TY - JOUR
T1 - Comparison between the acromion index and rotator cuff tears in the Brazilian and Japanese populations
AU - Miyazaki, Alberto N.
AU - Itoi, Eiji
AU - Sano, Hirotaka
AU - Fregoneze, Marcelo
AU - Santos, Pedro D.
AU - da Silva, Luciana A.
AU - Sella, Guilherme do V.
AU - Martel, Eder M.
AU - Debom, Leandro G.
AU - Andrade, Manoel L.
AU - Checchia, Sérgio L.
N1 - Copyright:
Copyright 2012 Elsevier B.V., All rights reserved.
PY - 2011/10
Y1 - 2011/10
N2 - Background: We compared the acromion index, a lateral tilt of the acromion described by Nyffeler et al as a possible cause of rotator cuff tears (RCTs), in 2 different populations: Brazilian and Japanese. Methods: Patients with full-thickness RCTs diagnosed by magnetic resonance imaging and corroborated by intraoperative findings were included in this study. Controls were patients with shoulder radiographs that indicated instability or adhesive capsulitis. The studied population was subdivided into 2 major racial groups: Brazilian and Japanese. We compared 83 Brazilian adults (mean age, 54 years) with RCTs with 28 individuals with intact rotator cuffs matched by sex, age, and race. Similarly, 112 Japanese individuals (mean age, 59 years) with RCTs were compared with 56 controls. The radiographic images were digitally scanned (HP DeskJet F4180; Hewlett-Packard, Palo Alto, CA, USA) and analyzed. Results: The mean acromion index of the Brazilian patients with RCTs was 0.72; 0.68 was the result for the Japanese patients. When patients with RCTs were compared with those with intact rotator cuffs, a statistically significant difference was found in the Brazilian population (P = .001) but not in the Japanese population (P = .18). Therefore, Brazilian subjects with RCTs were found to have a greater lateral extension of the acromion than those with intact rotator cuffs. Such a difference, however, was not observed in the Japanese population. Conclusion: The acromion index can be used as a predictive factor for RCTs in the Brazilian population but not in the Japanese population.
AB - Background: We compared the acromion index, a lateral tilt of the acromion described by Nyffeler et al as a possible cause of rotator cuff tears (RCTs), in 2 different populations: Brazilian and Japanese. Methods: Patients with full-thickness RCTs diagnosed by magnetic resonance imaging and corroborated by intraoperative findings were included in this study. Controls were patients with shoulder radiographs that indicated instability or adhesive capsulitis. The studied population was subdivided into 2 major racial groups: Brazilian and Japanese. We compared 83 Brazilian adults (mean age, 54 years) with RCTs with 28 individuals with intact rotator cuffs matched by sex, age, and race. Similarly, 112 Japanese individuals (mean age, 59 years) with RCTs were compared with 56 controls. The radiographic images were digitally scanned (HP DeskJet F4180; Hewlett-Packard, Palo Alto, CA, USA) and analyzed. Results: The mean acromion index of the Brazilian patients with RCTs was 0.72; 0.68 was the result for the Japanese patients. When patients with RCTs were compared with those with intact rotator cuffs, a statistically significant difference was found in the Brazilian population (P = .001) but not in the Japanese population (P = .18). Therefore, Brazilian subjects with RCTs were found to have a greater lateral extension of the acromion than those with intact rotator cuffs. Such a difference, however, was not observed in the Japanese population. Conclusion: The acromion index can be used as a predictive factor for RCTs in the Brazilian population but not in the Japanese population.
KW - Acromion index
KW - Biomechanics
KW - Level II
KW - Prognosis
KW - Prognosis Study
KW - Retrospective Case-Control Study
KW - Rotator cuff tear
KW - Shoulder
UR - http://www.scopus.com/inward/record.url?scp=80053052858&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=80053052858&partnerID=8YFLogxK
U2 - 10.1016/j.jse.2011.04.028
DO - 10.1016/j.jse.2011.04.028
M3 - Article
C2 - 21816635
AN - SCOPUS:80053052858
VL - 20
SP - 1082
EP - 1086
JO - Journal of Shoulder and Elbow Surgery
JF - Journal of Shoulder and Elbow Surgery
SN - 1058-2746
IS - 7
ER -