OBJECTIVE To correlate the acromial curvature, using the angles proposed, with the subacromial space and types of acromion. METHODS Ninety scapulas were studied. The acromia were classified as types I, II or III. The acromial curvature was analyzed by means of the alpha, beta and theta angles. We also measured the distance between the anteroinferior extremity of the acromion and the supraglen...

PURPOSE To retrospectively and quantitatively analyze the acromial undersurface in three dimensions and to determine its association with impingement syndrome and rotator cuff tears. MATERIALS AND METHODS Institutional review board approval was received with exemption of informed consent for this retrospective HIPAA-compliant study. Magnetic resonance images were evaluated in 84 patients (63 ...

Background: Subacromial impingement syndrome is considered by many to be the most common of the musculoskeletal conditions affecting the shoulder. It is based on a hypothesis that acromial irritation leads to external abrasion of the bursa and rotator cuff. Objectives: The aim of this paper is to review the evidence for the acromial irritation theory and in doing so challenge the rationale for ...

BACKGROUND The etiology of rotator cuff disease is age related, as documented by prevalence data. Despite conflicting results, growing evidence suggests that distinct scapular morphologies may accelerate the underlying degenerative process. The purpose of the present study was to evaluate the predictive power of 5 commonly used radiologic parameters of scapular morphology to discriminate betwee...

OBJECTIVE To investigate the technical feasibility of harvesting a vascularized bone graft from the acromion pedicled on the acromial branch. BACKGROUND Complex fractures of the proximal humerus may result in partial or total avascular necrosis of the head fragment. Treatment of avascular necrosis of the humeral head is dependent upon the stage of disease as well as the dimension and location...

Ninety-seven patients suffering from painful arc syndrome of the shoulder were studied. Local anaesthetic and radiographic contrast investigations were carried out. One-third of the patients had lesions in the posterior part of the rotator cuff which resolved after injections of local anaesthetic and steroid. One-third had anterior lesions in the subscapularis tendon: almost all resolved under ...

OBJECTIVE To evaluate the clinical-radiographic subacromial disease symptoms correlated with adaptation of the measure of lateral acromion angle and its respective measuring radiographic acromial index. METHODS In the period between october 2010 and february 2011 were evaluated 55 painful shoulders with Neer test and true anteroposterior radiography. Patients were divided into two groups, wit...

PURPOSE To evaluate the effect of arthroscopic acromioplasty on the anterior deltoid origin. TYPE OF STUDY In vitro cadaveric histologic study. METHODS We performed a histologic evaluation of the anterior aspect of 15 acromions, the parameters of the anatomy of the anterior acromion, including the deltoid origin, and the morphology of the acromion. A simulated arthroscopic acromioplasty was...

The minimal anterolateral acromial approach offers a less invasive access to the proximal humerus. Functional impairment following this procedure may be caused by paresis of the deltoid muscle as a result of iatrogenic injury to the axillary nerve. It was addressed whether electromyography (EMG) of the deltoid muscle gives evidence for an axillary nerve lesion in association with the minimal an...

Radiographs of the shoulders of 84 asymptomatic individuals aged between 40 and 83 years were evaluated to determine changes in 23 specific areas. Two fellowship-trained orthopaedic radiologists graded each area on a scale of 0 to II (normal 0, mild changes I, advanced changes II). Logistic regression analysis indicated age to be a significant predictor of change (p < 0.05) for sclerosis of the...