Journal of Shoulder and Elbow Surgery
Volume 19, Issue 1 , Pages 10-13 , January 2010

Measurement of the acromiohumeral interval on standardized anteroposterior radiographs: A prospective study of observer variability

  • Gerald Gruber, MD

      Affiliations

    • Department of Orthopedics, Medical University Graz, Austria
    • Corresponding Author InformationReprint requests: Gerald Gruber MD, Department of Orthopedics, Medical University Graz, Auenbruggerplatz 5-7, 8036 Graz, Austria.
    • ,
  • Gerwin A. Bernhardt, MD

      Affiliations

    • Department of Surgery, Medical University Graz, Austria
    • ,
  • Heimo Clar, MD

      Affiliations

    • Department of Orthopedics, Medical University Graz, Austria
    • ,
  • Maximilian Zacherl, MD

      Affiliations

    • Department of Orthopedics, Medical University Graz, Austria
    • ,
  • Mathias Glehr, MD

      Affiliations

    • Department of Orthopedics, Medical University Graz, Austria
    • ,
  • Christian Wurnig, MD

      Affiliations

    • Orthopedic Hospital Speising, Vienna, Austria

References 

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  2. Fehringer EV, Rosipal CE, Rhodes DA, Lauder AJ , Puumala SE , Feschuk CA, et al. The radiographic acromiohumeral interval is affected by arm and radiographic beam position. Skeletal Radiol. 2008;37:535–539
  3. Golding FC. The shoulder-the forgotten joint. Brit J Radiol. 1962;35:149–158
  4. Hamada K, Fukuda H, Mikasa M, Kobayashi Y. Roentgenographic findings in massive rotator cuff tears: A long- term observation. Clin Orthop Relat Res. 1990;254:92–96
  5. Hardy D, Vogler JB, White RH. The shoulder impingement syndrome: prevalence of radiographic findings and correlation with response to therapy. Am J Roentgenol. 1986;147:557–561
  6. Kotzen LM. Roentgen diagnosis of rotator cuff tear: report of 48 surgically proven cases. Am J Roentgenol Radium Ther Nucl Med. 1971;112:507–511
  7. Lehtinen JT, Belt EA, Lyback CO, Kauppi MJ, Kaarela K, Kautiainen HJ, et al. Subacromial space in the rheumatoid shoulder: a radiographic 15-year follow-up study of 148 shoulders. J Shoulder Elbow Surg. 2000;9:183–187
  8. Michener L, McClure PW, Karduna AR. Anatomical and biomechanical mechanisms of subacromial impingement syndrome. Clin Biomech. 2003;18(5):369–379
  9. Petersson CJ, Redlund-Johnell I. The subacromial space in normal shoulder radiographs. Acta Orthop Scand. 1984;55:57–58
  10. Saupe N, Pfirrmann CW, Schmid MR, Jost B, Werner CM, Zanetti M. Association between rotator cuff abnormalities and reduced acromiohumeral distance. AJR Am J Roentgenol. 2006;187:376–382
  11. Van de Sande MAJ, Rozing PM. Proximal migration can be measured accurately on standardized anteroposterior shoulder radiographs. Clin Orthop Relat Res. 2006;443:260–265
  12. Weiner D, Macnab I. Superior migration of the humeral head: a radiological aid in the diagnosis of tears of the rotator cuff. J Bone Joint Surg Br. 1970;52:524–527
  13. Werner CM, Conrad SJ, Meyer DC, Keller A, Hodler J, Gerber C. Intermethod agreement and interobserver correlation of radiologic acromiohumeral distance measurements. J Shoulder Elbow Surg. 2008;17:237–240

PII: S1058-2746(09)00220-1

doi: 10.1016/j.jse.2009.04.010

Journal of Shoulder and Elbow Surgery
Volume 19, Issue 1 , Pages 10-13 , January 2010

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