Morphology of the Lesser Tuberosity and Intertubercular Groove in Patients With Arthroscopically Confirmed Subscapularis and Biceps Tendon Pathology
Purpose To evaluate for an association between the morphology of the lesser tuberosity and intertubercular groove and subscapularis tendon tears and biceps tendon pathology. Methods Sixty-six patients with arthroscopically confirmed subscapularis tendon tears were compared with 59 demographically ma...
Gespeichert in:
| Veröffentlicht in: | Arthroscopy 2016-06, Vol.32 (6), p.968-975 |
|---|---|
| Hauptverfasser: | , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 975 |
|---|---|
| container_issue | 6 |
| container_start_page | 968 |
| container_title | Arthroscopy |
| container_volume | 32 |
| creator | Shah, Shaan H., M.D Small, Kirstin M., M.D., M.B.A Sinz, Nathan J., B.A Higgins, Laurence D., M.D., M.B.A |
| description | Purpose To evaluate for an association between the morphology of the lesser tuberosity and intertubercular groove and subscapularis tendon tears and biceps tendon pathology. Methods Sixty-six patients with arthroscopically confirmed subscapularis tendon tears were compared with 59 demographically matched control patients who underwent magnetic resonance imaging or computed tomography arthrography examination of the shoulder. Measurements of the lesser tuberosity and intertubercular groove included maximum depth of the intertubercular groove, intertubercular groove depth at the midpoint of the glenoid, lesser tuberosity length, length from the top of the humeral head to the point of maximum depth of the intertubercular groove, length from the top of the humeral head to the top of the lesser tuberosity, and medial wall angle and depth. Results Patients with subscapularis tears showed a significantly decreased depth of the intertubercular groove at the mid glenoid ( P = .01), shorter length of the lesser tuberosity ( P = .002), and greater distance from the top of the humeral head to the top of the lesser tuberosity ( P = .02). There was a trend toward a decreased medial wall angle ( P = .07) and greater distance from the top of the humeral head to the point of maximum intertubercular groove depth ( P = .06). Patients with biceps tendon pathology showed a significantly decreased depth of the intertubercular groove at the mid glenoid ( P = .001), shorter length of the lesser tuberosity ( P = .0003), greater distance from the top of the humeral head to the top of the lesser tuberosity ( P = .01), and decreased medial wall angle ( P = .01) and depth ( P = .03). Conclusions There are several morphologic factors related to the lesser tuberosity and intertubercular groove that are associated with both subscapularis tendon tears and biceps tendon pathology. Level of Evidence Level III, case-control study. |
| doi_str_mv | 10.1016/j.arthro.2015.11.035 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1794471537</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0749806315009706</els_id><sourcerecordid>1794471537</sourcerecordid><originalsourceid>FETCH-LOGICAL-c417t-ffd073311a0979ecfb58d4b5996b0ec7f04efbf1db0c75cacdb32d9e898ed60b3</originalsourceid><addsrcrecordid>eNqFUsuO1DAQtBCInV34A4R85JJgx3lekJYR7K40CKQdxNHyo814yMTBdlbKf_DBOJOFAxdObllV1d1VjdArSnJKaP32mAsfD97lBaFVTmlOWPUEbWhV1BkrGH2KNqQpu6wlNbtAlyEcCSGMtew5uijqtilbQjfo1yfnx4Pr3fcZO4PjAfAOQgCP95ME74KNMxaDxndDBB-XPzX1wuMb79wDYDvgLyJaGGLA32w84OvzUEG50SrR9zPeusFYfwKN7ycZlBgXug1n0fdWwRjwHgbtzkLrJC_QMyP6AC8f3yv09eOH_fY2232-udte7zJV0iZmxmjSMEapIF3TgTKyanUpq66rJQHVGFKCkYZqSVRTKaG0ZIXuoO1a0DWR7Aq9WXVH735OECI_2aCg78UAbgqcNl1ZNrRiTYKWK1Sl5YIHw0dvT8LPnBK-5MGPfM2DL3lwSnnKI9FeP3aYZLLgL-lPAAnwbgVA2vPBgudBJTcVaOtBRa6d_V-HfwVUb4fF-x8wQzi6yQ_JQ055KDjh98tNLCdBK5JcS8VvTIi3qw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1794471537</pqid></control><display><type>article</type><title>Morphology of the Lesser Tuberosity and Intertubercular Groove in Patients With Arthroscopically Confirmed Subscapularis and Biceps Tendon Pathology</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><creator>Shah, Shaan H., M.D ; Small, Kirstin M., M.D., M.B.A ; Sinz, Nathan J., B.A ; Higgins, Laurence D., M.D., M.B.A</creator><creatorcontrib>Shah, Shaan H., M.D ; Small, Kirstin M., M.D., M.B.A ; Sinz, Nathan J., B.A ; Higgins, Laurence D., M.D., M.B.A</creatorcontrib><description>Purpose To evaluate for an association between the morphology of the lesser tuberosity and intertubercular groove and subscapularis tendon tears and biceps tendon pathology. Methods Sixty-six patients with arthroscopically confirmed subscapularis tendon tears were compared with 59 demographically matched control patients who underwent magnetic resonance imaging or computed tomography arthrography examination of the shoulder. Measurements of the lesser tuberosity and intertubercular groove included maximum depth of the intertubercular groove, intertubercular groove depth at the midpoint of the glenoid, lesser tuberosity length, length from the top of the humeral head to the point of maximum depth of the intertubercular groove, length from the top of the humeral head to the top of the lesser tuberosity, and medial wall angle and depth. Results Patients with subscapularis tears showed a significantly decreased depth of the intertubercular groove at the mid glenoid ( P = .01), shorter length of the lesser tuberosity ( P = .002), and greater distance from the top of the humeral head to the top of the lesser tuberosity ( P = .02). There was a trend toward a decreased medial wall angle ( P = .07) and greater distance from the top of the humeral head to the point of maximum intertubercular groove depth ( P = .06). Patients with biceps tendon pathology showed a significantly decreased depth of the intertubercular groove at the mid glenoid ( P = .001), shorter length of the lesser tuberosity ( P = .0003), greater distance from the top of the humeral head to the top of the lesser tuberosity ( P = .01), and decreased medial wall angle ( P = .01) and depth ( P = .03). Conclusions There are several morphologic factors related to the lesser tuberosity and intertubercular groove that are associated with both subscapularis tendon tears and biceps tendon pathology. Level of Evidence Level III, case-control study.</description><identifier>ISSN: 0749-8063</identifier><identifier>EISSN: 1526-3231</identifier><identifier>DOI: 10.1016/j.arthro.2015.11.035</identifier><identifier>PMID: 26874801</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Arthroscopy ; Case-Control Studies ; Female ; Humans ; Magnetic Resonance Imaging ; Male ; Middle Aged ; Orthopedics ; Retrospective Studies ; Rotator Cuff Injuries - diagnostic imaging ; Rotator Cuff Injuries - pathology ; Shoulder Joint - anatomy & histology ; Shoulder Joint - diagnostic imaging ; Tendons - diagnostic imaging ; Tendons - pathology ; Tomography, X-Ray Computed</subject><ispartof>Arthroscopy, 2016-06, Vol.32 (6), p.968-975</ispartof><rights>Arthroscopy Association of North America</rights><rights>2016 Arthroscopy Association of North America</rights><rights>Copyright © 2016 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c417t-ffd073311a0979ecfb58d4b5996b0ec7f04efbf1db0c75cacdb32d9e898ed60b3</citedby><cites>FETCH-LOGICAL-c417t-ffd073311a0979ecfb58d4b5996b0ec7f04efbf1db0c75cacdb32d9e898ed60b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0749806315009706$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26874801$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shah, Shaan H., M.D</creatorcontrib><creatorcontrib>Small, Kirstin M., M.D., M.B.A</creatorcontrib><creatorcontrib>Sinz, Nathan J., B.A</creatorcontrib><creatorcontrib>Higgins, Laurence D., M.D., M.B.A</creatorcontrib><title>Morphology of the Lesser Tuberosity and Intertubercular Groove in Patients With Arthroscopically Confirmed Subscapularis and Biceps Tendon Pathology</title><title>Arthroscopy</title><addtitle>Arthroscopy</addtitle><description>Purpose To evaluate for an association between the morphology of the lesser tuberosity and intertubercular groove and subscapularis tendon tears and biceps tendon pathology. Methods Sixty-six patients with arthroscopically confirmed subscapularis tendon tears were compared with 59 demographically matched control patients who underwent magnetic resonance imaging or computed tomography arthrography examination of the shoulder. Measurements of the lesser tuberosity and intertubercular groove included maximum depth of the intertubercular groove, intertubercular groove depth at the midpoint of the glenoid, lesser tuberosity length, length from the top of the humeral head to the point of maximum depth of the intertubercular groove, length from the top of the humeral head to the top of the lesser tuberosity, and medial wall angle and depth. Results Patients with subscapularis tears showed a significantly decreased depth of the intertubercular groove at the mid glenoid ( P = .01), shorter length of the lesser tuberosity ( P = .002), and greater distance from the top of the humeral head to the top of the lesser tuberosity ( P = .02). There was a trend toward a decreased medial wall angle ( P = .07) and greater distance from the top of the humeral head to the point of maximum intertubercular groove depth ( P = .06). Patients with biceps tendon pathology showed a significantly decreased depth of the intertubercular groove at the mid glenoid ( P = .001), shorter length of the lesser tuberosity ( P = .0003), greater distance from the top of the humeral head to the top of the lesser tuberosity ( P = .01), and decreased medial wall angle ( P = .01) and depth ( P = .03). Conclusions There are several morphologic factors related to the lesser tuberosity and intertubercular groove that are associated with both subscapularis tendon tears and biceps tendon pathology. Level of Evidence Level III, case-control study.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arthroscopy</subject><subject>Case-Control Studies</subject><subject>Female</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Orthopedics</subject><subject>Retrospective Studies</subject><subject>Rotator Cuff Injuries - diagnostic imaging</subject><subject>Rotator Cuff Injuries - pathology</subject><subject>Shoulder Joint - anatomy & histology</subject><subject>Shoulder Joint - diagnostic imaging</subject><subject>Tendons - diagnostic imaging</subject><subject>Tendons - pathology</subject><subject>Tomography, X-Ray Computed</subject><issn>0749-8063</issn><issn>1526-3231</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFUsuO1DAQtBCInV34A4R85JJgx3lekJYR7K40CKQdxNHyo814yMTBdlbKf_DBOJOFAxdObllV1d1VjdArSnJKaP32mAsfD97lBaFVTmlOWPUEbWhV1BkrGH2KNqQpu6wlNbtAlyEcCSGMtew5uijqtilbQjfo1yfnx4Pr3fcZO4PjAfAOQgCP95ME74KNMxaDxndDBB-XPzX1wuMb79wDYDvgLyJaGGLA32w84OvzUEG50SrR9zPeusFYfwKN7ycZlBgXug1n0fdWwRjwHgbtzkLrJC_QMyP6AC8f3yv09eOH_fY2232-udte7zJV0iZmxmjSMEapIF3TgTKyanUpq66rJQHVGFKCkYZqSVRTKaG0ZIXuoO1a0DWR7Aq9WXVH735OECI_2aCg78UAbgqcNl1ZNrRiTYKWK1Sl5YIHw0dvT8LPnBK-5MGPfM2DL3lwSnnKI9FeP3aYZLLgL-lPAAnwbgVA2vPBgudBJTcVaOtBRa6d_V-HfwVUb4fF-x8wQzi6yQ_JQ055KDjh98tNLCdBK5JcS8VvTIi3qw</recordid><startdate>20160601</startdate><enddate>20160601</enddate><creator>Shah, Shaan H., M.D</creator><creator>Small, Kirstin M., M.D., M.B.A</creator><creator>Sinz, Nathan J., B.A</creator><creator>Higgins, Laurence D., M.D., M.B.A</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20160601</creationdate><title>Morphology of the Lesser Tuberosity and Intertubercular Groove in Patients With Arthroscopically Confirmed Subscapularis and Biceps Tendon Pathology</title><author>Shah, Shaan H., M.D ; Small, Kirstin M., M.D., M.B.A ; Sinz, Nathan J., B.A ; Higgins, Laurence D., M.D., M.B.A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c417t-ffd073311a0979ecfb58d4b5996b0ec7f04efbf1db0c75cacdb32d9e898ed60b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arthroscopy</topic><topic>Case-Control Studies</topic><topic>Female</topic><topic>Humans</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Orthopedics</topic><topic>Retrospective Studies</topic><topic>Rotator Cuff Injuries - diagnostic imaging</topic><topic>Rotator Cuff Injuries - pathology</topic><topic>Shoulder Joint - anatomy & histology</topic><topic>Shoulder Joint - diagnostic imaging</topic><topic>Tendons - diagnostic imaging</topic><topic>Tendons - pathology</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shah, Shaan H., M.D</creatorcontrib><creatorcontrib>Small, Kirstin M., M.D., M.B.A</creatorcontrib><creatorcontrib>Sinz, Nathan J., B.A</creatorcontrib><creatorcontrib>Higgins, Laurence D., M.D., M.B.A</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Arthroscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shah, Shaan H., M.D</au><au>Small, Kirstin M., M.D., M.B.A</au><au>Sinz, Nathan J., B.A</au><au>Higgins, Laurence D., M.D., M.B.A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Morphology of the Lesser Tuberosity and Intertubercular Groove in Patients With Arthroscopically Confirmed Subscapularis and Biceps Tendon Pathology</atitle><jtitle>Arthroscopy</jtitle><addtitle>Arthroscopy</addtitle><date>2016-06-01</date><risdate>2016</risdate><volume>32</volume><issue>6</issue><spage>968</spage><epage>975</epage><pages>968-975</pages><issn>0749-8063</issn><eissn>1526-3231</eissn><abstract>Purpose To evaluate for an association between the morphology of the lesser tuberosity and intertubercular groove and subscapularis tendon tears and biceps tendon pathology. Methods Sixty-six patients with arthroscopically confirmed subscapularis tendon tears were compared with 59 demographically matched control patients who underwent magnetic resonance imaging or computed tomography arthrography examination of the shoulder. Measurements of the lesser tuberosity and intertubercular groove included maximum depth of the intertubercular groove, intertubercular groove depth at the midpoint of the glenoid, lesser tuberosity length, length from the top of the humeral head to the point of maximum depth of the intertubercular groove, length from the top of the humeral head to the top of the lesser tuberosity, and medial wall angle and depth. Results Patients with subscapularis tears showed a significantly decreased depth of the intertubercular groove at the mid glenoid ( P = .01), shorter length of the lesser tuberosity ( P = .002), and greater distance from the top of the humeral head to the top of the lesser tuberosity ( P = .02). There was a trend toward a decreased medial wall angle ( P = .07) and greater distance from the top of the humeral head to the point of maximum intertubercular groove depth ( P = .06). Patients with biceps tendon pathology showed a significantly decreased depth of the intertubercular groove at the mid glenoid ( P = .001), shorter length of the lesser tuberosity ( P = .0003), greater distance from the top of the humeral head to the top of the lesser tuberosity ( P = .01), and decreased medial wall angle ( P = .01) and depth ( P = .03). Conclusions There are several morphologic factors related to the lesser tuberosity and intertubercular groove that are associated with both subscapularis tendon tears and biceps tendon pathology. Level of Evidence Level III, case-control study.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>26874801</pmid><doi>10.1016/j.arthro.2015.11.035</doi><tpages>8</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0749-8063 |
| ispartof | Arthroscopy, 2016-06, Vol.32 (6), p.968-975 |
| issn | 0749-8063 1526-3231 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1794471537 |
| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adult Aged Aged, 80 and over Arthroscopy Case-Control Studies Female Humans Magnetic Resonance Imaging Male Middle Aged Orthopedics Retrospective Studies Rotator Cuff Injuries - diagnostic imaging Rotator Cuff Injuries - pathology Shoulder Joint - anatomy & histology Shoulder Joint - diagnostic imaging Tendons - diagnostic imaging Tendons - pathology Tomography, X-Ray Computed |
| title | Morphology of the Lesser Tuberosity and Intertubercular Groove in Patients With Arthroscopically Confirmed Subscapularis and Biceps Tendon Pathology |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-05T05%3A02%3A53IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Morphology%20of%20the%20Lesser%20Tuberosity%20and%20Intertubercular%20Groove%20in%20Patients%20With%20Arthroscopically%20Confirmed%20Subscapularis%20and%20Biceps%20Tendon%20Pathology&rft.jtitle=Arthroscopy&rft.au=Shah,%20Shaan%20H.,%20M.D&rft.date=2016-06-01&rft.volume=32&rft.issue=6&rft.spage=968&rft.epage=975&rft.pages=968-975&rft.issn=0749-8063&rft.eissn=1526-3231&rft_id=info:doi/10.1016/j.arthro.2015.11.035&rft_dat=%3Cproquest_cross%3E1794471537%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1794471537&rft_id=info:pmid/26874801&rft_els_id=S0749806315009706&rfr_iscdi=true |