Is it the subcoracoid impingement or the subacromial impingement that tears the subscapularis tendon? A comparison of the MRI findings of the operated and healthy shoulders of the patients
 
Yazarlar (7)
Mehmet Cetinkaya Basaksehir Cam And Sakura City Hospital, Türkiye
Ahmet Yigit Kaptan Harran University, Faculty Of Medicine, Türkiye
Coskun Ulucakoey
Dr. Abdurrahman Yurtaslan Oncology Training And Research Hospital, Türkiye
Oezlem Orhan Harran University, Faculty Of Medicine, Türkiye
Doç. Dr. Murat TOPAL Kastamonu Üniversitesi, Türkiye
Tacettin Ayanoglu Abant Izzet Baysal University, Faculty Of Medicine, Türkiye
Ulunay Kanatli Gazi University, Faculty Of Medicine, Türkiye
Makale Türü Açık Erişim Özgün Makale (SSCI, AHCI, SCI, SCI-Exp dergilerinde yayınlanan tam makale)
Dergi Adı Turkish Journal of Medical Sciences (Q2)
Dergi ISSN 1300-0144 Wos Dergi Scopus Dergi
Makale Dili İngilizce Basım Tarihi 01-2023
Cilt / Sayı / Sayfa 53 / 1 / 273–281 DOI 10.55730/1300-0144.5582
Makale Linki https://journals.tubitak.gov.tr/medical/vol53/iss1/32/
Özet
Background/aim The purpose of this study is to investigate whether the etiological factors accepted as causes of idiopathic subscapularis tears are true or not when the comparison is made with the opposite side healthy shoulder of the patients who underwent arthroscopic repair for an isolated subscapularis tear. Materials and methods Sixteen patients who underwent shoulder arthroscopy between February 2016 and January 2018 and were diagnosed with isolated subscapularis tear were evaluated. The coracohumeral distance (CHDax), coracoid overlap (CO), and tuberculum minus cysts (TMC) were evaluated on the axial images of the MRI studies while the acromiohumeral distance (AHDsag), CHDsag, and subscapularis tendon slip number (STSN) on the sagittal oblique images and the AHDcor and SLAP lesion on the coronal oblique images. Degeneration of the coracoacromial ligament was evaluated during arthroscopy. Results The mean CHDsag (11.26-10.08), CHDax (10.63-9.98), CO (14.2-15.43), AHDsag (8-7.66), and AHDcor (7.65-7.68) measurements (operated side-healthy side, respectively) were statistically similar (p> 0.05). No statistically significant difference was found between TMC and STSN in healthy and operated shoulders (p> 0.05). There was mild coracoacromial ligament fraying in 4 (25%) and obvious coracoacromial ligament fraying in 8 (50%) which indicated subacromial impingement in 75% of the patients. Conclusion The parameters of the coracoid process did not reveal any significant difference between the operated (for an isolated subscapularis tear) and opposite-side healthy shoulders of the patients …
Anahtar Kelimeler
subacromial impingement | subcoracoid impingement | subscapularis tear | Subscapularis tendon