What is it about?

The critical shoulder angle (CSA) is a new radiological parameter which has generated interest as a powerful predictor of the occurrence of rotator cuff tears. The acromial index (AI) is yet another radiological parameter associated with full thickness rotator cuff tears. This study examines the influence of CSA and AI on the outcomes of arthroscopic rotator cuff repair.

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Why is it important?

This study is a large single-surgeon series that attempts to investigate the influence of preoperative CSA and AI on functional outcomes post-operatively. Shoulder surgeons should be aware that increased CSA and AI do not appear to negatively influence function outcomes and hence should not be regarded as contraindications to arthroscopic rotator cuff surgery.

Perspectives

This study provides a clinical perspective on a topic which has mainly been discussed only in biomechanical or radiological studies.

Merrill Lee
Singapore General Hospital

Read the Original

This page is a summary of: Critical Shoulder Angle and Acromial Index Do Not Influence 24-Month Functional Outcome After Arthroscopic Rotator Cuff Repair, The American Journal of Sports Medicine, August 2017, SAGE Publications,
DOI: 10.1177/0363546517717947.
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