Evaluation of Preoperative Magnetic Resonance Imaging Parameters with Arthroscopic Validation of Subscapularis Tendon Abnormalities in 187 Patients at a Single Center in Turkey.

Abstract

BACKGROUND This study from a single center in Turkey aimed to evaluate preoperative magnetic resonance imaging (MRI) parameters with arthroscopic validation of subscapularis (SS) tendon abnormalities in 187 patients. MATERIAL AND METHODS Preoperative MRI scans of 187 patients who had undergone arthroscopic shoulder surgery by the senior author (all in lateral decubitus position) were evaluated by 3 researchers. Patients with arthroscopically proven SS tendon rupture (n=69) and without rupture (n=118) were divided into 2 groups and compared with various distances and angles. The following parameters were measured: coracohumeral distance (CHD), coracoid morphology, coraco-glenoid angle (CGA), coracoid angle (CA), coraco-humeral angle (CHA), coracoid overlap (CO), coracoid body-glenoid angle (CBGA), coracoid tip-glenoid angle (CTGA), coracoid tip-body angle (CTBA), coraco-scapular angle (CSA), lesser tuberosity angle (LTA), and lesser tuberosity height (LTH). RESULTS CHD, CHA, CA, and LTA values decreased in the SS tendon rupture group; coracoid type grade and CO increased (all P<0.001, excluding LTA [P=0.022]). The cut-off values of these measurements were CHD=7.25 mm, CHA=107.25°, CA=111.5°, LTA=31.7°, and CO=16.5 mm. The differences in CGA and CBGA values were not statistically significant (P=0.11, 0.441, respectively). CTGA, CTBA, LTH, and CSA measurements were not included in the intergroup comparisons due to insufficient inter-observer reliability (kappa=0.478, 0.239, 0.496, 0.309, respectively). Power (1- b) in post hoc analysis was calculated as 0.941. CONCLUSIONS SS tendon rupture was associated with a reduction in the parameters of CHD, CHA, CA, and LTA and an increase in CO on MRI.