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Abstract Objective To explore the numerical changes of five methods of measuring coracoid process morphology and to determine which indexes are the most significant in judging the subscapular tendon injury caused by coracoid impingement and provide reference for clinical diagnosis.Methods The clinical data of 100 patients with subscapular tendon injury were collected and examined by MRI.There were 42 male and 58 female patients.The injury were found in 52 left shoulder and 48 right shoulder,with the injury grade 0 in 22 cases,grade 1 in 36 cases,grade 2 in 23 cases,grade 3 in 19 cases).The coracoid-humeral distanc(CH),the coracoid index(CI),the angle between coracoid body and joint pelvis(A1),the angle between coracoid neck and articular pelvis(A2),and the angle between coracoid neck and coracoid were measured(A3).Results The P values of each group were calculated respectively(α=0.05),CH:P=0.000,with statistical significance;CI:P=0.259,no statistical significance;A1:P=0.018,no statistical significance;A2:P=0.007,with statistical signi-ficance;A3:P=0.000,with statistical significance.Conclusion The morphological changes of coracoid process can lead to coracoid process impingement to some extent,and eventually lead to subscapular tendon injury.
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[1]Neer CS 2nd.Anterior acromioplasty for the chronic impingement syndrome in the shoulder:a preliminary report[J].J Bone Joint Surg (Am),1972,54(1):41-50.
[2]Rhon DI,Boyles RB,Cleland JA.Management of the unilateral shoulder impingementsyndrome.[J].Annals of Internal Medicine,2015,162(3):237-238.
[3]Ferrick MR.Coracoid impingement.A case report and review of the literature.[J].Am J Sports Med,2000,28(1):117-119.
[4]Paulson MM,Watnik NF,Dines DM.Coracoid impingement syndrome,rotator interval reconstruction,and biceps tenodesis in the overhead athlete[J].Oper Tech Sports Med,2001,32(3):268-275.
[5]Lo IK,Parten PM,Burkhart SS.Combined subcoracoid and subacromial impingement inassociation with anterosuperior rotator cuff tears:An arthroscopic approach[J].Arthroscopy,2003,19(10):1068-1078.
[6]Richards DP,Burkhart SS,Campbell SE.Relation between narrowed coracohumeral distanceand subscapularis tears[J].Arthroscopy,2005,21(10):1223-1228.
[7]Zlatkin M,Iannoti JP,Roberts MC.et al.Rotator cuff tears;Diagnostic performance of MR imaging[J].Radiology,1989,172(1):223-229.
[8]Gerber C,Terrier F,Zehnder R,et al.The subcoracoid space.An anatomic study[J].Clin Orthop Relat Res,1987,215(215):132-138.
[9]Ferreira AA,Benegas E,Neto RB,et al.The Subcoracoid Space:An Anatomical Study[J].Arthroscopy,2012,28(9):e350.
[10]Gerber C,Terrier F,Ganz R.The role of the coracoid process in the chronic impingement syndrome[J].J Bone Joint Surg (Br),1985,67(5):703-708.
[11]Dines DM,Warren RF,Inglis AE,et al.The coracoid impin-gement syndrome[J].J Bone Joint Surg(Br),1990,72(2):314-316.
[12]Ferrick MR.Coracoid impingement.A case report and review of the literature[J].Am J Sports Med,2000,28(1):117-119.
[13]Okoro T,Reddy VR,Pimpelnarkar A.Coracoid impinge-ment syndrome:a literature review[J].Curr Rev Musculoskelet Med,2009,2(1):51-55. |
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. [J]. sygkzz, 2021, 27(2): 161-165. |
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