Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
The aim of this present study was to investigate the relationship between Radiomorphometric parameters of shoulder joints and Degenerative Rotator Cuff tears (DRCT). The magnetic resonance imaging (MRI) parameters used to diagnose rotator cuff tears are weakly correlated to Radiomorphometric parameters of shoulder joint. Our hypothesis was that adding morphologic parameters resulting from biplanar radiographs to the MRI parameters would improve this correlation. Over the past two years, we obtained X‐rays and MRI scans from 100 individuals (50 with DRCT as cases and 50 with Shoulder joint pathologies other than DRCT as controls) with DRCT and other shoulder joint pathologies. Radio morphometric Parameters used in this study were measured on plain AP X rays of shoulder joint and analyzed in 3 groups., Humeral Head Parameters, Glenoid Parameters and Combined Parameters. First, the trueness and reliability of these parameters were evaluated. Then, bivariate correlations between each parameter and the MRI Findings were made. We also considered factors like Dominance, Dexterity, Gender, Age group, Co morbidities, Site of tear (whether the tear was articular, bursal or intrasubstance), Specific rotator cuff tendon involved, Clinical Scoring of disability into consideration before reaching the conclusion. Humeral Head Parameters included Greater Tuberosity Angle (GTA), Greater Tuberosity Radius (GTR) and Humeral Head Radius (HHR). Glenoid Parameter was Critical Shoulder Angle (CSA). Combined Parameters were GTA + CSA, GTR: HHR and Acromial Index (AI). Mean GTA of case group was calculated as 81.2 SD 4.58, that was found to be larger than Mean GTA of control group that was 74.6 SD 2.87 (p‐value 0.0001). Mean GTR of case group was calculated as 3cm SD 0.27 was smaller than mean GTR of control group that was 3.14 cm SD 0.225 (p‐value 0.007). Mean value of HHR in cases was 2.14 cm SD 0.217 that was smaller than mean value of hhr in controls that came out to be 2.82 cm SD 0.236 (p value 0.0001). Mean CSA of Case group was found to be 40.104 SD 4.839, that was larger than mean value of control group CSA that was 32.758 SD 2.108 (p value 0.0001). Mean GTA+CSA of case group was 121.31 SD 4.73 was significantly larger than Mean GTA + CSA of control group that came out to be 107.36 SD 1.77 (p value 0.0001). Mean GTR: HHR RATIO OF Case group was also greater i.e. 1.39 SD 0.09 as compared to GTR: HHR of control group that was 1.11 SD 0.04 (p value 0.0001). Mean Acromial index of case group was 0.77 SD 0.06 which was greater than AI of control group that was 0.64 SD 0.03 (p value 0.0001). For patients with rotator cuff tears, the combination of MRI and Radiomorphometric parameters of the shoulder the findings suggest that radiomorphometric parameters could serve as valuable radiological markers for degenerative rotator cuff tears, aiding in clinical assessment and treatment planning. Additionally the patients who have radiological findings similar to case group can be advised lifestyle modifications and comorbidity management to reduce the risk of DRCT occurrence in the near future.
How to cite this article:
Aditya , Ashish Devgan and Raj Singh. Evaluation of Radio Morphometric Parameters of Shoulder Joint in Indian Population with Degenerative Rotator Cuff Tears.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.10.290.293
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.10.290.293