Abstract
Objective: The purpose our study was to demonstrate a new
method to reliably measure the coracohumeral distance (CHD) using a
3-dimensional #multiplanar reformatted (3-D MPR) MR image.
Materials and Methods: Seventy-seven shoulder MRIs were
retrospectively reviewed (32 males,45 females; 61.6±6.6 years). The
patients were categorized based on the extent of the #subscapularis tendon (SScT) tear: normal tendon (SScTO) (n=32); full-thickness tear
involving <70% of tendon SScTF) (n=38); near-complete tear involving
>70% of tendon (SScTC)(n=7). Twenty-five patients were also analyzed
as a control group. The shortest CHD was measured on both traditional
axial images (CHDax) and MPR MR images (CHD3D) using a new method. The
correlation between CHDax and CHD3D was evaluated. Then, differences in
CHD among groups were analyzed. Several MR imaging findings were
assessed to determine whether they had any relationship with CHDs.
Results: There was almost perfect agreement between the readers
in #measuring CHDs. There was a strong correlation of 0.77 (p< 0.001)
between CHDax and CHD3D values. For SScT abnormality, the CHD3D was
significantly narrowed in the SScTC group, compared to the control and
other patient groups (p=0.049). However, there was no correlation
between the CHDax and SScT #abnormalities (p=0.401).
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Measurement of Coracohumeral Distance: A New Method Using a 3-Dimensional Multiplanar Reformatted MR Image by Sae Hoon Kim in BJSTR
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