Capsular remnant in the rotator cuff footprint is a novel arthroscopic finding may indicate the etiology of the tear

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dc.contributor.authorAyanoglu, Tacettin
dc.contributor.authorCiceklidag, Murat
dc.contributor.authorKaya, Ibrahim
dc.contributor.authorOzer, Mustafa
dc.contributor.authorSarikaya, Baran
dc.contributor.authorTokgoz, Mehmet Ali
dc.contributor.authorKanatli, Ulunay
dc.date.accessioned2024-02-23T13:43:30Z
dc.date.available2024-02-23T13:43:30Z
dc.date.issued2023
dc.departmentNEÜen_US
dc.description.abstractPurposeThe aim of the study was that the capsule remnant is a common indicator of sub-acromial impingement syndrome and bursal side onset rotator cuff tears.MethodsSixty-three patients with capsule remnants in the rotator cuff footprint (Study group) were detected, while the 53 patients did not have any remnant on the tendon footprint (Control group) between 2015 and 2020 were included. Demographic data of patients, such as age, gender, and operated side information were obtained from the archive files. Acromion type, presence of osteophytes in the acromioclavicular joint, Acromiohumeral Distance (AHD), Acromial Index (AI), Critical Shoulder Angle (CSA), and Coracoacromial Ligament (CAL) degeneration values were evaluated from preoperative MRI, radiographic images, and arthroscopic video recordings.ResultsSevere stages of CAL degeneration were observed in 82.5% of the patients who had capsule remnant (p: 0.001). While type 2 acromion was found in 61.9%, and also acromioclavicular joint osteophyte was found in 58.7% of the patients in the study group. The mean AHD was 8.22 +/- 1.56 mm in the study group and 9.2 +/- 1.3 mm in the control group. The mean CSA was 43.3 +/- 4.9 in the study group and 40.8 +/- 4.2 in the control group. The AI was measured as 0.8 +/- 0.1 in the study group and 0.8 +/- 0.01 in the control group. As a result of these measurements, a statistical difference was found between the two groups in terms of type 2 acromion ratio (p < 0.001), presence of osteophytes in the acromioclavicular joint (p < 0.001), mean acromio-humeral distance (p < 0.001), critical shoulder angle (p = 0.004), and acromial index values (p < 0.001).ConclusionThe findings of sub-acromial impingement syndrome were found to be more prominent in patients with full-thickness degenerative tear and findings of capsular remnant in the footprint. If the presence of the current finding is detected during glenohumeral arthroscopy, sub-acromial impingement syndrome should be examined in more detail to reveal the underlying cause and prevent a recurrence.en_US
dc.identifier.doi10.1007/s00167-023-07413-z
dc.identifier.endpage3564en_US
dc.identifier.issn0942-2056
dc.identifier.issn1433-7347
dc.identifier.issue8en_US
dc.identifier.pmid37038018en_US
dc.identifier.scopus2-s2.0-85152469682en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage3559en_US
dc.identifier.urihttps://doi.org/10.1007/s00167-023-07413-z
dc.identifier.urihttps://hdl.handle.net/20.500.12452/10836
dc.identifier.volume31en_US
dc.identifier.wosWOS:000966672800001en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofKnee Surgery Sports Traumatology Arthroscopyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectShoulderen_US
dc.subjectArthroscopyen_US
dc.subjectSubacromial Impingement Syndromeen_US
dc.subjectRotator Cuff Tearsen_US
dc.subjectAcromionen_US
dc.subjectCapsule Remnanten_US
dc.titleCapsular remnant in the rotator cuff footprint is a novel arthroscopic finding may indicate the etiology of the tearen_US
dc.typeArticleen_US

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