Volume 3, Issue 6, November 2017, Page: 78-81
Relationship of Acromial Morphology and Rotator Cuff Integrity
Mohammed El Idrissi, Department of Orthopeadic Surgery B4, Hassan II University Hospital, Fez, Morocco
Abdelhalim Elibrahimi, Department of Orthopeadic Surgery B4, Hassan II University Hospital, Fez, Morocco
Abdelmajid Elmrini, Department of Orthopeadic Surgery B4, Hassan II University Hospital, Fez, Morocco
Received: May 11, 2017;       Accepted: May 22, 2017;       Published: Nov. 28, 2017
DOI: 10.11648/j.ijcems.20170306.13      View  2734      Downloads  160
The influence of individual acromial morphology on the pathogenesis of rotator cuff tears remains controversial. Since Neer first described the impingement syndrome, several authors have described the morphology of the acromion. In this study, we try to find a physiopathological correlation between the anatomical morphology of the acromion based on these two recently descripted parameters (Acromial index and Critical Shoulder Angle) and rotator cuff tears. Thirty-six consecutive conventional rotator cuff repair patients were retrospectively reviewed at our institution. Standardized, true anteroposterior radiographs with the arm in the neutral position were used to assess the acromion index, and the critical shoulder angle according. On standardized outlet views, the acromion morphology was classified according to Bigliani and Morrison. The acromion was flat in 2 patients (6%), curve (type 2) in eight patients, and hooked. The mean acromial index was 0.7. The mean critical shoulder angle was 37°. Acromial morphology plays without any doubt an important role in the pathogenesis impingement and its evolution to cuff rotator tears. The results of our study confirm the importance of a more comprehensive evaluation of the morphology of the acromion, which take in consideration not only acromial shape, but especially its lateral extension evaluated by the acromial index and the critical angle of the shoulder.
Acromion Index, Critical Shoulder Angle, Rotator Cuff Tears
To cite this article
Mohammed El Idrissi, Abdelhalim Elibrahimi, Abdelmajid Elmrini, Relationship of Acromial Morphology and Rotator Cuff Integrity, International Journal of Clinical and Experimental Medical Sciences. Vol. 3, No. 6, 2017, pp. 78-81. doi: 10.11648/j.ijcems.20170306.13
Copyright © 2017 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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