Evaluation of the relationship between scapula morphology and anterior shoulder dislocation accompanying greater tuberosity fracture

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dc.contributor.authorOzer, Mustafa
dc.contributor.authorYaka, Haluk
dc.contributor.authorTurkmen, Faik
dc.contributor.authorKacira, Burkay Kutluhan
dc.contributor.authorKaptan, Ahmet Yigit
dc.contributor.authorKanatli, Ulunay
dc.date.accessioned2024-02-23T14:03:16Z
dc.date.available2024-02-23T14:03:16Z
dc.date.issued2023
dc.departmentNEÜen_US
dc.description.abstractIntroduction: It is estimated that 5-30% of traumatic anterior shoulder dislocations are accompanied by greater tuberosity fracture (GTF), and the pathomechanism of these fractures is not yet clear. Our hypothesis is to examine the relationship between the scapula morphology and anterior shoulder dislocation (ASD) accompanying GTF. Materials and methods: The patients were divided into two groups according to the accompanying GTF. 40 patients with isolated traumatic ASD and 31 patients with accompanying GTF were included in the study. Critical shoulder angle (CSA), glenoid inclination (GI), acromial index (AI) and greater tuberosity angle (GTA) values were measured in two sessions by two independent observers in the standard antero-posterior radiographs of the patients in both groups. Results: The mean CSA was 40.82 degrees +/- 3.19 degrees and 35.49 degrees +/- 2.19 degrees in accompanying GTF group and the isolated ASD group, respectively. The mean CSA was significantly higher in accompanying GTF group than isolated ASD group (P<0.001). The GI was significantly higher in the isolated ASD than in accompanying GTF group (P = 0.001). The mean GI was 18.7 degrees +/- 6.85 degrees and 10.45 degrees +/- 4.87 degrees in accompanying GTF group and the isolated ASD, respectively. Cut-off value of CSA and GI was 38 degrees (88.2% sensitivity,88.9% specificity) and 14.5 degrees (70.6% sensitivity and 72.2% specificity), respectively. There was no significant difference regarding the mean GTA and AI values between GTF group and the isolated ASD group (P = 0.98, P = 0.63). Conclusions: Increased CSA and GI values are associated with traumatic anterior shoulder dislocation accom-panied by greater tuberosity fracture.en_US
dc.identifier.doi10.1016/j.injury.2023.05.002
dc.identifier.issn0020-1383
dc.identifier.issn1879-0267
dc.identifier.issue7en_US
dc.identifier.pmid37183089en_US
dc.identifier.scopus2-s2.0-85159205138en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.urihttps://doi.org/10.1016/j.injury.2023.05.002
dc.identifier.urihttps://hdl.handle.net/20.500.12452/12042
dc.identifier.volume54en_US
dc.identifier.wosWOS:001021207000001en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Sci Ltden_US
dc.relation.ispartofInjury-International Journal Of The Care Of The Injureden_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectShoulder Dislocationen_US
dc.subjectGreater Tuberosity Fracturesen_US
dc.subjectScapula Morphologyen_US
dc.subjectCritical Shoulder Angleen_US
dc.subjectGlenoid Inclinationen_US
dc.titleEvaluation of the relationship between scapula morphology and anterior shoulder dislocation accompanying greater tuberosity fractureen_US
dc.typeArticleen_US

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