Journal of Shoulder and Elbow Surgery
Article in Press
Relationship of radiographic acromial characteristics and rotator cuff disease: a prospective investigation of clinical, radiographic, and sonographic findings
Nady Hamid, MD, Reza Omid, MD, Ken Yamaguchi, MD
Conclusions
1.-The presence of an acromial spur at the acromial insertion of the coracoacromial ligament is highly associated with the presence of a full-thickness rotator cuff tear in both symptomatic and asymptomatic subjects, even after controlling for confounding variables such as age and sex.
2.-Spurs measuring greater than 5 mm are associated with larger rotator cuff tears.
3.-Acromial morphology is an unreliable classification system with poor interobserver reliability. (***)
4.-The acromial index is associated with the development of pain in previously asymptomatic shoulders, but shows no association with the presence of rotator cuff disease.
(***) Reflexionem d'una vegada la class de Bigliani no es útil en el maneig de les lesions del manegot.
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