The forelock sign: A new arthroscopic finding in partial subscapularis tears

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dc.contributor.authorCetinkaya, Mehmet
dc.contributor.authorKanatli, Ulunay
dc.contributor.authorAtaoglu, Muhammet Baybars
dc.contributor.authorOzer, Mustafa
dc.contributor.authorAyanoglu, Tacettin
dc.contributor.authorBolukbasi, Selcuk
dc.date.accessioned2024-02-23T14:41:52Z
dc.date.available2024-02-23T14:41:52Z
dc.date.issued2019
dc.departmentNEÜen_US
dc.description.abstractObjectives: This study aims to identify the forelock sign of partial tears of the subscapularis and to compare the incidences of this sign and air bag sign. Patients and methods: One hundred and twenty patients (39 males, 81 females; mean age 51.3 years; range, 25 to 79) diagnosed as isolated subscapularis tear or isolated supraspinatus tear from among patients who underwent shoulder arthroscopy between January 2013 and January 2016 were divided into four groups of 30 patients each as the subscapularis tear (group 1), full-thickness supraspinatus tear (group 2), bursal-side supraspinatus tear (group 3), and articular-side supraspinatus tear (group 4) groups. All patients had video records of their operation. The integrity of the long head of biceps tendon (LHBT), Lafosse classification of the subscapularis tear, and the incidence of the forelock and air bag signs were evaluated. Results: The incidence of the air bag sign in group 1 was 10% and that of the forelock sign was 60%. The forelock sign was significantly more frequent in group 1 than in the other groups (odds ratio 10.46: 3.9-27.8 with 95% confidence interval) and the air bag sign (p<0.001). The LHBT was mostly pathologic in this group, which was also statistically significant (p<0.01). The incidence of the forelock sign in group 1 was similar in each LHBT pathology and Lafosse subgroups. Conclusion: The forelock sign identified in this study was significantly frequent (60%) in partial subscapularis tendon tears with strong inter- and intra-observer consistency while the air bag sign was rare (10%). The LHBT disorders were strongly associated with subscapularis tears; however, the forelock sign was not an indicator of the condition of the LHBT and type of partial subscapularis tendon tear according to the Lafosse classification.en_US
dc.identifier.doi10.5606/ehc.2019.66814
dc.identifier.endpage192en_US
dc.identifier.issn1305-8282
dc.identifier.issn1309-0313
dc.identifier.issue3en_US
dc.identifier.pmid31650913en_US
dc.identifier.scopus2-s2.0-85074081051en_US
dc.identifier.startpage185en_US
dc.identifier.urihttps://doi.org/10.5606/ehc.2019.66814
dc.identifier.urihttps://hdl.handle.net/20.500.12452/17041
dc.identifier.volume30en_US
dc.identifier.wosWOS:000495358300002en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTurkish Joint Diseases Foundationen_US
dc.relation.ispartofEklem Hastaliklari Ve Cerrahisi-Joint Diseases And Related Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectArthroscopyen_US
dc.subjectRotator Cuff Tearen_US
dc.subjectShoulderen_US
dc.subjectSubscapularisen_US
dc.titleThe forelock sign: A new arthroscopic finding in partial subscapularis tearsen_US
dc.typeArticleen_US

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