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Transcending Patient Morphometry: Acromiohumeral Interval to Glenoid Ratio as a Universal Diagnostic Tool for Massive Rotator Cuff Tears.
Sakdapanichkul, Chidchanok; Chantarapitak, Napat; Kasemwong, Nichaphat; Suwanalai, Janyavath; Wimolsate, Triwish; Jirawasinroj, Thunwarath; Sakolsujin, Thitiporn; Kongmalai, Pinkawas.
Afiliación
  • Sakdapanichkul C; Center of Excellence in Upper Extremity Reconstruction and Sports Medicine, HRH Princess Maha Chakri Sirindhorn Medical Center, Department of Orthopaedics, Faculty of Medicine, Srinakharinwirot University, Nakhon Nayok, Thailand.
  • Chantarapitak N; Department of Orthopaedics, Nopparat Rajathanee Hospital, Bangkok, Thailand.
  • Kasemwong N; Center of Excellence in Upper Extremity Reconstruction and Sports Medicine, HRH Princess Maha Chakri Sirindhorn Medical Center, Department of Orthopaedics, Faculty of Medicine, Srinakharinwirot University, Nakhon Nayok, Thailand.
  • Suwanalai J; Center of Excellence in Upper Extremity Reconstruction and Sports Medicine, HRH Princess Maha Chakri Sirindhorn Medical Center, Department of Orthopaedics, Faculty of Medicine, Srinakharinwirot University, Nakhon Nayok, Thailand.
  • Wimolsate T; Center of Excellence in Upper Extremity Reconstruction and Sports Medicine, HRH Princess Maha Chakri Sirindhorn Medical Center, Department of Orthopaedics, Faculty of Medicine, Srinakharinwirot University, Nakhon Nayok, Thailand.
  • Jirawasinroj T; Center of Excellence in Upper Extremity Reconstruction and Sports Medicine, HRH Princess Maha Chakri Sirindhorn Medical Center, Department of Orthopaedics, Faculty of Medicine, Srinakharinwirot University, Nakhon Nayok, Thailand.
  • Sakolsujin T; Center of Excellence in Upper Extremity Reconstruction and Sports Medicine, HRH Princess Maha Chakri Sirindhorn Medical Center, Department of Orthopaedics, Faculty of Medicine, Srinakharinwirot University, Nakhon Nayok, Thailand.
  • Kongmalai P; Center of Excellence in Upper Extremity Reconstruction and Sports Medicine, HRH Princess Maha Chakri Sirindhorn Medical Center, Department of Orthopaedics, Faculty of Medicine, Srinakharinwirot University, Nakhon Nayok, Thailand.
Clin Orthop Surg ; 16(4): 578-585, 2024 Aug.
Article en En | MEDLINE | ID: mdl-39092296
ABSTRACT

Background:

Morphological differences among various ethnicities can significantly impact the reliability of acromiohumeral interval (AHI) measurements in diagnosing massive rotator cuff tears. This variation raises questions about the generalizability of AHI studies conducted in Western populations to the Asian population. Consequently, the primary objective of this study was to develop a novel parameter that can enhance the diagnosis of massive rotator cuff tears, irrespective of morphometric disparities between individuals of different ethnic backgrounds.

Methods:

A 10-year retrospective analysis of shoulder arthroscopic surgery patients was conducted, categorizing them into 3 groups based on intraoperative

findings:

those without rotator cuff tears, those with non-massive tears, and those with massive tears. AHI-glenoid ratio (AHIGR) was measured by individuals with varying academic backgrounds, and its diagnostic performance was compared to AHI. Sensitivity, specificity, accuracy, and intra- and inter-rater reliability were evaluated.

Results:

AHIGR exhibited significantly improved sensitivity, specificity, and accuracy as a diagnostic tool for massive rotator cuff tears, compared to AHI. A proposed cut-off point of AHIGR ≤ 0.2 yielded comparable results to AHI < 7 mm. Intra- and inter-rater reliability was excellent among different observers.

Conclusions:

AHIGR emerges as a promising diagnostic tool for massive rotator cuff tears, offering improved sensitivity and specificity compared to AHI. Its reproducibility among diverse observers underscores its potential clinical utility. While further research with larger and more diverse patient cohorts is necessary, AHIGR offers significant potential as a reference for enhancing the assessment of massive rotator cuff tears.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Lesiones del Manguito de los Rotadores Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Clin Orthop Surg Asunto de la revista: ORTOPEDIA Año: 2024 Tipo del documento: Article País de afiliación: Tailandia Pais de publicación: Corea del Sur
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Lesiones del Manguito de los Rotadores Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Clin Orthop Surg Asunto de la revista: ORTOPEDIA Año: 2024 Tipo del documento: Article País de afiliación: Tailandia Pais de publicación: Corea del Sur