement. Clin Radiol. 2007;62(6):556-63.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Araştırma Makalesi |
| Yazarlar | |
| Yayımlanma Tarihi | 30 Ağustos 2020 |
| Gönderilme Tarihi | 1 Nisan 2020 |
| Kabul Tarihi | 14 Mayıs 2020 |
| Yayımlandığı Sayı | Yıl 2020 Cilt: 6 Sayı: 2 |
