Article Sidebar

pdf
Date Published: 10/06/2024
Abstract Views: 76
Views pdf: 51
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

1. Papadonikolakis et al (2011), "Published evidence relevant to the diagnosis of impingement syndrome of the shoulder", J Bone Joint Surg Am. 93, pp. 1827 -1832.
2. Lori A. Michener, Philip W. McClure, Andrew R. Karduna (2003), "Anatomical and biomechanical mechanisms of subacromial impingement syndrome", Clinical Biomechanics. 18, pp. 369–379.
3. Fealy S, April EW, Khazzam M, Armengol-Barallat J, Bigliani LU. (2005), "The coracoacromial ligament: morphology and study of acromial enthesopathy", J Shoulder Elbow Surg. 14, pp. 542-548.
4. Pekka Hyvönen (2003), On The Pathogenesis Of Shoulder Impingement Syndrome Academic Dissertation to be presented with the assent of the Faculty of Medicine, University of Oulu.
5. Mario Gallino, Bruno Battiston, Giovanni Annaratone, Flavio Terragnoli (1995), "Coracoacromial Ligament: A Comparative Arthroscopic and Anatomic Study", Arthroscopy: The Journal of Arthroscopic and Related Surgery. 11, No 5, pp. 564-567.
6. Ogata. S , Uhthoff. H. K (1990), "Acromial enthesopathy and rotator cuff tear: a radiologic and histologic postmortem investigation of the coracoacromial arch.", Clin Orthop. 254(39-48).
7. J. G. EDELSON, C. TAITZ (JULY, 1992), "Anatomy of the coraco-acromial arch relation to degeneration of the acromion", JBoneJointSurg[Br]. 74-B, pp. 589-594.
8. Ecklund KJ , Lee TQ, Tibone J, Gupta R (2007), "Rotator cuff tear arthropathy", J Am Acad Orthop Surg. 15, pp. 340-349.
9. Sarkar K, Taine W, Uhthoff HK (May, 1990), "The Ultrastructure of the Coracoacromial Ligament in Patients With Chronic Impingement Syndrome", Clin Orthop. 254, pp. 49–54.
10. R. Fremerey, L. Bastian, W. E. Siebert (2000), "The coracoacromial ligament: anatomical and biomechanical properties with respect to age and rotator cuff disease", Knee Surg, Sports Traumatol, Arthrosc. 8, pp. 309–313.