An age- and gender-related three-dimensional analysis of rotator cuff transverse force couple volume ratio in 304 shoulders

PURPOSE: The rotator cuff transverse force couple (RCTFC) is fundamental in the shoulder biomechanics, as the balance of its muscle components (the subscapularis relative to the infraspinatus and teres minor) provides stability to the joint. The chronic progression of rotator cuff tears usually present alterations in muscle volume, along with atrophy and compensatory hypertrophy, which can be determined using imaging techniques. The aim of this study was to quantify RCTFC muscle volume in a large sample taking into account the age and gender of the participants involved.

METHODS: An observational, retrospective, cross-sectional, descriptive and comparative study was conducted, evaluating thoracic computed tomography scans from 152 patients (304 shoulders) of indistinct gender, with ages ranging between 18 and 85 years. The RCTFC muscle volume was quantified with an oblique/multiplanar segmentation technique. Measuring time was also documented.

RESULTS: We observed that muscle volume decreases among the different age (p < 0.04) and gender (p < 0.001) groups. However, the RCTFC volume ratio remained constant at 1.02 ± 0.18 without significant differences throughout all age and gender groups evaluated (p > 0.298).

CONCLUSION: The decrease in the RCTFC muscle volume is proportional during the different stages of life, maintaining a constant ratio between its components (physiological RCTFC muscle atrophy). The time-saving segmentation method and volume ratio formula proposed in this study contribute to the management and understanding of rotator cuff tear/pathology.

Medienart:

E-Artikel

Erscheinungsjahr:

2017

Erschienen:

2017

Enthalten in:

Zur Gesamtaufnahme - volume:39

Enthalten in:

Surgical and radiologic anatomy : SRA - 39(2017), 2 vom: 04. Feb., Seite 127-134

Sprache:

Englisch

Beteiligte Personen:

Espinosa-Uribe, Abraham Guadalupe [VerfasserIn]
Negreros-Osuna, Adrian Antonio [VerfasserIn]
Gutierréz-de la O, Jorge [VerfasserIn]
Vílchez-Cavazos, Félix [VerfasserIn]
Pinales-Razo, Ricardo [VerfasserIn]
Quiroga-Garza, Alejandro [VerfasserIn]
Elizondo-Riojas, Guillermo [VerfasserIn]
Elizondo-Omaña, Rodrigo Enrique [VerfasserIn]
Guzmán-López, Santos [VerfasserIn]

Links:

Volltext

Themen:

Age
Comparative Study
Journal Article
Muscle volume
Observational Study
Rotator cuff
Segmentation
Transverse force couple

Anmerkungen:

Date Completed 11.08.2017

Date Revised 13.11.2018

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1007/s00276-016-1714-x

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM261477528