Is it the subcoracoid impingement or the subacromial impingement that tears the subscapularis tendon? A comparison of the MRI findings of the operated and healthy shoulders of the patients

Ayanoğlu, Tacettin; Kaptan, Ahmet Yiğit; orhan, özlem; Cetinkaya, Mehmet; Ulucaköy, Coşkun; Topal, Murat; Kanatlı, Ulunay

doi:10.55730/1300-0144.5582

Is it the subcoracoid impingement or the subacromial impingement that tears the subscapularis tendon? A comparison of the MRI findings of the operated and healthy shoulders of the patients

Mehmet ÇETİNKAYA, (Başakşehir Çam ve Sakura Şehir Hastanesi, Ortopedi ve Travmatoloji Kliniği, İstanbul, Türkiye)

Ahmet Yiğit KAPTAN, (Harran Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Şanlıurfa, Türkiye)

Coşkun ULUCAKÖY, (Dr. Abdurrahman Yurtaslan Onkoloji Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, Ankara, Türkiye)

Özlem ORHAN, (Harran Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Şanlıurfa, Türkiye)

Murat TOPAL, (Kastamonu Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Kastamonu, Türkiye)

Tacettin AYANOĞLU, (Abant İzzet Baysal Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Bolu, Türkiye)

Ulunay KANATLI (Gazi Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Ankara, Türkiye)

Turkish Journal of Medical Sciences

8 2

Yıl: 2023 Cilt: 53 Sayı: 1 Sayfa Aralığı: 273 - 281 Metin Dili: İngilizce DOI: 10.55730/1300-0144.5582 İndeks Tarihi: 29-03-2023

Is it the subcoracoid impingement or the subacromial impingement that tears the subscapularis tendon? A comparison of the MRI findings of the operated and healthy shoulders of the patients

Öz:

Background/aim: The purpose of this study is to investigate whether the etiological factors accepted as causes of idiopathic subscapularis tears are true or not when the comparison is made with the opposite side healthy shoulder of the patients who underwent arthroscopic repair for an isolated subscapularis tear. Materials and methods: Sixteen patients who underwent shoulder arthroscopy between February 2016 and January 2018 and were diagnosed with isolated subscapularis tear were evaluated. The coracohumeral distance (CHDax), coracoid overlap (CO), and tuberculum minus cysts (TMC) were evaluated on the axial images of the MRI studies while the acromiohumeral distance (AHDsag), CHDsag, and subscapularis tendon slip number (STSN) on the sagittal oblique images and the AHDcor and SLAP lesion on the coronal oblique images. Degeneration of the coracoacromial ligament was evaluated during arthroscopy. Results: The mean CHDsag (11.26–10.08), CHDax (10.63–9.98), CO (14.2–15.43), AHDsag (8–7.66), and AHDcor (7.65–7.68) measurements (operated side-healthy side, respectively) were statistically similar (p > 0.05). No statistically significant difference was found between TMC and STSN in healthy and operated shoulders (p > 0.05). There was mild coracoacromial ligament fraying in 4 (25%) and obvious coracoacromial ligament fraying in 8 (50%) which indicated subacromial impingement in 75% of the patients. Conclusion: The parameters of the coracoid process did not reveal any significant difference between the operated (for an isolated subscapularis tear) and opposite-side healthy shoulders of the patients. However, coracoacromial ligament degeneration was present in 75% of the patients.

Anahtar Kelime: Subscapularis tendon subcoracoid impingement subacromial impingement subscapularis tear

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Cetinkaya M, Kaptan A, Ulucaköy C, orhan ö, Topal M, Ayanoğlu T, Kanatlı U (2023). Is it the subcoracoid impingement or the subacromial impingement that tears the subscapularis tendon? A comparison of the MRI findings of the operated and healthy shoulders of the patients. , 273 - 281. 10.55730/1300-0144.5582
Chicago	Cetinkaya Mehmet,Kaptan Ahmet Yiğit,Ulucaköy Coşkun,orhan özlem,Topal Murat,Ayanoğlu Tacettin,Kanatlı Ulunay Is it the subcoracoid impingement or the subacromial impingement that tears the subscapularis tendon? A comparison of the MRI findings of the operated and healthy shoulders of the patients. (2023): 273 - 281. 10.55730/1300-0144.5582
MLA	Cetinkaya Mehmet,Kaptan Ahmet Yiğit,Ulucaköy Coşkun,orhan özlem,Topal Murat,Ayanoğlu Tacettin,Kanatlı Ulunay Is it the subcoracoid impingement or the subacromial impingement that tears the subscapularis tendon? A comparison of the MRI findings of the operated and healthy shoulders of the patients. , 2023, ss.273 - 281. 10.55730/1300-0144.5582
AMA	Cetinkaya M,Kaptan A,Ulucaköy C,orhan ö,Topal M,Ayanoğlu T,Kanatlı U Is it the subcoracoid impingement or the subacromial impingement that tears the subscapularis tendon? A comparison of the MRI findings of the operated and healthy shoulders of the patients. . 2023; 273 - 281. 10.55730/1300-0144.5582
Vancouver	Cetinkaya M,Kaptan A,Ulucaköy C,orhan ö,Topal M,Ayanoğlu T,Kanatlı U Is it the subcoracoid impingement or the subacromial impingement that tears the subscapularis tendon? A comparison of the MRI findings of the operated and healthy shoulders of the patients. . 2023; 273 - 281. 10.55730/1300-0144.5582
IEEE	Cetinkaya M,Kaptan A,Ulucaköy C,orhan ö,Topal M,Ayanoğlu T,Kanatlı U "Is it the subcoracoid impingement or the subacromial impingement that tears the subscapularis tendon? A comparison of the MRI findings of the operated and healthy shoulders of the patients." , ss.273 - 281, 2023. 10.55730/1300-0144.5582
ISNAD	Cetinkaya, Mehmet vd. "Is it the subcoracoid impingement or the subacromial impingement that tears the subscapularis tendon? A comparison of the MRI findings of the operated and healthy shoulders of the patients". (2023), 273-281. https://doi.org/10.55730/1300-0144.5582

APA	Cetinkaya M, Kaptan A, Ulucaköy C, orhan ö, Topal M, Ayanoğlu T, Kanatlı U (2023). Is it the subcoracoid impingement or the subacromial impingement that tears the subscapularis tendon? A comparison of the MRI findings of the operated and healthy shoulders of the patients. Turkish Journal of Medical Sciences, 53(1), 273 - 281. 10.55730/1300-0144.5582
Chicago	Cetinkaya Mehmet,Kaptan Ahmet Yiğit,Ulucaköy Coşkun,orhan özlem,Topal Murat,Ayanoğlu Tacettin,Kanatlı Ulunay Is it the subcoracoid impingement or the subacromial impingement that tears the subscapularis tendon? A comparison of the MRI findings of the operated and healthy shoulders of the patients. Turkish Journal of Medical Sciences 53, no.1 (2023): 273 - 281. 10.55730/1300-0144.5582
MLA	Cetinkaya Mehmet,Kaptan Ahmet Yiğit,Ulucaköy Coşkun,orhan özlem,Topal Murat,Ayanoğlu Tacettin,Kanatlı Ulunay Is it the subcoracoid impingement or the subacromial impingement that tears the subscapularis tendon? A comparison of the MRI findings of the operated and healthy shoulders of the patients. Turkish Journal of Medical Sciences, vol.53, no.1, 2023, ss.273 - 281. 10.55730/1300-0144.5582
AMA	Cetinkaya M,Kaptan A,Ulucaköy C,orhan ö,Topal M,Ayanoğlu T,Kanatlı U Is it the subcoracoid impingement or the subacromial impingement that tears the subscapularis tendon? A comparison of the MRI findings of the operated and healthy shoulders of the patients. Turkish Journal of Medical Sciences. 2023; 53(1): 273 - 281. 10.55730/1300-0144.5582
Vancouver	Cetinkaya M,Kaptan A,Ulucaköy C,orhan ö,Topal M,Ayanoğlu T,Kanatlı U Is it the subcoracoid impingement or the subacromial impingement that tears the subscapularis tendon? A comparison of the MRI findings of the operated and healthy shoulders of the patients. Turkish Journal of Medical Sciences. 2023; 53(1): 273 - 281. 10.55730/1300-0144.5582
IEEE	Cetinkaya M,Kaptan A,Ulucaköy C,orhan ö,Topal M,Ayanoğlu T,Kanatlı U "Is it the subcoracoid impingement or the subacromial impingement that tears the subscapularis tendon? A comparison of the MRI findings of the operated and healthy shoulders of the patients." Turkish Journal of Medical Sciences, 53, ss.273 - 281, 2023. 10.55730/1300-0144.5582
ISNAD	Cetinkaya, Mehmet vd. "Is it the subcoracoid impingement or the subacromial impingement that tears the subscapularis tendon? A comparison of the MRI findings of the operated and healthy shoulders of the patients". Turkish Journal of Medical Sciences 53/1 (2023), 273-281. https://doi.org/10.55730/1300-0144.5582