A systematic review: Of acromion types and its effect on degenerative rotator cuff tear
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 1
Abstract
Background: Shoulder joint pain is commonly seen in primary care. Were many of them diagnosed with rotator cuff disease especially involvement of supraspinatus tendon of rotator cuff. The progression of disease leads to tear of rotator cuff and the etiology is multifactorial. However, characteristic changes of acromion morphology appear as major risk factor for rotator cuff tear. According to an ancient classification of acromion type I (flat), type II (curved), or type III (hooked) introduced by Bigliani et al. also documented that incident of rotator cuff tear highly increased with type III (hooked) acromion. Continue study over acromion shape a rare new type IV (convex) acromion also discovered. Many studies have attempted to correlate acromion characteristic with rotator cuff tears. But result still we attempted to determine the rotator cuff tear in association with different shape of acromion through a systemic review of appropriate studies. Methods: Pubmed, Scopus and Baidu scholar database engine searched, limiting results to those published in the English language without limiting year. The key search terms utilized were “acromion morphology”/”rotator cuff tear” and “shoulder joint” / “impingement syndrome”. Over 150 abstract reviewed and 20 literatures were analyzed for quality and relevance study. Conclusions: On the base of previous published article, the different types of acromion shape distribution is not equally seen in population. The most common type II acromion appears large in number with or without rotator cuff disease. Those with type III acromion more than 70% found with degenerative changes or tear of rotator cuff. Current evidence suggests that pathological changes or tear of rotator cuff arise from a multivariare etiology. It increasingly evident that type III acromion plays greater role to rotator cuff tear than other type I and type II of Bilgiani acromion classification.
Authors and Affiliations
Sachin Kumar Yadav, Wen Hui Zhu
Keywords
Related Articles
- EP ID EP500014
- DOI 10.22271/ortho.2017.v3.i1f.67
- Views 586
- Downloads 0
A study on associated injuries of anterior cruciate ligament tear
Introduction: Over the last decade, reconstruction of the anterior cruciate ligament (ACL) has evolved from a surgical technique in which the objectives were ‘isometric’ femoral tunnel placement and avoidance of inter-co...
Exchange nailing with open bone grafting for aseptic femoral diaphyseal nonunion with implant failure: A study of 13 cases
Introduction: In spite of vast advances in implants and operative techniques in the management of femoral diaphyseal fracture, treating a case of aseptic nonunion still poses a great challenge to treating surgeon. In Ind...
Posterior plating of tibial shaft fractures: A functional outcome analysis
Tibial shaft fractures are the most common of long bone fractures. Tibial fractures are usually the result of trauma, both high energy and low energy. Increasing energy of injury leads on to both bone and soft tissue com...
Presentation of cauda equina syndrome due to pyogenic epidural abscess rare etiology of cauda equina syndrome
Introduction: Cauda equina syndrome is caused by compression or injury to the nerve roots distal to the level of the spinal cord. This syndrome presents as low back pain, motor and sensory deficits in the lower extremiti...
Retrospective analysis of surgical management of patients with distal femur fracture by locking compression plates
Introduction: The following study was conducted to examine the short term clinical and radiological results particularly early complications and healing rate of distal femur fracture treated with distal femur LCP. Materi...