SUPRASPINATUS TENDİNİTİ VE SCAPULA MORFOMETRİK PARAMETRELERİ ARASINDAKİ İLİŞKİ

Year 2019, , 271 - 277, 21.10.2019

Canan Gönen Aydın

https://doi.org/10.18229/kocatepetip.497865

Abstract

Amaç: Tendinit
en sık görülen omuz lezyonlarından biridir. Bu çalışmanın amacı, kritik omuz
açısı (OKA), glenoid eğimi (GI) ve akromiyon indeksi (AI) dahil olmak üzere
radyolojik parametrelerin supraspinatus tendinit ile korelasyonunu
değerlendirmektir.

Gereç ve
Yöntem: Çalışmaya 72 hasta (47 erkek, 27 kadın, yaş ortalaması 29 ±
5.2 (18-40)) dahil edildi. Omuz manyetik rezonans görüntüleri ;supraspinatus tendonundaki
sinyal artışına göre normal olan Grup I (n = 33) ve yüksek olan Grup II (n =
41) olmak üzere iki gruba ayrıldı.Nötr pozisyonda elde edilen omuz
radyografilerinde kritik omuz açısı, glenoid eğim ve akromiyon indeksiparametreleri
ölçüldü. Radyolojik parametreler ile supraspinatus tendinit varlığı arasındaki
ilişki değerlendirildi.

Bulgular: Grup
I'de Ortalama OKA 37.9 °, ortalama GI 17.2 ° ve ortalama AI 0.8 idi. Grup II'de
Ortalama OKA 38.3 °, ortalama GI 17.1 ° ve ortalama AI 0.8 idi. Gruplar
arasında istatistiksel olarak anlamlı bir fark bulunmadı. Kadınların OKA
değerleri erkeklerden istatistiksel olarak anlamlı derecede yüksekti (p =
0,04).

Sonuç: Yüksek OKA
değerlerinin rotator manşet yırtığı ve düşük OKA değerlerinin osteoartrit ile
ilişkili olduğu bulunmuştur. Çalışmamızda supraspinatus tendinit  ile  OKA,
AI ve GI parametreleri arasında ilişki saptamadık.Supraspinatusun erken
tanısında kullanılmak üzere yeni morfometrik parametrelere ihtiyaç vardır.

Keywords

Tendinit, Omuz Kritik Açısı, Glenoid eğimi, Akromıon açısı

THE RELATIONSHIP BETWEEN THE MORPHOMETRIC PARAMETERS OF SCAPULA AND SUPRASPINATUS TENDONITIS

Abstract

OBJECTIVE: Tendonitis is one of the most frequent
shoulder lesions. The aim of this study is to evaluate the correlation of the
radiological parameters including critical shoulder angle (CSA), glenoid
inclination (GI) and  acromion index  (AI) with supraspinatus tendonitis.

MATERIALS AND METHODS
: Seventy-four  patients [47 men, 27 women, mean age 29±5.2
(range 18-40)] were included in the study. Two groups were formed as Group I
(n=33) and Group II (n=41) according to supraspinatus tendon intensity revealed
by shoulder magnetic resonance images. Critical shoulder angle, glenoid
inclination and  acromion index
parameters were measured on shoulder radiographs obtained in neutral position.
The relationship of the radiologic parameters and the presence of supraspinatus
tendonitis was evaluated. 

RESULTS: The mean CSA was  37.9°, the mean GI was 17.2°, and the mean AI
was 0.8 in Group I. The mean CSA was 38.3°, the mean GI was 17.1°, and the mean
AI was 0.8 in Group II. No statistically significant difference was found between
the groups. The CSA values of the women were statistically significantly higher
than that of the men (p=0.04).

CONCLUSIONS: Higher CSA values are found to be
associated with the risk of rotator cuff tear and lower CSA values with
osteoarthritis. Higher angles are associated with increased risk of supraspinatus
tendonitis tear. Supraspinatus tendonitis is not associated with the
morphometric parameters including CSA, AI and GI. New morphometric parameters
should be identified and their relation with supraspinatus tendonitis should be
investigated for early diagnosis. 

Keywords

Tendinitis; Critical shoulder angle; Glenoid inclination;, Acromion index

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