Evidence map›Paper›PMID 34231045›Full record

Trial reportArchives of orthopaedic and trauma surgery2023

Subacromial impingement syndrome: association of multiple magnetic resonance imaging parameters with shoulder function and pain.

Malte Jäschke, Hans-Christian Köhler, Marc-André Weber, Thomas Tischer, Claudia Hacke, Christoph Schulze

Open access · hybridAbstract readClinical Trial
In one paragraph

Trial report in Archives of orthopaedic and trauma surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. [Subacromial shoulder impingement].Radiologie (Heidelberg, Germany) · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Malte JäschkeDepartment of Diagnostic and Interventional Radiology, Pediatric Radiology and Neuroradiology, Rostock University Medical Center, Ernst-Heydemann-Str. 6, 18057, Rostock, Germany. malte.jaeschke@med.uni-rostock.de.ORCID http://orcid.org/0000-0002-2578-6834
Hans-Christian KöhlerDepartment of Trauma Surgery and Orthopaedics, German Armed Forces Hospital of Westerstede, Lange Str. 38, 26655, Westerstede, Germany.
Marc-André WeberDepartment of Diagnostic and Interventional Radiology, Pediatric Radiology and Neuroradiology, Rostock University Medical Center, Ernst-Heydemann-Str. 6, 18057, Rostock, Germany.
Thomas TischerDepartment of Orthopaedics, Rostock University Medical Center, Doberaner Str. 142, 18057, Rostock, Germany.
Claudia HackeDepartment of Pediatrics I, University Medical Center Schleswig-Holstein, Arnold-Heller- Straße 3, 24105, Kiel, Germany.
Christoph SchulzeDepartment of Orthopaedics, Rostock University Medical Center, Doberaner Str. 142, 18057, Rostock, Germany.
University of Rostock · DEUniversity Hospital Schleswig-Holstein · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionShoulder pain is one of the most common complaints in orthopaedics. This study focusses on the relationship between shoulder function in subacromial impingement syndrome and imaging criteria in magnetic resonance imaging (MRI). MATERIALS AND

methodsThis prospective clinical trial included 69 patients treated for subacromial impingement syndrome. Shoulder function (Constant Score, range of abduction, abduction force) and pain were correlated with the following MRI parameters: tendinosis of the rotator cuff, "halo-sign" around the biceps tendon, subacromial distance, critical shoulder angle, size of subacromial osteophytic spurs and maximum width of subacromial and subdeltoid bursa. Statistical analyses included Pearson's and Spearman's coefficients of correlation, multiple regression analysis and Student's t-test.

resultsThe Constant Score was correlated positively with the critical shoulder angle (r = 0.313; p = 0.009) and inversely with a "halo-sign" around the biceps tendon (rho =  -0.384; p = 0.001). There was no significant correlation between spur size and shoulder function, but the size of the subacromial and subdeltoid bursae was positively correlated with the subacromial spur's size (subacromial bursa: coronal plane: r = 0.327; p = 0.006; sagittal view: r = 0.305; p = 0.011; subdeltoid bursa coronal view: r = 0.333 p = 0.005). The width of the subdeltoid bursa in coronal plane was positively correlated with shoulder pain (r = 0.248; p = 0.004) and negatively with the range of abduction (r =  -0.270; p = 0.025), as well as the mean (r =  -0.332; p = 0.005) and maximum (r =  -0.334; p = 0.005) abduction force.

conclusionsShoulder function and pain in subacromial impingement are best predicted by the width of the subdeltoid bursa measured in the coronal MRI plane as an indicator of bursitis as well as the presence of a "halo-sign" around the biceps tendon indicating glenohumeral joint effusion. Presence of a subacromial spur could lead to subacromial and subdeltoid bursitis, which impairs shoulder function. Shoulder function seems not to be compromised by the presence of a subacromial spur in absence of bursitis. This study was registered at the German Clinical Trials Register on 08 February 2013 (ID: DRKS00011548).

Indexed as

BursitisShoulder Impingement SyndromeShoulder JointHumansMagnetic Resonance ImagingShoulderShoulder PainConstant ScoreCritical shoulder angleMRIPainShoulder functionSubacromial impingement

Identifiers

PMID34231045
PMCPMC9886650
OpenAlexW3179920663

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.