Journal of Shoulder and Elbow Surgery
Volume 14, Issue 5 , Pages 542-548 , September 2005

The coracoacromial ligament: Morphology and study of acromial enthesopathy

  • Stephen Fealy, MD

      Affiliations

    • Department of Sports Medicine, Hospital for Special Surgery, New York, NY, USA
    • Corresponding Author InformationReprint requests: Stephen Fealy, MD, Hospital for Special Surgery, 535 E 70th St, New York, NY 10021
  • ,
  • Ernest W. April, PhD

      Affiliations

    • Department of Orthopedics, Columbia University College of Physicians & Surgeons Shoulder Service, Columbia Presbyterian Medical Center, New York, NY, USA
  • ,
  • Michael Khazzam, MD

      Affiliations

    • Department of Sports Medicine, Hospital for Special Surgery, New York, NY, USA
  • ,
  • Juan Armengol-Barallat, MD

      Affiliations

    • Department of Orthopedics, Columbia University College of Physicians & Surgeons Shoulder Service, Columbia Presbyterian Medical Center, New York, NY, USA
  • ,
  • Louis U. Bigliani, MD

      Affiliations

    • Department of Orthopedics, Columbia University College of Physicians & Surgeons Shoulder Service, Columbia Presbyterian Medical Center, New York, NY, USA

References 

  1. Brandner H , Hempfling H , Probst J , Richt G . Resection of the coracoacromial ligament. A simple surgical procedure for decompression of the subacromial space . [in German] Aktuelle Traumatol . 1989;19:199–204
  2. Brodie CG . Note on the transverse-humeral, coracoacromial and coracohumeral ligaments of the shoulder . J Anat Physiol . 1890;24:247–252
  3. Burns WC , Whipple TL . Anatomic relationships in the shoulder impingement syndrome . Clin Orthop Rel Res . 1993;294:96–102
  4. Caspari RB , Thal R . A technique for arthroscopic subacromial decompression . Arthroscopy . 1992;8:23–30
  5. Ciochon RL , Corruccini RS . The coraco-acromial ligament and projection index in man and other anthropoid primates . J Anat . 1977;124:627–632
  6. Edelson JG , Taitz C . Anatomy of the coraco-acromial arch. Relation to degeneration of the acromion . J Bone Joint Surg Br . 1992;74:589–594
  7. Edelson JG , Luchs J . Aspects of coracoacromial anatomy of interest to the arthroscopic surgeon . Arthroscopy . 1995;11:715–719
  8. Gagey N , Rayaud E , Lassau JP . Anatomy of the acromial arch (correlation of anatomy and magnetic resonance imaging) . Surg Radiol Anat . 1993;15:63–70
  9. Gallino M , Battiston B , Annaratone G , Terragnoli F . Coracoacromial ligament (a comparative arthroscopic and anatomic study) . Arthroscopy . 1995;11:564–567
  10. Gohlke F , Barthel T , Gandorfer A . The influence of variations of the coracoacromial arch on the development of rotator cuff tears . Arch Orthop Trauma Surg . 1993;113:28–32
  11. Harris JE , Blackney M . The anatomy and function of the coracoacromial ligament . 1992; Presented at the 5th International Conference on Surgery of the Shoulder; July 9-12, Paris, France
  12. Holt EM , Allibone RO . Anatomic variants of the coracoacromial ligament . J Shoulder Elbow Surg . 1995;4:370–375
  13. Hunt JL , Moore RJ , Krishnan J . The fate of the coracoacromial ligament in arthroscopic acromioplasty (an anatomical study) . J Shoulder Elbow Surg . 2000;9:491–492
  14. Joyce JA . Remission of rheumatic symptoms and headache transecting the coracoacromial ligament . S Afr Med J . 1973;47:1254–1258
  15. Konttinen YT , Santavirta S , Paavolainen P , et al.   Immunoreactive neuropeptide nerves in ligamentous tissue in chronic shoulder pain . Arch Orthop Trauma Surg . 1992;111:341–344
  16. Kumar VP , Satru K , Liu J , Shen Y . The anatomy of the anterior origin of the deltoid . J Bone Joint Surg Br . 1997;79:680–683
  17. Masciocchi C , Barile A , De Bac S , et al.   Magnetic resonance in the assessment of critical points of impingement of the shoulder . [in Italian] Radiol Med (Torino) . 1993;85(Suppl 1):213–219
  18. Matthews LS , Fadale PD . Subacromial anatomy for the arthroscopist . Arthroscopy . 1989;5:36–40
  19. Ogata S , Uhthoff HK . Acromial enthesopathy and rotator cuff tear. A radiologic and histologic postmortem investigation of the coracoacromial arch . Clin Orthop Rel Res . 1990;254:39–48
  20. Okutso I , Ninomiya S , Takatori Y , Hamanaka I , Schonholtz GJ . Coracoacromial ligament release for shoulder impingement syndrome using the Universal Subcutaneous Endoscope system . Arthroscopy . 1992;8:2–9
  21. Pieper HG , Radas CB , Krahl H , Blank M . Anatomic variation of the coracoacromial ligament (a macroscopic and microscopic cadaveric study) . J Shoulder Elbow Surg . 1997;6:291–296
  22. Putz R , Liebermann J , Reichelt A . The function of the coracoacromial ligament . [in German] Acta Anat (Basel) . 1988;131:140–145
  23. Renoux S , Monet J , Pupin P , et al.   Preliminary note on biometric data relating to the human coracoacromial arch . Surg Radiol Anat . 1986;8:189–195
  24. Rohen JW , Yokochi C . Color atlas of anatomy . Tokyo: Igaku-Shoin; 1988; p. 350
  25. Sarkar K , Taine W , Uhthoff HK . The ultrastructure of the coracoacromial ligament in patients with chronic impingement syndrome . Clin Orthop Rel Res . 1990;254:49–54
  26. Shaffer B , Evans B , Ferrero G . Release and reattachment of the coracoacromial ligament (a cadaveric study) . J Shoulder Elbow Surg . 1997;6:297–305
  27. Soslowsky LJ , An CH , Johnston SP , Carpenter JE . Geometric and mechanical properties of the coracoacromial ligament and their relationship to rotator cuff disease . Clin Orthop Rel Res . 1994;304:10–17
  28. Flatow EL , Soslowsky LJ , Ticker JB , et al.   Excursion of the rotator cuff under the acromion. Patterns of subacromial contact . Am J Sports Med . 1994;22(6):779–788
  29. Thomas GB , Finney RL . Calculus and analytic geometry . Reading (MA) xxx: Wesley Publishing; 1984; 152
  30. Uhthoff HK , Hammond I , Sarkar K , Hooper GJ , Papoff WJ . The role of the coracoacromial ligament in the impingement syndrome . Int Orthop . 1988;12:97–104
  31. Wuelker N , Plitz W , Roetman B . Biomechanical data concerning shoulder impingement syndrome . Clin Orthop Rel Res . 1994;303:242–249
  32. Zuckerman JD , Kummer FJ , Cuomo F , et al.   The influence of coracoacromial arch anatomy on rotator cuff tears . J Shoulder Elbow Surg . 1992;1:4–14

PII: S1058-2746(05)00085-6

doi: 10.1016/j.jse.2005.02.006

Journal of Shoulder and Elbow Surgery
Volume 14, Issue 5 , Pages 542-548 , September 2005