Superior excursion of the humeral head: a diagnostic tool in rotator cuff tear surgery

J Shoulder Elbow Surg. 2005 Jul-Aug;14(4):375-9. doi: 10.1016/j.jse.2004.12.001.

Abstract

Superior excursion of the humeral head on the face of the glenoid was investigated to determine whether a relationship exists between the degree of humeral head excursion and the identity of the injured tendon in a shoulder with a torn rotator cuff. Twenty-seven patients with unilateral full-thickness rotator cuff tears diagnosed by either positive arthrogram or magnetic resonance imaging were included in this study. Three groups were formed based on intraoperative findings: 10 patients had isolated supraspinatus tendon tears (group 1), 11 patients had supraspinatus and infraspinatus tears (group 2), and 6 patients had supraspinatus, infraspinatus, and subscapularis tendon tears (group 3). There was no statistically significant difference between the degree of humeral head excursion in groups 1 and 2. However, patients in group 3 had a statistically significantly higher degree of excursion of the humeral head (P < .05) when compared with groups 1 and 2. In addition, an inverse relationship between the degree of humeral head excursion and preoperative Constant scores was found. Superior excursion of the humeral head on the glenoid had a significantly higher incidence in patients with subscapularis tears, and a larger amount of excursion was present in patients who had lower preoperative Constant scores.

Publication types

  • Clinical Trial

MeSH terms

  • Adult
  • Aged
  • Diagnosis, Differential
  • Female
  • Humans
  • Humerus / abnormalities*
  • Humerus / diagnostic imaging
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Radiography
  • Rotator Cuff / diagnostic imaging*
  • Rotator Cuff Injuries*
  • Sensitivity and Specificity
  • Severity of Illness Index
  • Tendon Injuries / complications*
  • Tendon Injuries / diagnostic imaging*