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The effect of arthroscopic coracoplasty on subscapularis strength in cases of subcoracoid impingement in the absence of subscapularis tear.
Açan, Ahmet Emrah; Hapa, Onur; Gursan, Onur; Türemis, Cihangir; Kürsat Simsek, Muhammet; Dilek, Banu; Balci, Ali.
Afiliación
  • Açan AE; Department of Orthopedics and Traumatology, Faculty of Medicine, Balikesir University, Balikesir, Turkey.
  • Hapa O; Department of Orthopedics and Traumatology, Faculty of Medicine, Dokuz Eylül University, Izmir, Turkey.
  • Gursan O; Department of Orthopedics and Traumatology, Faculty of Medicine, Dokuz Eylül University, Izmir, Turkey.
  • Türemis C; Department of Orthopedics and Traumatology, Çesme State Hospital, Izmir, Turkey.
  • Kürsat Simsek M; Department of Radiology, Faculty of Medicine, Dokuz Eylül University, Izmir, Turkey.
  • Dilek B; Department of Physical Treatment and Rehabilitation, Faculty of Medicine, Dokuz Eylül University, Izmir, Turkey.
  • Balci A; Department of Radiology, Faculty of Medicine, Dokuz Eylül University, Izmir, Turkey.
Medicine (Baltimore) ; 103(3): e36947, 2024 Jan 19.
Article en En | MEDLINE | ID: mdl-38241576
ABSTRACT
Subcoracoid impingement leads to anterior shoulder pain, and arthroscopic subcoracoid decompression (coracoplasty) is the preferred treatment in recalcitrant cases. The purpose of the present study was to evaluate the effect of coracoplasty on the severity of anterior shoulder pain and the strength of the subscapularis muscle and to correlate it with the preoperative and postoperative coracohumeral distance (CHD) (ttransverse, ssagittal). Sixteen patients without any subscapularis tendon tears who underwent arthroscopic subcoracoid decompression and rotator cuff repair with 2 years follow-up were included. Preoperative and postoperative 2-year assessments of function and pain were performed using the modified Kennedy-Hawkins test, power grading of various subscapularis muscle tests, and ASES scores. Preoperative and postoperative coracohumeral distance (tCHD, sCHD) and coracoid overlap (CO) were measured using MRIs before and after surgery. The Mean Hawkins pain score and coracoid overlap were decreased. The strength scores for subscapularis strength testing, ASES score, maximum degree of internal rotation, and coracohumeral distance increased (P < .05). Changes in belly press strength were negatively correlated with postoperative tCHD (r = -0.6, P = .04) and postoperative sCHD (r = -0.7, P = .008). A significant increase in the internal rotation range of the shoulder, subscapularis strength, and relief of anterior shoulder pain was observed. However, this increase was inversely proportional to the postoperative CHD, indicating the mechanical effect of the coracoid on subscapularis strength.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Articulación del Hombro / Laceraciones / Lesiones del Manguito de los Rotadores Tipo de estudio: Etiology_studies / Observational_studies Límite: Humans Idioma: En Revista: Medicine (Baltimore) Año: 2024 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Articulación del Hombro / Laceraciones / Lesiones del Manguito de los Rotadores Tipo de estudio: Etiology_studies / Observational_studies Límite: Humans Idioma: En Revista: Medicine (Baltimore) Año: 2024 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Estados Unidos