Higher Upper Subscapularis Goutallier Grade and Coracohumeral Distance Narrowing Are Predictive of Subscapularis Tears in Patients Undergoing Arthroscopic Rotator Cuff Repair
To evaluate the relation between subscapularis (SSC) Goutallier grade or coracohumeral distance (CHD) and SSC tears, as well as the relation between these radiographic variables and long head of the biceps tendon lesions. A retrospective analysis was conducted on prospectively maintained data on pat...
Gespeichert in:
| Veröffentlicht in: | Arthroscopy 2024-05, Vol.40 (5), p.1397-1406 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 1406 |
|---|---|
| container_issue | 5 |
| container_start_page | 1397 |
| container_title | Arthroscopy |
| container_volume | 40 |
| creator | Kilic, Ali Ihsan Ardebol, Javier Pak, Theresa Menendez, Mariano E. Denard, Patrick J. |
| description | To evaluate the relation between subscapularis (SSC) Goutallier grade or coracohumeral distance (CHD) and SSC tears, as well as the relation between these radiographic variables and long head of the biceps tendon lesions.
A retrospective analysis was conducted on prospectively maintained data on patients who underwent arthroscopic rotator cuff repair of SSC tears between 2011 and 2021 with at least 6 months of follow-up. Patients with identified subscapularis tears during arthroscopy were included. A control group was established by randomly selecting patients without SSC tears from the same study period. Goutallier grading and CHD were obtained from preoperative magnetic resonance imaging (MRI) scans. Receiver operating characteristic analysis was conducted to define optimal cutoff values for these diagnostic measures.
The study included 735 patients with SSC tears and 249 patients in the control group. Comparing subscapularis tear and intact groups’ Goutallier grades revealed significant differences in infraspinatus, upper and lower SSC, and overall SSC (P < .001). No significant difference was detected in supraspinatus Goutallier grade (P = .364). An SSC tear was observed in 58.3% (n = 265) of patients with Goutallier grade 0 of the upper SSC, 77.1% (n = 195) of patients with grade 1 changes, 98.7% (n = 155) with grade 2 changes, and 100% of grade 3 or 4 changes. Goutallier grade of the upper SSC showed a significant correlation with tear size (rs = 0.533; P < .01). CHD measurements were lower in individuals with SSC tears compared to those without tears (6.6 ± 1.7 vs 9.6 ± 1.8; P < .001). Upper SSC Goutallier grade >1 had an acceptable area under the curve (AUC) of 0.742. CHD of 7.96 mm or less had an excellent predictive AUC of 0.879.
Higher Goutallier grade and CHD narrowing are potential associations predictive of SSC tears. Routine MRI assessment of muscle of the upper SSC and the CHD can contribute to the diagnostic accuracy of SSC tears and offer valuable information regarding the severity of such tears.
Level III, diagnostic study. |
| doi_str_mv | 10.1016/j.arthro.2023.10.017 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2883586517</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0749806323008617</els_id><sourcerecordid>2883586517</sourcerecordid><originalsourceid>FETCH-LOGICAL-c362t-618f8733f64d6265cafc47f510e564aa75bd4dfc71f6ca40767a76c59e740f293</originalsourceid><addsrcrecordid>eNp9kcFuEzEQhlcIREPhDRDykcsGe71rby5IVQopUgVVac7WxDtOHG3Wy9hbxEv1GeuQwoEDlxlp_P8znvmK4q3gc8GF-rCfA6UdhXnFK5lLcy70s2ImmkqVspLieTHjul6ULVfyrHgV455zLmUrXxZnUrcL3tRyVjxc-e0Oia3HMcfv0yZaGKceyEe2ClOCvvf5YUXQIYOhY8tAYMNuOiBBzy59TDBYZF-BKPz0w5ZdELIbws7b5O-RBfdP1zsEiswP7AaSxyFFth46pG04mY8rRRtGb9ltSJACseXkHLvFETy9Ll446CO-ecrnxfrzp7vlVXn9bfVleXFdWqmqVCrRulZL6VTdqUo1FpyttWsEx0bVALrZdHXnrBZOWai5Vhq0ss0Cdc1dtZDnxftT35HCjwljMgcfLfY9DBimaKq2lU2rGqGztD5Jbf54JHRmJH8A-mUEN0dSZm9OpMyR1LHKf9vePU2YNgfs_pr-oMmCjycB5j3vMwQTbb6XzZcltMl0wf9_wiMPjqqg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2883586517</pqid></control><display><type>article</type><title>Higher Upper Subscapularis Goutallier Grade and Coracohumeral Distance Narrowing Are Predictive of Subscapularis Tears in Patients Undergoing Arthroscopic Rotator Cuff Repair</title><source>MEDLINE</source><source>ScienceDirect Journals (5 years ago - present)</source><creator>Kilic, Ali Ihsan ; Ardebol, Javier ; Pak, Theresa ; Menendez, Mariano E. ; Denard, Patrick J.</creator><creatorcontrib>Kilic, Ali Ihsan ; Ardebol, Javier ; Pak, Theresa ; Menendez, Mariano E. ; Denard, Patrick J.</creatorcontrib><description>To evaluate the relation between subscapularis (SSC) Goutallier grade or coracohumeral distance (CHD) and SSC tears, as well as the relation between these radiographic variables and long head of the biceps tendon lesions.
A retrospective analysis was conducted on prospectively maintained data on patients who underwent arthroscopic rotator cuff repair of SSC tears between 2011 and 2021 with at least 6 months of follow-up. Patients with identified subscapularis tears during arthroscopy were included. A control group was established by randomly selecting patients without SSC tears from the same study period. Goutallier grading and CHD were obtained from preoperative magnetic resonance imaging (MRI) scans. Receiver operating characteristic analysis was conducted to define optimal cutoff values for these diagnostic measures.
The study included 735 patients with SSC tears and 249 patients in the control group. Comparing subscapularis tear and intact groups’ Goutallier grades revealed significant differences in infraspinatus, upper and lower SSC, and overall SSC (P < .001). No significant difference was detected in supraspinatus Goutallier grade (P = .364). An SSC tear was observed in 58.3% (n = 265) of patients with Goutallier grade 0 of the upper SSC, 77.1% (n = 195) of patients with grade 1 changes, 98.7% (n = 155) with grade 2 changes, and 100% of grade 3 or 4 changes. Goutallier grade of the upper SSC showed a significant correlation with tear size (rs = 0.533; P < .01). CHD measurements were lower in individuals with SSC tears compared to those without tears (6.6 ± 1.7 vs 9.6 ± 1.8; P < .001). Upper SSC Goutallier grade >1 had an acceptable area under the curve (AUC) of 0.742. CHD of 7.96 mm or less had an excellent predictive AUC of 0.879.
Higher Goutallier grade and CHD narrowing are potential associations predictive of SSC tears. Routine MRI assessment of muscle of the upper SSC and the CHD can contribute to the diagnostic accuracy of SSC tears and offer valuable information regarding the severity of such tears.
Level III, diagnostic study.</description><identifier>ISSN: 0749-8063</identifier><identifier>ISSN: 1526-3231</identifier><identifier>EISSN: 1526-3231</identifier><identifier>DOI: 10.1016/j.arthro.2023.10.017</identifier><identifier>PMID: 37890543</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Aged ; Arthroscopy ; Female ; Humans ; Magnetic Resonance Imaging ; Male ; Middle Aged ; Retrospective Studies ; Rotator Cuff - diagnostic imaging ; Rotator Cuff - pathology ; Rotator Cuff - surgery ; Rotator Cuff Injuries - diagnostic imaging ; Rotator Cuff Injuries - surgery ; Shoulder Joint - diagnostic imaging ; Shoulder Joint - surgery</subject><ispartof>Arthroscopy, 2024-05, Vol.40 (5), p.1397-1406</ispartof><rights>2023 Arthroscopy Association of North America</rights><rights>Copyright © 2023 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c362t-618f8733f64d6265cafc47f510e564aa75bd4dfc71f6ca40767a76c59e740f293</citedby><cites>FETCH-LOGICAL-c362t-618f8733f64d6265cafc47f510e564aa75bd4dfc71f6ca40767a76c59e740f293</cites><orcidid>0000-0001-7491-6044 ; 0000-0002-2641-5920 ; 0000-0003-1573-5002 ; 0000-0001-7619-3361</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.arthro.2023.10.017$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37890543$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kilic, Ali Ihsan</creatorcontrib><creatorcontrib>Ardebol, Javier</creatorcontrib><creatorcontrib>Pak, Theresa</creatorcontrib><creatorcontrib>Menendez, Mariano E.</creatorcontrib><creatorcontrib>Denard, Patrick J.</creatorcontrib><title>Higher Upper Subscapularis Goutallier Grade and Coracohumeral Distance Narrowing Are Predictive of Subscapularis Tears in Patients Undergoing Arthroscopic Rotator Cuff Repair</title><title>Arthroscopy</title><addtitle>Arthroscopy</addtitle><description>To evaluate the relation between subscapularis (SSC) Goutallier grade or coracohumeral distance (CHD) and SSC tears, as well as the relation between these radiographic variables and long head of the biceps tendon lesions.
A retrospective analysis was conducted on prospectively maintained data on patients who underwent arthroscopic rotator cuff repair of SSC tears between 2011 and 2021 with at least 6 months of follow-up. Patients with identified subscapularis tears during arthroscopy were included. A control group was established by randomly selecting patients without SSC tears from the same study period. Goutallier grading and CHD were obtained from preoperative magnetic resonance imaging (MRI) scans. Receiver operating characteristic analysis was conducted to define optimal cutoff values for these diagnostic measures.
The study included 735 patients with SSC tears and 249 patients in the control group. Comparing subscapularis tear and intact groups’ Goutallier grades revealed significant differences in infraspinatus, upper and lower SSC, and overall SSC (P < .001). No significant difference was detected in supraspinatus Goutallier grade (P = .364). An SSC tear was observed in 58.3% (n = 265) of patients with Goutallier grade 0 of the upper SSC, 77.1% (n = 195) of patients with grade 1 changes, 98.7% (n = 155) with grade 2 changes, and 100% of grade 3 or 4 changes. Goutallier grade of the upper SSC showed a significant correlation with tear size (rs = 0.533; P < .01). CHD measurements were lower in individuals with SSC tears compared to those without tears (6.6 ± 1.7 vs 9.6 ± 1.8; P < .001). Upper SSC Goutallier grade >1 had an acceptable area under the curve (AUC) of 0.742. CHD of 7.96 mm or less had an excellent predictive AUC of 0.879.
Higher Goutallier grade and CHD narrowing are potential associations predictive of SSC tears. Routine MRI assessment of muscle of the upper SSC and the CHD can contribute to the diagnostic accuracy of SSC tears and offer valuable information regarding the severity of such tears.
Level III, diagnostic study.</description><subject>Adult</subject><subject>Aged</subject><subject>Arthroscopy</subject><subject>Female</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Retrospective Studies</subject><subject>Rotator Cuff - diagnostic imaging</subject><subject>Rotator Cuff - pathology</subject><subject>Rotator Cuff - surgery</subject><subject>Rotator Cuff Injuries - diagnostic imaging</subject><subject>Rotator Cuff Injuries - surgery</subject><subject>Shoulder Joint - diagnostic imaging</subject><subject>Shoulder Joint - surgery</subject><issn>0749-8063</issn><issn>1526-3231</issn><issn>1526-3231</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kcFuEzEQhlcIREPhDRDykcsGe71rby5IVQopUgVVac7WxDtOHG3Wy9hbxEv1GeuQwoEDlxlp_P8znvmK4q3gc8GF-rCfA6UdhXnFK5lLcy70s2ImmkqVspLieTHjul6ULVfyrHgV455zLmUrXxZnUrcL3tRyVjxc-e0Oia3HMcfv0yZaGKceyEe2ClOCvvf5YUXQIYOhY8tAYMNuOiBBzy59TDBYZF-BKPz0w5ZdELIbws7b5O-RBfdP1zsEiswP7AaSxyFFth46pG04mY8rRRtGb9ltSJACseXkHLvFETy9Ll446CO-ecrnxfrzp7vlVXn9bfVleXFdWqmqVCrRulZL6VTdqUo1FpyttWsEx0bVALrZdHXnrBZOWai5Vhq0ss0Cdc1dtZDnxftT35HCjwljMgcfLfY9DBimaKq2lU2rGqGztD5Jbf54JHRmJH8A-mUEN0dSZm9OpMyR1LHKf9vePU2YNgfs_pr-oMmCjycB5j3vMwQTbb6XzZcltMl0wf9_wiMPjqqg</recordid><startdate>202405</startdate><enddate>202405</enddate><creator>Kilic, Ali Ihsan</creator><creator>Ardebol, Javier</creator><creator>Pak, Theresa</creator><creator>Menendez, Mariano E.</creator><creator>Denard, Patrick J.</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><orcidid>https://orcid.org/0000-0001-7491-6044</orcidid><orcidid>https://orcid.org/0000-0002-2641-5920</orcidid><orcidid>https://orcid.org/0000-0003-1573-5002</orcidid><orcidid>https://orcid.org/0000-0001-7619-3361</orcidid></search><sort><creationdate>202405</creationdate><title>Higher Upper Subscapularis Goutallier Grade and Coracohumeral Distance Narrowing Are Predictive of Subscapularis Tears in Patients Undergoing Arthroscopic Rotator Cuff Repair</title><author>Kilic, Ali Ihsan ; Ardebol, Javier ; Pak, Theresa ; Menendez, Mariano E. ; Denard, Patrick J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c362t-618f8733f64d6265cafc47f510e564aa75bd4dfc71f6ca40767a76c59e740f293</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Arthroscopy</topic><topic>Female</topic><topic>Humans</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Retrospective Studies</topic><topic>Rotator Cuff - diagnostic imaging</topic><topic>Rotator Cuff - pathology</topic><topic>Rotator Cuff - surgery</topic><topic>Rotator Cuff Injuries - diagnostic imaging</topic><topic>Rotator Cuff Injuries - surgery</topic><topic>Shoulder Joint - diagnostic imaging</topic><topic>Shoulder Joint - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kilic, Ali Ihsan</creatorcontrib><creatorcontrib>Ardebol, Javier</creatorcontrib><creatorcontrib>Pak, Theresa</creatorcontrib><creatorcontrib>Menendez, Mariano E.</creatorcontrib><creatorcontrib>Denard, Patrick J.</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>Kilic, Ali Ihsan</au><au>Ardebol, Javier</au><au>Pak, Theresa</au><au>Menendez, Mariano E.</au><au>Denard, Patrick J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Higher Upper Subscapularis Goutallier Grade and Coracohumeral Distance Narrowing Are Predictive of Subscapularis Tears in Patients Undergoing Arthroscopic Rotator Cuff Repair</atitle><jtitle>Arthroscopy</jtitle><addtitle>Arthroscopy</addtitle><date>2024-05</date><risdate>2024</risdate><volume>40</volume><issue>5</issue><spage>1397</spage><epage>1406</epage><pages>1397-1406</pages><issn>0749-8063</issn><issn>1526-3231</issn><eissn>1526-3231</eissn><abstract>To evaluate the relation between subscapularis (SSC) Goutallier grade or coracohumeral distance (CHD) and SSC tears, as well as the relation between these radiographic variables and long head of the biceps tendon lesions.
A retrospective analysis was conducted on prospectively maintained data on patients who underwent arthroscopic rotator cuff repair of SSC tears between 2011 and 2021 with at least 6 months of follow-up. Patients with identified subscapularis tears during arthroscopy were included. A control group was established by randomly selecting patients without SSC tears from the same study period. Goutallier grading and CHD were obtained from preoperative magnetic resonance imaging (MRI) scans. Receiver operating characteristic analysis was conducted to define optimal cutoff values for these diagnostic measures.
The study included 735 patients with SSC tears and 249 patients in the control group. Comparing subscapularis tear and intact groups’ Goutallier grades revealed significant differences in infraspinatus, upper and lower SSC, and overall SSC (P < .001). No significant difference was detected in supraspinatus Goutallier grade (P = .364). An SSC tear was observed in 58.3% (n = 265) of patients with Goutallier grade 0 of the upper SSC, 77.1% (n = 195) of patients with grade 1 changes, 98.7% (n = 155) with grade 2 changes, and 100% of grade 3 or 4 changes. Goutallier grade of the upper SSC showed a significant correlation with tear size (rs = 0.533; P < .01). CHD measurements were lower in individuals with SSC tears compared to those without tears (6.6 ± 1.7 vs 9.6 ± 1.8; P < .001). Upper SSC Goutallier grade >1 had an acceptable area under the curve (AUC) of 0.742. CHD of 7.96 mm or less had an excellent predictive AUC of 0.879.
Higher Goutallier grade and CHD narrowing are potential associations predictive of SSC tears. Routine MRI assessment of muscle of the upper SSC and the CHD can contribute to the diagnostic accuracy of SSC tears and offer valuable information regarding the severity of such tears.
Level III, diagnostic study.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>37890543</pmid><doi>10.1016/j.arthro.2023.10.017</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0001-7491-6044</orcidid><orcidid>https://orcid.org/0000-0002-2641-5920</orcidid><orcidid>https://orcid.org/0000-0003-1573-5002</orcidid><orcidid>https://orcid.org/0000-0001-7619-3361</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0749-8063 |
| ispartof | Arthroscopy, 2024-05, Vol.40 (5), p.1397-1406 |
| issn | 0749-8063 1526-3231 1526-3231 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2883586517 |
| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Adult Aged Arthroscopy Female Humans Magnetic Resonance Imaging Male Middle Aged Retrospective Studies Rotator Cuff - diagnostic imaging Rotator Cuff - pathology Rotator Cuff - surgery Rotator Cuff Injuries - diagnostic imaging Rotator Cuff Injuries - surgery Shoulder Joint - diagnostic imaging Shoulder Joint - surgery |
| title | Higher Upper Subscapularis Goutallier Grade and Coracohumeral Distance Narrowing Are Predictive of Subscapularis Tears in Patients Undergoing Arthroscopic Rotator Cuff Repair |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-06T11%3A11%3A41IST&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=Higher%20Upper%20Subscapularis%20Goutallier%20Grade%20and%20Coracohumeral%20Distance%20Narrowing%20Are%20Predictive%20of%20Subscapularis%20Tears%20in%20Patients%20Undergoing%20Arthroscopic%20Rotator%20Cuff%20Repair&rft.jtitle=Arthroscopy&rft.au=Kilic,%20Ali%20Ihsan&rft.date=2024-05&rft.volume=40&rft.issue=5&rft.spage=1397&rft.epage=1406&rft.pages=1397-1406&rft.issn=0749-8063&rft.eissn=1526-3231&rft_id=info:doi/10.1016/j.arthro.2023.10.017&rft_dat=%3Cproquest_cross%3E2883586517%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=2883586517&rft_id=info:pmid/37890543&rft_els_id=S0749806323008617&rfr_iscdi=true |