Excursion of the Rotator Cuff Under the Acromion
dc.contributor.author | Flatow, Evan | en_US |
dc.contributor.author | Soslowsky, Louis J. | en_US |
dc.contributor.author | Ticker, Jonathan | en_US |
dc.contributor.author | Pawluk, Robert | en_US |
dc.contributor.author | Hepler, Matthew | en_US |
dc.contributor.author | Ark, Jon | en_US |
dc.contributor.author | Mow, Van C. | en_US |
dc.contributor.author | Bigliani, Louis | en_US |
dc.date.accessioned | 2010-04-13T19:19:17Z | |
dc.date.available | 2010-04-13T19:19:17Z | |
dc.date.issued | 1994 | en_US |
dc.identifier.citation | Flatow, Evan; Soslowsky, Louis; Ticker, Jonathan; Pawluk, Robert; Hepler, Matthew; Ark, Jon; Mow, Van; Bigliani, Louis (1994). "Excursion of the Rotator Cuff Under the Acromion." The American Journal of Sports Medicine 22(6): 779-788. <http://hdl.handle.net/2027.42/67283> | en_US |
dc.identifier.issn | 0363-5465 | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/67283 | |
dc.description.abstract | Nine fresh-frozen, human cadaveric shoulders were el evated in the scapular plane in two different humeral rotations by applying forces along action lines of rotator cuff and deltoid muscles. Stereophotogrammetry deter mined possible regions of subacromial contact using a proximity criterion; radiographs measured acromio humeral interval and position of greater tuberosity. Con tact starts at the anterolateral edge of the acromion at 0° of elevation; it shifts medially with arm elevation. On the humeral surface, contact shifts from proximal to dis tal on the supraspinatus tendon with arm elevation. When external rotation is decreased, distal and poste rior shift in contact is noted. Acromial undersurface and rotator cuff tendons are in closest proximity between 60° and 120° of elevation; contact was consistently more pronounced for Type III acromions. Mean acro miohumeral interval was 11.1 mm at 0° of elevation and decreased to 5.7 mm at 90°, when greater tuberosity was closest to the acromion. Radiographs show bone- to-bone relationship; stereophotogrammetry assesses contact on soft tissues of the subacromial space. Con tact centers on the supraspinatus insertion, suggesting altered excursion of the greater tuberosity may initially damage this rotator cuff region. Conditions limiting ex ternal rotation or elevation may also increase rotator cuff compression. Marked increase in contact with Type III acromions supports the role of anterior acromioplasty when clinically indicated, usually in older patients with primary impingement. | en_US |
dc.format.extent | 3108 bytes | |
dc.format.extent | 1197994 bytes | |
dc.format.mimetype | text/plain | |
dc.format.mimetype | application/pdf | |
dc.publisher | Sage Publications | en_US |
dc.title | Excursion of the Rotator Cuff Under the Acromion | en_US |
dc.type | Article | en_US |
dc.subject.hlbsecondlevel | Kinesiology and Sports | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationum | Orthopaedic Research Laboratories, the University of Michigan, Ann Arbor, Michigan | en_US |
dc.contributor.affiliationother | Orthopaedic Research Laboratory, New York Orthopaedic Hospital, Columbia-Presbyterian Medical Center, New York, New York | en_US |
dc.contributor.affiliationother | Orthopaedic Research Laboratory, New York Orthopaedic Hospital, Columbia-Presbyterian Medical Center, New York, New York | en_US |
dc.contributor.affiliationother | Orthopaedic Research Laboratory, New York Orthopaedic Hospital, Columbia-Presbyterian Medical Center, New York, New York | en_US |
dc.contributor.affiliationother | Orthopaedic Research Laboratory, New York Orthopaedic Hospital, Columbia-Presbyterian Medical Center, New York, New York | en_US |
dc.contributor.affiliationother | Orthopaedic Research Laboratory, New York Orthopaedic Hospital, Columbia-Presbyterian Medical Center, New York, New York | en_US |
dc.contributor.affiliationother | Orthopaedic Research Laboratory, New York Orthopaedic Hospital, Columbia-Presbyterian Medical Center, New York, New York | en_US |
dc.contributor.affiliationother | Orthopaedic Research Laboratory, New York Orthopaedic Hospital, Columbia-Presbyterian Medical Center, New York, New York | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/67283/2/10.1177_036354659402200609.pdf | |
dc.identifier.doi | 10.1177/036354659402200609 | en_US |
dc.identifier.source | The American Journal of Sports Medicine | en_US |
dc.identifier.citedreference | Armstrong JR Excision of the acromion in the treatment of the supraspinatus syndrome: Report of ninety-five excisions. J Bone Joint Surg 31B: 436-442, 1949 | en_US |
dc.identifier.citedreference | Ateshian GA, Soslowsky LJ, Mow VC: Quantitation of articular surface topography and cartilage thickness in knee joints using stereophotogrammetry. J Biomech 24 761-776, 1991 | en_US |
dc.identifier.citedreference | Bighani LU, D'Allesandro DF, Duralde XA, et al: Anterior acromioplasty for subacromial impingement in patients younger than 40 years of age. Clin Orthop 246 111-116, 1989 | en_US |
dc.identifier.citedreference | Bigliani LU, Mornson DS, April EW The morphology of the acromion and its relationship to rotator cuff tears. Orthop Trans 10 228, 1986 | en_US |
dc.identifier.citedreference | Bigliani LU, Ticker JB, Flatow EL, et al The relationship of acromial architecture to rotator cuff disease. Clin Sports Med 10 823-838, 1991 | en_US |
dc.identifier.citedreference | Burns WC II, Whipple TL Anatomic relationships in the shoulder impingement syndrome Clin Orthop 294. 96-102, 1993 | en_US |
dc.identifier.citedreference | Codman EA The shoulder Rupture of the supraspinatus tendon and other lesions in or about the subacromial bursa. Boston, Thomas Todd, 1934 | en_US |
dc.identifier.citedreference | Cone RO III, Resnick D., Danzig L. Shoulder impingement syndrome: Radiographic evaluation Radiology 150 29-33, 1984 | en_US |
dc.identifier.citedreference | Cotton RE, Rideout DR Tears of the humeral rotator cuff A radiological and pathological necropsy survey J Bone Joint Surg 46B 314-328, 1964 | en_US |
dc.identifier.citedreference | Doody SG, Freedman L., Waterland JC Shoulder movements during abduction in the scapular plane. Arch Phys Med Rehabil 51: 595-604,1970 | en_US |
dc.identifier.citedreference | Flatow EL, Fischer RA, Bighani LU Results of rotator cuff surgery, in lannotti J (ed): The Rotator Cuff. Chicago, AAOS, 1991 | en_US |
dc.identifier.citedreference | Freedman L., Munro RR Abduction of the arm in the scapular plane Scapular glenohumeral movements J Bone Joint Surg 48A 1503-1510, 1966 | en_US |
dc.identifier.citedreference | Golding FC The shoulder. The forgotten joint Br J Radiol 35 149-158, 1962 | en_US |
dc.identifier.citedreference | Hawkins RJ, Brock RM, Abrams JS, et al Acromioplasty for impingement with an intact rotator cuff J Bone Joint Surg 70B 795-797, 1988 | en_US |
dc.identifier.citedreference | Howard NJ, Eloesser L. Treatment of fracture of the upper end of the humerus An experimental and clinical study J Bone Joint Surg 32 1-29, 1934 | en_US |
dc.identifier.citedreference | Jerosch J., Castro Whm, Sons HU, et al Zur Atiologie des subacromialen Impmgement-Syndromes: Eine biomechanische Untersuchung. Beitr Orthop Traumatol 36 411-418, 1989 | en_US |
dc.identifier.citedreference | Jobe FW, Glousman RE Rotator cuff dysfunction and associated glenohumeral instability in the throwing athlete, in Paulos LE, Tibone JE (eds): Operative Techniques in Shoulder Surgery. Gaithersburg, MD, Aspen, 1991, pp 85-91 | en_US |
dc.identifier.citedreference | Matsen FA III, Lippitt SB, Sidles JA, et al In Practical Evaluation and Management of the Shoulder Philadelphia, WB Saunders Co, 1994, pp 37-40 | en_US |
dc.identifier.citedreference | Meyer AW Chronic functional lesions of the shoulder Arch Surg 35: 646-674, 1937 | en_US |
dc.identifier.citedreference | Morrison DS, Bigliani LU The clinical significance of variations in acromial morphology Orthop Trans 11 234, 1987 | en_US |
dc.identifier.citedreference | Nasca RJ, Salter EG, Well CE Contact areas of the subacromial joint, in Bateman JE, Welsh RP (eds) Surgery of the Shoulder New York, Decker, 1984, p 134-139 | en_US |
dc.identifier.citedreference | Neer CS II: Impingement lesions Clin Orthop 173. 70-77, 1983 | en_US |
dc.identifier.citedreference | Neer CS II Anterior acromioplasty for the chronic impingement syndrome in the shoulder J Bone Joint Surg 54A 41-50, 1972 | en_US |
dc.identifier.citedreference | Neer CS II, Poppen NK Supraspinatus outlet Orthop Trans 11 234, 1987 | en_US |
dc.identifier.citedreference | Nevaiser TJ, Nevaiser RJ, Nevaiser JS: The four-in-one arthroplasty for the painful arc syndrome Clin Orthop 163 107-112, 1982 | en_US |
dc.identifier.citedreference | Nirschl RP Rotator cuff tendinitis: Basic concept of pathoetiology Instr Course Lect 38. 447-462, 1989 | en_US |
dc.identifier.citedreference | Perry J. Anatomy and biomechanics of the shoulder in throwing, swimming, gymnastics, and tennis. Clin Sports Med 2 247-270, 1983 | en_US |
dc.identifier.citedreference | Petersson CJ, Redlund-Johnell I.: The subacromial space in normal shoulder radiographs. Acta Orthop Scand 55: 52-58, 1984 | en_US |
dc.identifier.citedreference | Poppen NK, Walker PS: Normal and abnormal motion of the shoulder. J Bone Joint Surg 58A 195-201, 1976 | en_US |
dc.identifier.citedreference | Post M., Cohen J. Impingement syndrome A review of late stage II and early stage III lesions Clin Orthop 207 126-132, 1986 | en_US |
dc.identifier.citedreference | Regan WD, Richards RR Subacromial pressure pre- and postacromioplasty. A cadaveric study. Orthop Trans 13 671, 1989 | en_US |
dc.identifier.citedreference | Renoux S., Monet J., Pupin P., et al Preliminary note on biometric data relating to the human coracoacromial arch Surg Radiol Anat 8. 189-195, 1986 | en_US |
dc.identifier.citedreference | Scherrer PK, Hiliberry BM, Van Sickle DC Determining in vivo access of contact in the canine shoulder J Biomech Eng 101. 271-278, 1979 | en_US |
dc.identifier.citedreference | Schwartz E., Warren RF, Otis JC, et al Superior migration of the humeral head in rotator cuff dysfunction Trans Orthop Res Soc 13: 444, 1988 | en_US |
dc.identifier.citedreference | Smith-Peterson MN, Aufranc OE, Larson CB Useful surgical procedures for rheumatoid arthritis involving joints of the upper extremity Arch Surg 46 764-770, 1943 | en_US |
dc.identifier.citedreference | Soslowsky LJ Studies on diarthrodial joint biomechanics with special reference to the shoulder. Ph D Thesis, Columbia University, New York, 1991 | en_US |
dc.identifier.citedreference | Soslowsky LJ, Ateshian GA, Mow VC: Stereophotogrammetnc determination of joint anatomy and contact areas, in Mow SC, Ratcliffe A, Woo SL-Y (eds) Biomechanics of Diarthrodial Joints Vol 2. New York, Springer-Verlag, 1990 | en_US |
dc.identifier.citedreference | Soslowsky LJ, Flatow EL, Bigliani LU, et al Quantitation of in situ contact areas in the glenohumeral joint: A biomechanical study J Orthop Res 10 524-534, 1992 | en_US |
dc.identifier.citedreference | Soslowsky LJ, Flatow EL, Pawluk RJ, et al. Subacromial contact (impingement) on the rotator cuff in the shoulder Trans Orthop Res Soc 17 424, 1992 | en_US |
dc.identifier.citedreference | Uhthoff HK, Hammond DI, Sarkar K., et al The role of the coracoacromial ligament in the impingement syndrome A clinical, radiological and histological study Int Orthop 12 97-104, 1988 | en_US |
dc.identifier.citedreference | Walch G., Boileau P., Noel E., et al Impingement of the deep surface of the supraspinatus tendon on the posterosuperior glenoid rim. An arthroscopic study. J Shoulder Elbow Surg 1 238-245, 1992 | en_US |
dc.identifier.citedreference | Warren RF Surgical considerations of rotator cuff tears in athletes, in Jackson DW (ed) Shoulder Surgery in the Athlete Rockville, MD, Aspen, 1985, pp 73-82 | en_US |
dc.identifier.citedreference | Watson-Jones R. Fractures and Joint Injuries. Fifth edition Vol 2 London, Churchill Livingstone, 1976, pp 524-527 | en_US |
dc.identifier.citedreference | Weiner DS, Mac Nab I Superior migration of the humeral head A radiological aid in the diagnosis of tears of the rotator cuff. J Bone Joint Surg 52B. 524-527, 1970 | en_US |
dc.identifier.citedreference | Zuckerman JD, Kummer FJ, Cuomo F., et al: The influence of coracoacromial arch anatomy on rotator cuff tears. J Shoulder Elbow Surg 1 4-14, 1992 | en_US |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
Files in this item
Remediation of Harmful Language
The University of Michigan Library aims to describe library materials in a way that respects the people and communities who create, use, and are represented in our collections. Report harmful or offensive language in catalog records, finding aids, or elsewhere in our collections anonymously through our metadata feedback form. More information at Remediation of Harmful Language.
Accessibility
If you are unable to use this file in its current format, please select the Contact Us link and we can modify it to make it more accessible to you.