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Roentgenographic assessment of acromial morphologic condition in rotator cuff impingement syndrome.

Authors
  • Kitay, G S1
  • Iannotti, J P
  • Williams, G R
  • Haygood, T
  • Kneeland, B J
  • Berlin, J
  • 1 Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia, PA.
Type
Published Article
Journal
Journal of Shoulder and Elbow Surgery
Publisher
Elsevier
Publication Date
Jan 01, 1995
Volume
4
Issue
6
Pages
441–448
Identifiers
PMID: 8665289
Source
Medline
License
Unknown

Abstract

Patients with an isolated diagnosis of rotator cuff impingement syndrome were prospectively entered into the study. Each of the 23 subjects was refractory to conservative therapy, had preoperative roentgenograms, and underwent an open acromioplasty. The roentgenograms included anteroposterior, axillary, 30 degrees caudal tilt, and supraspinatus outlet views. The roentgenograms were measured by four independent readers. The separate views were then scored for reliability, and the correlation of the measurements with intraoperative acromial measurements was assessed. Interobserver reliability was highest for the caudal tilt view (0.84) and lowest for the axillary view (0.09). The supraspinatus and caudal tilt views correlated significantly with distinct intraoperative measurements of acromial spur size. We continue to advocate the evaluation of both views for preoperative assessment of the acromial spur in the rotator cuff impingement syndrome.

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