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Date Published: 10/06/2024
Abstract Views: 53
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DOI: https://doi.org/10.51298/vmj.v539i2.9859
Issue
Vol. 539 No. 2 (2024)
Section
Các bài báo
How to Cite
Nguyễn, H. M., Vũ, Đức V., Vũ, Đức V., Trần, Q., Trần, T. D., Nguyễn, Q. T., & Trần, Đại H. (2024). GEOMETRIC MORPHOLOGICAL OF THE CORACOACROMIAL LIGAMENT INSERTION TO THE ACROMION IN A GROUP OF PATIENTS WITH NARROWING SUBACROMIAL SPACE WHO UNDERWENT ARTHROSCOPIC SURGERY. Vietnam Medical Journal, 539(2). https://doi.org/10.51298/vmj.v539i2.9859

GEOMETRIC MORPHOLOGICAL OF THE CORACOACROMIAL LIGAMENT INSERTION TO THE ACROMION IN A GROUP OF PATIENTS WITH NARROWING SUBACROMIAL SPACE WHO UNDERWENT ARTHROSCOPIC SURGERY

Hữu Mạnh Nguyễn, Đức Việt Vũ, Đức Việt Vũ, Quyết Trần, Trung Dũng Trần, Quốc Trung Nguyễn, Đại Hiệp Trần

Main Article Content

Abstract

Introduction: In cases of pathological rotator cuff tears, the authors support the extrinsic mechanism theory that this is a consequence of narrowing subacromial space, leading to compression of the rotator cuff tendon mainly in the anterolateral portion of the acromion, which leads to inflammation and tearing of the rotator cuff tendon. Anatomically, the anterior third of the inferior surface of the acromion is the main attachment site of the coracoacromial ligament. The objective of the study is to evaluate the morphological characteristics of the coracoacromial ligament at the attachment site at the acromion based on preoperative radiographic features and intraoperative arthroscopic images. Study subjects: A prospective study included 36 patients diagnosed with subacromial impingement syndrome with or without rotator cuff tear and having surgical indication. Research methods: Descriptive, prospective. Evaluate the condition of the coracoacromial ligament surface and bone spur on the inferior surface of the acromion based on X-ray images, magnetic resonance, and actual arthroscopic images during surgery. Results: 28/36 patients, accounting for 77.8%, had images of scratched fibrous coracoacromial ligament surface on arthroscopy. There were 18/36 patients, accounting for 50%, with bone spurs appearing in the subacromial space. Conclusion: There are morphological changes at the insertion of the coracoacromial ligament in patients with subacromial impingement syndrome.

Article Details

Keywords

rotator cuff tear, coracoacromial ligament, fibrosis

References

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