Saygi B, Karahan N, Karakus O, Demir A I, Ozkan O C, Soylu-Boy F N
1 Department of Orthopedics and Traumatology, Fatih Sultan Mehmet Teaching and Research Hospital, Maltepe University, Istanbul, Turkey.
2 Department of Orthopedics and Traumatology, Fatih Sultan Mehmet Teaching and Research Hospital Istanbul, Selahaddin Eyyubi State Hospital, Dıyarbakır, Turkey.
J Orthop Surg (Hong Kong). 2018 May-Aug;26(2):2309499018768100. doi: 10.1177/2309499018768100.
The aim of this study was to investigate whether there are glenohumeral morphological differences between normal population, glenohumeral instability, and rotator cuff pathology.
In this study, shoulder magnetic resonance (MR) images of 150 patients were evaluated. Patients included in the study were studied in three groups of 50 individuals: patients with anterior shoulder instability in group 1, patients with rotator cuff tear in group 2, and control subjects without shoulder pathology in group 3.
There were statistically significant differences between groups in evaluations for glenoid version, glenoid coronal height, glenoid coronal diameter, humeral axial and coronal diameters, and coracohumeral interval distances. Significant differences were observed between groups 2 and 3 in glenoid axial diameter, glenoid coronal height, glenoid depth, humeral coronal diameter, and coracohumeral distances.
The results obtained in this study suggest that glenoid version, glenoid coronal height and diameter, humeral diameter, and coracohumeral interval parameters in glenohumeral morphology-related parameters in patients with anterior instability are different from those of normal population and patients with rotator cuff pathology. In cases where there is a clinically difficult diagnosis, these radiological measurements will be helpful to clinicians in diagnosis and treatment planning, especially in cases of treatment-resistant cases.
本研究旨在调查正常人群、盂肱关节不稳患者和肩袖病理患者之间盂肱关节形态是否存在差异。
本研究评估了150例患者的肩部磁共振（MR）图像。纳入研究的患者分为三组，每组50人：第1组为肩前不稳患者，第2组为肩袖撕裂患者，第3组为无肩部病变的对照受试者。
在盂肱关节版本、盂肱关节冠状高度、盂肱关节冠状直径、肱骨轴向和冠状直径以及喙肱间距的评估中，各组之间存在统计学上的显著差异。在盂肱关节轴向直径、盂肱关节冠状高度、盂肱关节深度、肱骨冠状直径和喙肱间距方面，第2组和第3组之间观察到显著差异。
本研究结果表明，前不稳患者盂肱关节形态相关参数中的盂肱关节版本、盂肱关节冠状高度和直径、肱骨直径以及喙肱间距参数与正常人群和肩袖病理患者不同。在临床诊断困难的情况下，这些放射学测量将有助于临床医生进行诊断和治疗规划，特别是在治疗抵抗的病例中。
