Anatomic classification of the acromial angle and its clinical significance

ZHOU Anping YAN Hang CHEN Yong-hong XIE Dong-bo ZHANG Yu-ke GUO Shi-tao WANG Jian-xue

Acta Anatomica Sinica ›› 2022, Vol. 53 ›› Issue (1) : 92-95.

PDF(1954 KB)
Welcome to visit Acta Anatomica Sinica! Today is Chinese
PDF(1954 KB)
Acta Anatomica Sinica ›› 2022, Vol. 53 ›› Issue (1) : 92-95. DOI: 10.16098/j.issn.0529-1356.2022.01.012
Anatomy

Anatomic classification of the acromial angle and its clinical significance

  • ZHOU An-ping YAN Hang2* CHEN Yong-hong2 XIE Dong-bo2  ZHANG Yu-ke2  GUO Shi-tao2  WANG Jian-xue1 #br#
Author information +
History +

Abstract

Objective  To study the acromial angle morphologic type and measurement analysis based on CT 3D reconstruction.    Methods  Totally 278 cases of adult CT three-dimensional reconstruction of the shoulder morphological data were collected, and the measurement data of the different types was analyzed, its statistical significance was clarified, and the morphological characteristics to division the type of acromial angle were summarized, its diagnosis and treatment under the acromion impingement of guiding significance were discussed.    Results  The acromial angle was divided into three types (C shaped acromial angle, L shaped acromial angle, and double angle shaped acromial angle). Among them, L type was the most, accounting for 48.56%, followed by C type, and double angle type was the least. In comparison of the breadth of the acromion and the length of the acromion, L type was significantly longer than C type (P<0.05). The thickness of acromion at a point of the double angle shaped acromial angle was greater than that of the other two type (P<0.05). In the comparison of ∠a, the double-angle type was greater than the C type (P<0.05), and the C type was greater than the L type (P<0.05).    Conclusion  There are significant differences in the classification and anatomical parameters of acromial angle, and the differences are statistically significant. It has certain guiding significance to the etiology and clinical diagnosis and treatment of subacromial impingement syndrome.

Key words

Acromial angle / 3D reconstruction / Human

Cite this article

Download Citations
ZHOU Anping YAN Hang CHEN Yong-hong XIE Dong-bo ZHANG Yu-ke GUO Shi-tao WANG Jian-xue. Anatomic classification of the acromial angle and its clinical significance[J]. Acta Anatomica Sinica. 2022, 53(1): 92-95 https://doi.org/10.16098/j.issn.0529-1356.2022.01.012

References

[1] Xue JG, Sun HB, Han XQ, et al. Progress in the diagnosis and treatment of acromial impingtion [J]. Chinese Journal of Bone and Joint, 2019, 8(8): 617-619.(in Chinese) 
薛建刚, 孙海飚, 韩晓强,等. 肩峰撞击征诊断与治疗的研究进展 [J]. 中国骨与关节杂志, 2019, 8(8): 617-619.
[2] Liu WK, Nie M, Wan HM, et al. Treatment of rotator cuff tear [J]. Chinese Journal of Orthopedics, 2018, 26(24): 2266-2269.(in Chinese) 
刘文科, 聂茂, 万海明,等. 肩袖撕裂的治疗现状 [J]. 中国矫形外科杂志, 2018, 26(24): 2266-2269.
[3] Neer CS. Anterior acromioplasty for the chronic impingement syndrome in the shoulder [J]. J Bone Joint Surg Am, 2015, 87(6): 1399. 
[4] Balke M, Schmidt C, Dedy N, et al. Correlation of acromial morphology with impingementsyndrome and rotator cuff tears [J]. Actaorthopaedica, 2013, 84(2): 178-183. 
[5] Zhang L, Guo XG, Dai P, et al. Anatomical morphology and clinical significance of scapulae based on CT 3d reconstruction [J]. Acta Anatomica Sinica, 2019, 50(6): 791-795.(in Chinese) 
张磊, 郭晓光, 代平,等. 基于CT三维重建的中国人肩胛冈解剖形态学分型及临床意义 [J]. 解剖学报, 2019, 50(6): 791-795.
[6] Zhang L, Liu Y, Zeng Y, et al. Anatomical classification and clinical significance of scapular notch based on CT three-dimensional reconstruction [J]. Acta Anatomica Sinica, 2019, 50(5): 620-626.(in Chinese) 
张磊, 刘洋, 曾炎,等. 基于CT三维重建的肩胛切迹解剖分型及临床意义 [J]. 解剖学报, 2019, 50(5): 620-626.
[7] Circi E, Okur SC, Aksu O, et al. The effectiveness of extracorporeal shockwave treatment in subacromial impingement syndrome and its relation with acromion morphology [J]. Acta Orthop Traumatol Turc, 2018, 52(1): 17-21. 
[8] Heuberer PR, Plachel F, Willinger L, et al. Critical shoulder angle combined with age predict five shoulder pathologies: a retrospective analysis of 1000 cases [J]. BMC Musculoskelet Disord, 2017, 18(1): 259. 
[9] Paraskevas G, Tzaveas A, Papaziogas B, et al. Morphological parameters of the acromion [J]. Folia Morphol (Warsz), 2008, 67(4): 255-260. 
[10] Coskun N, Karaali K, Cevikol C, et al. Anatomical basics and variations of the scapula in Turkish adults [J]. Saudi Med J, 2006, 27(90): 1320-1325. 
[11] Xu GL, Xu LY, Zhang ZhH, et al. Measurement of glenoid position of scapula and its clinical significance  [J]. Acta Anatomic Sinica, 2016, 47(5): 670-671.(in Chinese) 
徐高磊, 许路阳, 张振华,等. 肩胛骨关节盂的位置数据测量及其临床意义[J]. 解剖学报, 2016, 47(5): 670-671.
[12] Yu XB, Zhao DW, Wang WM, et al.Treatment of subacromial impanation syndrome with rotator cuff under arthroscopy [J]. Chinese Journal of Clinical Anatomy, 2011, 29(3): 346-349.(in Chinese) 
于晓兵, 赵德伟, 王卫明,等. 关节镜下治疗肩峰下撞击综合征合并肩袖 [J]. 中国临床解剖学杂志, 2011, 29(3): 346-349.
[13] Wang HJ, Giambini H, Hou DB, et al. Classification and Morphological parameters of the scapular spine: implications for surgery [J]. Medicine, 2015, 94(45): e1986. 
[14] Saha S, Vasudeva N. Morphometric evaluation of adult acromion process in north indian population [J]. J Clin Diagn Res, 2017, 11(1): AC08-AC11. 
[15] Sharma R, Singla RK, Kullar JS, et al. A cadaveric study of different angles of scapula and their role in kinesiometrics and muscle morphology [J]. JNMA J Nepal Med Assoc, 2013, 52(191): 494-499. 
[16] Paraskevas G, Tzaveas A, Papaziogas B, et al. Morphological parameters of the acromion [J]. Folia Morphol (Warsz), 2008, 67(4): 255-260. 
[17] Kitay GS, Iannotti JP, Williams GR, et al. Roentgenographic assessment of acromial morphologic condition in rotator cuff impingement syndrome [J]. J Shoulder Elbow Surg, 1995, 4(6): 441-448. 
[18] Song ZhG, Yuan Ch, Lü M, et al. Anatomical study on decompression of acromioplasty with cutting block technique [J]. Chinese Journal of Orthopaedic Trauma, 2019, 21(7): 609-613.(in Chinese) 
宋兆光, 袁春, 吕明,等. 切割阻滞技术进行肩峰成形术减压效果的解剖学研究 [J]. 中华创伤骨科杂志, 2019, 21(7): 609-613.
[19] Banas MP, Miller RJ. Relationship between the lateral acromion angle and rotator cuff disease [J]. J Shoulder Elbow Surg, 1995, 4(6): 454-461. 
[20] Aibinder WR, Schoch BS, Cofield RH, et al. Reverse shoulder arthroplasty in patients with acromial [J]. J Shoulder Elbow Surg, 2017, 26(9): 1598-1602. 
[21] Maffulli N, Longo UG, Berton A, et al. Biological factors in the pathogenesis of rotator cuff tears [J]. Sports Med Arthrosc Rev, 2011, 19(9): 194-201. 
[22] Barbier O, Block D, Dezaly C, et al. Os acromialea cause of shoulder painnot to be overlooked [J]. Orthop Traumatol Surg Res, 2013, 99(9): 465-472.
PDF(1954 KB)

Accesses

Citation

Detail

Sections
Recommended

/